Belle

Director

• Lead and develop a high-performing care management organization supporting Medicare members with multiple chronic conditions.
• Drive consistent care plan execution, follow-up, and care coordination across the member population.
• Build and maintain operational structure: workflows, SOPs, escalation pathways, training standards, and performance management.
• Optimize care management workflows to support strong clinical outcomes while ensuring documentation quality, compliance, and accurate reimbursement.
• Partner closely with the Medical Director to ensure care management work is clinically aligned.
• Work cross-functionally with Billing/RCM, Clinical Ops, and Product/EHR teams to ensure care management work is well-documented, trackable, and operationally efficient.
• Establish and run quality assurance processes (audits, coaching loops, documentation standards, member experience reviews).
• Hire, coach, and retain strong frontline care management leaders and team members.

Director of Care Management

Financial Planning and Analysis

• Build and maintain the financial structure across the MSO and multiple state medical groups (GA, MI, MO, etc.)
• Own the migration from QuickBooks Online to a multi-entity accounting system
• Partner closely with the Practice Manager to align RCM operations with financial reporting
• Manage Belle’s financial forecast model for growth, staffing, cash flow and new markets
• Oversee financial operations across all entities (Ramp Treasury accounts, intercompany transfers, payroll entity separation)
• Maintain GAAP-compliant financials across all entities
• Initially run point as a one-person department (with bookkeeper + PM support)

Director of Finance, Healthcare

Billing Specialist

• Own end-to-end billing execution and revenue cycle performance
• Own daily and weekly medical claim submission
• Monitor clearinghouse activity and payer responses
• Correct and resubmit rejected claims
• Ensure timely, accurate claim throughput
• Manage payer denials and appeals
• Own A/R aging and follow-up cadence
• Escalate unresolved payer issues as needed
• Identify underpayments and discrepancies
• Maintain and improve billing workflows
• Document repeatable processes
• Prepare billing operations to scale from current volumes to 20k+ claims/month
• Partner with the Practice Manager to surface upstream issues related to eligibility, configuration, or documentation
• Provide structured feedback to prevent repeat billing errors
• Coordinate closely with Finance on cash visibility and performance

Billing Manager – Healthcare

• Own daily and weekly medical claim submission
• Monitor clearinghouse activity and payer responses
• Correct and resubmit rejected claims
• Ensure timely, accurate claim throughput
• Manage payer denials and appeals
• Own A/R aging and follow-up cadence
• Escalate unresolved payer issues as needed
• Identify underpayments and discrepancies
• Maintain and improve billing workflows
• Document repeatable processes
• Prepare billing operations to scale from current volumes to 20k+ claims/month
• Partner with the Practice Manager to surface upstream issues