Rippl

Accounting Manager

• Manage, mentor, and develop accounting and payroll team members.
• Partner with HR to maintain employee compensation data, benefits deductions, and payroll-related systems.
• Oversee all day-to-day accounting functions including general ledger, AP/AR, fixed assets, revenue recognition, and month-end close.
• Direct all payroll operations to ensure accurate, compliant, and timely payroll processing for all employees.
• Oversee payroll tax filings, wage reporting, and year-end processing (W-2s, 1099s, etc.).
• Establish and maintain robust internal controls, policies, and procedures to safeguard assets and ensure financial integrity.
• Ensure timely and accurate preparation of monthly, quarterly, and annual financial statements in accordance with GAAP.
• Review journal entries, account reconciliations, and variance analyses to maintain financial accuracy.
• Lead initiatives to improve operational efficiency, automation, and financial governance.
• Oversee financial systems, ERP platforms, and payroll systems to ensure accuracy, data integrity, and scalability.
• Lead process improvement initiatives across accounting, procurement, and payroll workflows.
• Implement best practices to streamline close cycles and reduce manual workloads.
• Support CFO in developing annual budgets, financial forecasts, and scenario modeling.
• Provide insights into operational and financial performance, highlighting risks and opportunities.
• Partner with leadership to support financial strategy, cost optimization, and resource planning.
• Partner with HR, Operations, IT, and other departments to ensure consistent alignment.
• Communicate financial results and implications to senior leadership in a clear, actionable manner.
• Lead annual audit activities, liaise with external auditors, and ensure successful completion with minimal findings.
• Ensure compliance with federal, state, and local wage and hour laws.
• Ensure compliance with GAAP, regulatory requirements, corporate policies, and audit standards.

Director of Accounting – Digital Healthcare

Controller

Controller – Digital Healthcare

Full-stack Engineer

• Design, build, and maintain efficient, reusable, and reliable code across the full stack.
• Develop and maintain back-end services and RESTful APIs using Python/Flask, ensuring scalability, performance, and security.
• Lead the development of new features for the Navigator Console, scheduling, and assessment tools, enhancing Rippl’s telehealth platform.
• Collaborate with front-end developers and designers to deliver intuitive and accessible user interfaces using React (or similar frameworks).
• Integrate third-party services and internal systems (e.g., EHR, telehealth, analytics tools) through robust APIs and data pipelines.
• Write unit, integration, and end-to-end tests to ensure application stability and reliability.
• Conduct regular code reviews, debug complex issues, and contribute to engineering best practices.
• Work closely with product managers, clinicians, and operations teams to translate care workflows into scalable software solutions.
• Create and maintain clear technical documentation to support knowledge-sharing and long-term maintainability.
• Stay current with Python/Flask ecosystem developments and front-end best practices to continually improve Rippl’s technical stack.

Full Stack Engineer – Healthcare

Bilingual

• Serve as the initial point of contact for individuals who may be experiencing memory and brain health changes
• Conduct proactive outreach to patients or caregivers identified through partners and initiate brief conversations to identify needs and introduce Rippl’s dementia care model
• Administer brief dementia-related screeners to assess need for further evaluation or support
• Educate individuals about Rippl’s mission and dementia care programs and available support for patients and caregivers
• Encourage enrollment when appropriate and schedule initial clinical appointments with the Rippl care team
• Accurately document outreach efforts, screening responses, and next steps in Salesforce and the electronic health record (Athena)
• Coordinate with various teams to ensure a seamless transition into care for those who enroll
• Meet or exceed targets for engagement, screening completion, documentation quality, and conversion to care

Bilingual Patient Outreach Specialist

Manager

• The Associate Manager, Nurse Practitioners is a clinical leader who balances direct patient care with frontline supervision of a cohort of ARNPs. In this execution-focused role, you will oversee day-to-day clinical operations, support effective workflow delivery, and provide hands-on support to the team. Acting as a vital connector between frontline clinicians and the broader care model, you will surface insights, resolve challenges, and champion continuous improvement to ensure high-quality, patient-centered care.
• Frontline Supervision & Support: Oversee daily activities of a cohort of Nurse Practitioners, including scheduling, problem-solving, and execution of clinical workflows.
• Provide coaching and support through regular check-ins to reinforce clinical standards, compliant documentation, and Rippl values.
• Assist with onboarding, skill development, and promote professional growth for NPs.
• Maintain a limited direct patient caseload to stay grounded in frontline practice and patient needs.
• Workflow & Operations Management: Monitor clinical operations to ensure timely, accurate patient care, documentation, and adherence to protocols.
• Use data and metrics to track performance, identify trends, and proactively address risks or barriers.
• Resolve day-to-day clinical and operational issues within scope, escalating complex challenges when needed.
• Collaboration & Communication: Partner with Medical Directors, Social Workers, Care Navigators, and other clinical staff to ensure coordinated, patient-centered care.
• Share team priorities, updates, and feedback during operational meetings and care planning sessions.
• Foster a culture of open, safe, and transparent communication that supports providers and elevates the quality of patient care.
• Change Implementation & Continuous Improvement: Support the rollout and adoption of new protocols, workflows, and tools.
• Gather and relay frontline insights to leadership to inform improvements and drive ongoing quality of care.

Associate Manager, Nurse Practitioners

Billing Specialist

• The Medical Billing Specialist supports daily billing operations to ensure accurate and timely claim submission, payment posting, and resolution of rejections or denials.
• This role focuses on managing claim volume in Athena and ensuring compliance with payer requirements and healthcare regulations.
• This role also serves as a primary point of contact for patients and caregivers, handling billing-related inquiries via phone or email, providing clear and professional support.
• Submit and manage claims in Athena, ensuring accuracy and completeness prior to submission.
• Verify and enter charges accurately; review prior-day submissions to identify and correct any rejections promptly.
• Apply CPT and ICD-10 coding standards when processing claims.
• Serve as a first point of contact for patients or caregivers with billing questions via phone or email; resolve inquiries professionally and empathetically.
• Communicate with clinical and administrative teams to gather any missing or corrected information needed for claims.
• Post payments and reconcile accounts as assigned.
• Monitor claim status and follow up with payers to ensure prompt payment.
• Maintain compliance with HIPAA and healthcare billing regulations.

Medical Billing Specialist

Product Manager

• The Salesforce Product Manager will serve as the strategic owner of Rippl’s Salesforce platform, ensuring it meets the needs of our Growth, Partner Success, Clinical, and Operations teams.
• Reporting to a senior product leader, this role will translate business needs into a clear Salesforce roadmap, define priorities, and work closely with Salesforce Administrators, developers, and business stakeholders to deliver impactful solutions.
• This is a hands-on, cross-functional role ideal for someone who thrives at the intersection of business and technology and is passionate about using systems to improve healthcare delivery.
• Own and manage the Salesforce product roadmap, ensuring alignment with business priorities and user needs.
• Partner with internal teams (Growth, Partner Success, Clinical, Operations) to gather requirements, define user stories, and prioritize enhancements.
• Collaborate with Salesforce Administrators and developers to ensure timely delivery of features, automations, and integrations.
• Conduct user research, testing, and feedback sessions to improve adoption, usability, and workflow efficiency.
• Define and track KPIs to measure Salesforce performance, adoption, and business impact.
• Create and maintain clear product documentation, including requirements, process flows, acceptance criteria, and release notes.
• Coordinate communication and change management around new features, including training and release updates for business users.
• Ensure product decisions support compliance with healthcare regulations and data privacy requirements.