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Customer Insights Manager, Home Health/Hospice

Job not on LinkedIn

🕒 August 11

🇺🇸 United States – Remote

💵 $120k - $150k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Where this job comes from

Posted on Eleos Health's careers page, not through a job board

First seen by Remote Rocketship August 11

Still open on Eleos Health's site. Checked 2 hours ago.

Logo of Eleos Health

Eleos Health

51 - 200 employees

🏥 Healthcare

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

Healthcare • Artificial Intelligence • Healthcare Insurance

Eleos Health is a company that specializes in providing AI-powered behavioral health software designed to enhance the efficiency and quality of care delivery. Their platform focuses on automating documentation and compliance tasks for behavioral health providers, significantly reducing the time providers spend on these tasks and allowing them to concentrate more on client care. By leveraging augmented intelligence and machine learning, Eleos Health delivers detailed progress note suggestions and clinical insights, improving providers' work-life balance and client outcomes. Eleos Health serves behavioral health organizations across the United States, offering solutions that integrate seamlessly into existing electronic health record workflows.

📋 Description

• Translate CMS Conditions of Participation, state regulations, accreditation standards, and payer requirements into operational workflows and AI rule sets. • Maintain compliance rule libraries covering OASIS-E accuracy, HOPE assessment validation, hospice eligibility/recertification documentation, PDGM coding compliance, and SDoH capture. • Provide clinical validation and subject matter expertise for AI-driven compliance prompts, Live Quality Assist nudges, and compliance dashboard checks. • Review AI-generated narrative notes, OASIS responses, and HOPE items for clinical accuracy and regulatory alignment. • Lead discovery sessions with HH&H executives, QA/QAPI directors, and clinicians to identify compliance needs and workflow gaps. • Support compliance implementations end-to-end, including data schema validation, EHR ingestion review, and custom rules development. • Serve as the HH&H compliance SME during customer meetings, QBRs, and onsite visits alongside sales, customer success, and implementation teams. • Educate internal teams on HH&H compliance personas, regulatory frameworks, and market dynamics. • Partner with Product, Clinical Strategy, Engineering, and Sales Engineering to reflect HH&H needs in product and go-to-market materials. • Monitor changes in CMS regulations, MAC and payer requirements, and accreditation standards, translating market and competitive signals into product and positioning recommendations.

🎯 Requirements

• Clinical licensure and direct patient care experience in home health or hospice (RN, PT, OT, SLP, SW, or equivalent) • 5+ years in quality assurance, compliance, or clinical operations leadership within a home health, hospice, or combined HH&H organization • Deep working knowledge of CMS Conditions of Participation, OASIS-E, HOPE, PDGM, and hospice eligibility/recertification documentation standards • Hands-on experience with audit preparation, including CMS surveys, state surveys, ADRs, ZPIC/UPIC audits, QAPI programs, and corrective action planning • Familiarity with major HH&H EHR systems, including HCHB/Homecare Homebase, WellSky/Kinnser, MatrixCare, Netsmart, Careficient, and Healthwyse • Strong project management skills and ability to prioritize and execute across multiple workstreams simultaneously • Experience with LLM prompt engineering, AI model validation, or data-driven quality improvement methodologies • COS-C, CHC, CPHQ, or HCS-D certifications are nice-to-haves • Background in revenue cycle management, coding compliance, or billing operations in HH&H is a nice-to-have • Experience navigating PDGM recoupment risk, hospice fraud enforcement, or CMS TPE reviews is a nice-to-have

🏖️ Benefits

• A team of amazing people with a shared vision and the infinite drive to make it happen • Opportunity to build, grow, and become highly instrumental in shaping how technology can increase the effectiveness of therapy • Fully remote work environment • Competitive health and well-being benefits, mental healthcare support, and life and AD&D insurance • Significant equity and 401(k) plans matched to 4% • Company sponsored retirement plan • Global business travel insurance for you and any dependents traveling with you • Domestic conference budget and annual learning & development stipend • Remote work stipend • Generous PTO, additional mental health days, and paid time off to recharge, care for yourself and loved ones, and handle life's moments • Fertility treatment and family planning coverage • Annual learning & development stipend • Employee resource groups and team-driven celebrations and events

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