Senior Product Manager - RCM

Flagler Health is building the clinical operating system for modern musculoskeletal care. We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle. We’ve recently raised our Series B and are entering our next phase of growth. The Role Revenue cycle is where clinic economics are won or lost, and it is one of the most operationally painful parts of running a practice. We're hiring a Senior Product Manager for RCM to own that surface area end to end: eligibility, authorizations, and the EHR integrations that everything else depends on. You will own the roadmap for revenue cycle, work closely with Engineering to ship it, and stay close enough to real clinic workflows to know when a spec is wrong before it gets built. Our RCM business combines software and services, so you'll also work alongside our RCM operations team, know the numbers, and lead how we modernize and automate the work. The right person has lived in revenue cycle long enough to know where the edge cases hide, and has the product instincts to decide what actually gets built. What You’ll Do Own the product roadmap for revenue cycle: eligibility, prior authorizations, claims, AR, and adjacent workflows, and EHR integrations. Work directly with clinics and their revenue cycle and finance leaders: understand where the current process breaks and what it costs them, and partner with them through implementation, rollout, and expansion. Partner with our RCM operations team to run a tech-enabled services business, and know its numbers: collections, denial rates, days in A/R, and cost to collect. Find where revenue cycle work is still manual, and decide what to automate, with AI or otherwise, and in what order. Turn the operational reality of revenue cycle into requirements engineers can build against, and stay involved through delivery. Define success metrics, decide which to pursue when they conflict, and own the trade-offs across integration work, new capability, and reliability. Partner with leadership on how revenue cycle capability shapes the broader platform strategy. Required Qualifications 5+ years in product management roles. Direct experience in revenue cycle or practice operations: eligibility verification, prior authorizations, billing and collections, and EHR integrations. Demonstrated ability to own a complex, integration-heavy product area end to end. Fluent with AI in how you work and how you build: you use AI tools daily, understand how AI is changing the way software is built and shipped, and can judge when AI is the right answer to a product problem and when it isn’t. Strong written and verbal communication. You can make a technical trade-off legible to clinical, executive, and finance audiences, including a client's revenue cycle and finance leaders. Comfort operating with high autonomy in a fast-moving startup. NYC preferred. Excellent candidates can work remotely with ability to travel to NYC, client, and RCM offices as needed. Preferred Qualifications Experience running or working inside a tech-enabled services business (RCM outsourcing, a billing company, or similar). You pull and analyze claims data yourself to test a hypothesis before asking engineering to build. Background at Series A–B healthcare startups. Work Environment We have video on for our weekly team syncs and pair-coding/tech discussions. Camera is required to be on during meetings. Our Values: This is what you can expect of your teammates at Flagler: Owner: We own our work like founders. We don't wait to be asked, and we pick up the problem nobody else has. Builder: We like making things from scratch. We don't need a playbook to start, and we'd rather ship a rough first version than wait on a perfect spec. Fast: We make quick decisions. We favor progress and respect process. Transparent: We communicate directly. We value merit and honesty, and we challenge assumptions, including our own. Curious: We explore new approaches and ask "why" often.