
201 - 500 employees
Founded 2020
đź Consulting
âď¸ Legal
đŚ Logistics
đ° $15M Series A - OpenLoop Health on 2023-03
Consulting ⢠Legal ⢠Logistics
OpenLoop is a white-label telehealth platform and managed services provider that helps organizations launch and scale virtual care programs. It combines SaaS-based, brandable technology (scheduling, booking, payments, EHR/API integrations) with clinical staffing, credentialing, payer coverage and RCM, regulatory/legal support, and 24/7 patient support. OpenLoop serves health plans, hospitals and health systems, retailers, employers and digital health companies with AI-powered operations, a nationwide clinician network and broad insurance coverage including Medicare and Medicaid.
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201 - 500 employees
Founded 2020
đź Consulting
âď¸ Legal
đŚ Logistics
đ° $15M Series A - OpenLoop Health on 2023-03
Consulting ⢠Legal ⢠Logistics
OpenLoop is a white-label telehealth platform and managed services provider that helps organizations launch and scale virtual care programs. It combines SaaS-based, brandable technology (scheduling, booking, payments, EHR/API integrations) with clinical staffing, credentialing, payer coverage and RCM, regulatory/legal support, and 24/7 patient support. OpenLoop serves health plans, hospitals and health systems, retailers, employers and digital health companies with AI-powered operations, a nationwide clinician network and broad insurance coverage including Medicare and Medicaid.
⢠Define and drive product strategy for insurance capture, real-time and batch eligibility verification, benefits detail, and coverage discovery ⢠Drive accuracy, speed, and completeness of eligibility responses ⢠Define how inconsistent payer data is normalized into trusted benefit information ⢠Define client consumption of eligibility through APIs, configuration, and reporting ⢠Communicate roadmap priorities, tradeoffs, and timelines to internal stakeholders and external partners ⢠Act as a trusted product advisor to senior leaders across Product, Services, Engineering, and Design ⢠Write clear, actionable product requirements and success metrics ⢠Hold product work accountable to eligibility accuracy, eligibility issues at time of service, eligibility-driven denial rate, manual verification touches, and payer coverage and uptime
⢠5+ years of product management experience, including significant experience working directly with customers or clients ⢠At least 3 years in healthcare revenue cycle, payer operations, or health insurance technology ⢠Hands-on knowledge of eligibility and benefits workflows, including 270/271 exchanges ⢠Working fluency across insurance capture, claims submission, denials, patient billing, and downstream revenue-cycle impacts ⢠Demonstrated experience building, communicating, and managing product roadmaps ⢠Strong technical acumen with APIs, data models, integration tradeoffs, and payer documentation ⢠Comfort working with transactional data, troubleshooting anomalies, and validating hypotheses ⢠Strong communication skills with internal teams and external stakeholders ⢠Familiarity with virtual care, care delivery platforms, or healthcare operations ⢠Direct experience with clearinghouses or EDI transaction sets (270/271, 276/277, 837, 835), or coverage discovery products ⢠Familiarity with Medicare, Medicaid, commercial billing differences, and multi-state operations ⢠Experience with Healthie or comparable EMR platforms ⢠Experience applying AI or automation to verification workflows ⢠Background in a B2B2C or white-label environment ⢠SQL proficiency
⢠Autonomy, competence, and belonging-focused company culture ⢠Relatively flat organizational structure ⢠Encouragement to bring ideas to the table and make things happen ⢠Empowered and supported to do your best work
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