Revenue Cycle Product Manager

About Us:

Community CareLink’s mission is to empower and connect the healthcare continuum. We are a Federally ONC-certified platform that supports community-based organizations, FQHCs, and governments through a modern SaaS infrastructure addressing Social Determinants of Health (SDoH) and behavioral healthcare delivery.

We operate in highly regulated healthcare environments (HIPAA, PHI) and build systems that directly impact care coordination, reimbursement, and public health outcomes.

Position Summary:

We are seeking a Revenue Cycle Product Manager who can design and operate high-performing revenue cycle workflows in a fast-moving startup environment.

This role requires deep expertise in behavioral health or social services billing and credentialing, strong product thinking, and the ability to translate complex, often messy real-world processes into scalable, structured, and performant systems.

You will work across the full revenue cycle from credentialing and eligibility through claims, payments, and denials partnering with customers, engineering, and leadership to define workflows that actually work in production environments.

We are not looking for someone who passively gathers requirements or documents workflows.

You should be someone who pushes for clarity, challenges assumptions, and takes ownership of moving the product and the business forward.

We are looking for individuals who measure their work by reimbursement outcomes, efficiency gains, and real-world impact.

Key Responsibilities:

Own the design and evolution of end-to-end RCM workflows, including:

• Credentialing and payer enrollment
• Insurance eligibility verification
• Clinical documentation requirements for billing
• Charge capture and claims creation (837)
• Claims submission and clearinghouse integration
• ERA/835 processing and reconciliation
• Denials management and appeals workflows

Product Design & Execution

• Translate complex billing and operational workflows into clear, structured product requirements
• Define scalable, standardized workflows aligned with Medicaid, Medicare, and commercial payer rules
• Write high-quality product specifications, user stories, and acceptance criteria
• Contribute directly to product roadmap decisions related to revenue cycle functionality

Customer & Market Insight

• Work directly with customers to understand real-world billing challenges
• Identify inefficiencies, denial drivers, and breakdowns in workflows
• Define and enforce best-practice processes within the platform
• Operate as the internal and external subject matter expert (SME) on RCM

Engineering Collaboration

• Partner closely with engineering to translate workflows into production-ready systems
• Clarify ambiguity and drive alignment between business requirements and technical implementation
• Ensure solutions are not just functional, but scalable and maintainable

Compliance & Credentialing Strategy

• Ensure workflows meet payer-specific and regulatory requirements
• Standardize credentialing and enrollment processes across customers
• Anticipate changes in payer rules and proactively adapt workflows

Ownership & Initiative

• Identify risks, edge cases, and failure points across the revenue cycle
• Proactively propose improvements tied to measurable business impact
• Take initiative beyond defined responsibilities and thrive in ambiguity

Qualifications:

Required:

• 3+ years of experience in Revenue Cycle Management (behavioral health or social services strongly preferred)
• Deep, working knowledge of Medicaid, Medicare, and commercial payer billing
• Experience with credentialing and payer enrollment processes
• Demonstrated ability to translate operational workflows into system or product functionality
• Strong analytical thinking and process design capability
• Ability to operate independently and take ownership in ambiguous environments
• Ability to clearly articulate complex operational and product ideas with structured reasoning

Preferred:

• Experience working within an EHR or healthcare technology platform
• Product management experience
• Experience working with community-based organizations or behavioral health providers
• Experience building or standardizing workflows across multiple organizations

Key Competencies:

• Ability to bridge operations, product, and engineering
• Ability to clearly document complex workflows

Pay: $125,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have experience working in a software development company? If so, please explain.

Experience:

• Revenue cycle management: 3 years (Required)

Location:

• Kansas City, MO 64105 (Required)

Work Location: Hybrid remote in Kansas City, MO 64105