Revenue Cycle Manager

Portland, Oregon, United States | Operations | Full-time | Fully remote


About us 

Working at Boulder

Founded in 2017, Boulder Care is a digital clinic offering long-term support and treatment for substance use disorders. Collaborating across medical, behavioral, and psychosocial dimensions, Boulder’s dedicated Care Teams deliver evidence-based care and help participants work toward their individual goals. 

Boulder's model is grounded in value. Through innovative partnerships with leading national health plans like Blue Cross Blue Shield, Boulder’s progressive payment arrangements realign incentives to reward outcomes and reduce total cost of care. We can unlock billions of dollars for the US health system by ensuring patients who are gravely underserved today have the opportunity to get well.

Backed by world-class investors like First Round, Greycroft, Acumen, and the National Institutes of Health (NIH) with more than $20M in funding, Boulder is in an exciting stage of rapid growth.


Our mission

  • Based in science: Boulder care teams provide comprehensive, evidence-based treatment that is tailored to each individual’s unique needs and goals. Boulder teams also help manage a host of co-occurring conditions, including depression, anxiety, post-traumatic stress disorder (PTSD), Hepatitis C, women's health, and more.
  • Grounded in empathy: We provide unconditional support rooted in harm reduction and trauma-informed care. Patients, peer coaches, and caregivers make important decisions together. Boulder Care focuses on long-term health, happiness, and wellness by addressing non-clinical goals like safe housing, employment, parenting, and financial security just as much as clinical outcomes. This model has resulted in a Net Promoter Score of 91 and 12-month-retention rates that are two times higher than the average outpatient program.
  • Breaking down barriers: Boulder's proprietary technology suite makes care accessible, comfortable, and convenient through secure video, phone, and messaging. We're reaching rural communities of the country, where more than 80% of people have little to no access to buprenorphine (Suboxone) prescribers. Boulder provides low-threshold care that is inclusive, empowering, and heavily influenced by participants' stated preferences and goals. Wherever our patients wish to go, we're grateful to go there together.


Our values

  • The people we care for always come first
  • Our opportunity is also our duty, in service to others
  • Share facts to change minds, instill empathy to change hearts
  • Move the industry forward: follow the data
  • Strong individuals, stronger together


About the role

  • We are hiring a Revenue Cycle Manager to manage all functions of our billing and revenue cycle.  This position requires in-depth knowledge of billing, invoicing, arranging payment methods, overseeing collections, accounts receivable, and proper financial statements.
  • For an individual excited about innovation in healthcare, this role offers a chance to contribute to company-building strategy in areas of business development, contracting, billing and reimbursement, and product development with high visibility into the rest of Boulder’s operations.
  • Make a difference. The devastating impact of the opioid crisis, “war on drugs,” and care gaps for the underserved are at the forefront now more than any time in US history. By bringing care to more people, we are changing and saving lives. Value-based partnerships help move the industry forward toward a more modern, compassionate, and equitable healthcare system.
  • Build your career with talented peers. Boulder brings together a diverse team of expert clinicians, technologists, researchers, and business strategists aligned under a common mission. Boulder’s clinical teams are the leading voices in addiction medicine and industry transformation. Our technology leadership has built products and services that scaled to hundreds of employees and hundreds of millions of end-users. Our team is wholly driven by mission, recognizing that our immense opportunity is also our duty to serve others.
  • Grow with us. Boulder is a Series-A-stage, venture-funded company supported by some of the best investors in the country. Together, we're building a massive business through social impact. According to White House estimates, the opioid crisis cost the US $500 billion in 2015. A member with untreated opioid use disorder (OUD) drives 550% greater healthcare costs to payers than the average member (UHC analysis, 2019). Boulder partners with leading commercial and Medicaid health plans to bring better experiences and effective services to their members, significantly reducing costs and sharing in the economic savings we create. 


Success in this role: 

Operationalize Revenue Function 

  • Ensure success and accuracy of medical claims workflow pre and post adjudication
  • Understand and resolve medical claim challenges, while guiding the company towards scalable solutions that enhance the patient experience and enable the growth of our business 
  • Be the go-to person for revenue cycle questions, including participating in cross-functional efforts to increase efficiency of systems and processes related to the entire revenue cycle operations.
  • Work with the company’s executive team to support and allocate roles and responsibilities for financial operations cross-functionally, partnering with Finance, Operations, Product, Business Development and Contracting teams
  • Oversee team and vendors responsible for Billing (including Medical Claims), Eligibility and Cash Collections claims 
  • Optimize accounts payable and accounts receivable. Make recommendations to improve revenue capture without distracting from the care model or compromising an exceptional, caring patient experience
  • Identify revenue cycle problems and implement solutions for improvement.
  • Help assess and onboard new customers’ claim billing requirements 
  • Monitor and implement best practices necessary for a healthy revenue cycle
  • Work closely with external vendors and systems that influence the success of our payer integrations. 

Support Partnerships with Health Insurers and Enterprise Clients

  • Analyze and help inform customer contracts
  • Prepare technical memos to summarize revenue issues relevant to major contracts, and provide appropriate conclusions and recommendations  
  • Drive the technical application of revenue recognition, including advising on managed care contracting structure, contract language, accounting consequences and reporting outputs


Requirements for the role:

  • 3+  years of relevant revenue cycle experience
  • Knowledge and experience in Medical Claims billings (including Medicare/Medicaid)
  • Understanding of insurance plan benefit design
  • Appetite to drive efficiencies and automation and build lightweight infrastructure to support a growing startup
  • Ability to consistently comb through large amounts of data and draw insights from it
  • Capable of presenting complex claims billing workflow information in an easy to understand format.
  • Diplomacy to navigate requests and requirements from diverse payors and systems without compromising receipt of revenue or requiring extensive administrative overhead
  • Solid written and verbal communication skills, with the ability to communicate technical accounting requirements to a non-technical audience
  • Comfort making decisions in ambiguous situations and doing things for the first time
  • Ability to shrewdly identify and escalate problems and offer persuasive resolutions
  • A passion for teamwork, collaboration and the ability to partner with and influence cross-functional personnel
  • Analytical self-starter with ambition, energy and expertise
  • Excellent business judgment
  • Talent for numbers and process optimization 
  • Superb project management skills, with extreme attention to detail


Nice to have but not required:

  • Built similar infrastructure at a comparable healthtech company
  • Experience managing financial data in a HIPAA-compliant environment


Boulder Care is an equal opportunity employer that recruits, employs, trains, compensates and promotes regardless of race, religion, color, national origin, sex, disability, age, veteran status, and other protected status as required by applicable law. If you believe in our mission to deliver the world’s most advanced opioid addiction recovery plan, you are encouraged to apply.


To get more details about who we are and our employee benefits, check out Working at Boulder