Virta Health

Backend Engineer

• Establish and maintain active monitoring of ANSI X12 277CA claim acknowledgment transactions to confirm payers have received submitted claims
• Implement a tracking and escalation process for claims that have not received 277CA acknowledgment within defined payer-specific windows
• Partner with the Front End Revenue Cycle Manager and Engineering to ensure clean claim submission and minimize rejection rates at the clearinghouse level
• Maintain working knowledge of clearinghouse workflows and claim status tracking capabilities
• Own the Athena Health AR aging report — ensuring it accurately reflects payment status and is actively worked on a defined cadence
• Establish AR follow-up workflows by payer and aging bucket, with defined SLAs and escalation paths for each tier
• Drive systematic reduction of the over-180-day AR balance through targeted payer follow-up, appeals, and collections activity
• Coordinate with Finance and the Manager/Director of Operational Effectiveness to ensure AR balances in Athena are accurately reflected in Zuora and NetSuite through a defined reconciliation process
• Identify and escalate AR balances where the insurance collection path has been exhausted and the employer guarantee of payment clause may apply
• Build and manage a structured denial work queue in Athena Health with assigned ownership, defined SLAs, and a clear resubmission process for each denial reason code
• Analyze denial trends by payer, reason code, and service line to identify root causes and implement upstream controls to prevent recurrence
• Prioritize denial resolution based on dollar value and timely filing window expiration — ensuring high-value, near-deadline denials are worked first
• Establish appeals workflows for payer-specific appeal processes, including supporting documentation requirements and submission timelines
• Monitor denial overturn rates by payer and reason code, and use outcomes data to refine appeal strategies
• Partner with the Front End Revenue Cycle Manager to address eligibility-driven denials at the root — denials reflecting coverage terminations that should have been caught upstream
• Manage the collections process for both claims-billed payer populations
• Establish payer-specific follow-up protocols including call queues, correspondence templates, and escalation timelines
• Coordinate with Client Success on employer group collections, including communication protocols and escalation to the employer guarantee of payment process when appropriate
• Monitor and report on cash collection rates by payer against contracted PMPM rates, identifying and investigating variances
• Recruit, onboard, and develop back-end RCM staff including AR follow-up specialists, denial management analysts, and collectors
• Establish competency requirements, training programs, and performance expectations for all back-end positions — with particular emphasis on experienced denial management and collections hires
• Conduct regular AR review sessions with staff to ensure accounts are being worked effectively and escalations are appropriate
• Build a culture of accountability, data-driven decision making, and continuous improvement within the back-end team

Senior Manager, Back End Revenue Cycle

Frontend Engineer

• Own the end-to-end member eligibility process — from receipt of client eligibility files through verification of active insurance coverage in Athena Health
• Define and enforce client eligibility file completeness standards; establish intake SLA with Client Success for incomplete or missing demographic and insurance data
• Implement and manage real-time eligibility (RTE) verification (using ANSI X12 270/271) transactions to confirm active coverage before claims are submitted
• Develop and maintain a reconciliation process to ensure all active members in Zuora have corresponding verified records in Athena
• Identify and resolve eligibility discrepancies, retroactive terminations, and coverage changes before they result in denied claims or revenue loss
• Monitor eligibility-related denial trends and implement upstream controls to reduce recurrence
• Oversee the accuracy and completeness of claims preparation and entry across all Virta Health products — Diabetes Reversal, Diabetes Management, and Sustainable Weight Loss
• Ensure all claims are coded correctly and submitted within payer-specific timely filing windows
• Monitor claim submission lag — the time between billing period close and claim submission — and establish benchmarks to reduce exposure
• Work with Engineering to improve the flow of billing trigger data from Spark into Athena, reducing manual intervention in claims entry
• Implement pre-submission claim scrubbing processes to improve clean claim rates and reduce first-pass rejections
• Maintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements relevant to Virta Health's digital health and value-based care model
• Manage provider and program credentialing and payer enrollment for all applicable Virta Health providers, locations, and product lines
• Ensure all providers are enrolled with payers prior to service delivery to prevent claim denials related to credentialing status
• Maintain a credentialing tracking system with defined renewal timelines, expiration alerts, and re-credentialing workflows
• Coordinate with Legal, HR, and Clinical Operations on provider onboarding and payer network participation requirements
• Recruit, onboard, and develop front-end RCM staff including eligibility specialists, claims entry staff, and credentialing coordinators
• Establish role-specific SOPs, training programs, and performance expectations for all front-end positions
• Conduct regular performance reviews and provide coaching to develop staff competency in eligibility verification, coding, and claims entry
• Partner with the Manager/Director of Operational Effectiveness on reporting and process improvement initiatives affecting front-end functions.

Manager, Front End Revenue Cycle

Salesforce Administrator

• Own day-to-day configuration, support, maintenance, and improvement of the Salesforce instance for the Commercial team.
• Design, build, and maintain advanced workflows, automation, validation rules, approval processes, and page layouts using Salesforce Flow and other declarative tools.
• Support and evolve integrated workflows between Salesforce and other systems (e.g., HubSpot, SalesLoft, LeanData, Slack).
• Build and manage Slack integrations that enable real-time notifications, workflow automation, and improved collaboration across the Commercial organization.
• Collaborate with Product Development’s Salesforce team to ensure scalable, secure, and aligned platform governance.
• Partner with Sales, Enterprise Marketing (including HubSpot users), and Operations stakeholders to understand their business processes and translate them into scalable system solutions.
• Analyze existing sales workflows and identify opportunities to streamline processes, reduce manual work, and improve pipeline visibility.
• Ensure the accuracy and integrity of Commercial Salesforce data through monitoring, deduplication, and maintenance routines.
• Design and maintain advanced reporting and dashboards that provide clear insights into pipeline health, sales performance, and operational efficiency.
• Enable Commercial teams to access and utilize real-time data through dashboards, reporting frameworks, and best practices.
• Be the go-to resource for troubleshooting, support, and training for Commercial Salesforce users.
• Create documentation, training materials, and standard operating procedures for internal use.
• Drive the roadmap for Commercial team Salesforce usage and future evolution of our GTM systems strategy with cross-functional input.
• Operate with a builder’s mindset—taking ownership of near-term updates while recognizing the need to design the system for long-term growth.

General Counsel

• Lead and develop Virta’s Legal team, building a high-performing function with clear priorities, strong operating rhythms, and the capabilities needed to support company growth, enterprise risk management, and Virta’s next stage of scale
• Serve as a strategic advisor to the executive team and Board on legal, regulatory, governance, and business matters
• Partner closely with Commercial, Product, Clinical, People, Finance, and Operations teams to enable company growth
• Lead all corporate legal matters, including governance, financing support, strategic transactions, litigation management, employment matters, and enterprise risk
• Oversee healthcare regulatory and compliance strategy across a rapidly evolving landscape
• Help prepare the organization for future public company requirements, including governance, disclosure practices, and operational rigor
• Support complex commercial contracting with enterprise customers, health plans, employers, and strategic partners
• Build scalable legal processes and infrastructure appropriate for a high-growth company
• Modernize the legal function through the thoughtful adoption of AI-enabled tools and workflows
• Manage and develop outside counsel relationships and any future in-house legal team expansion
• Foster a practical, solutions-oriented legal culture that balances risk management with business velocity

Content Creator

• Execute and QA lifecycle campaigns across email, SMS, and direct mail in Braze and related tools
• Support rapid A/B testing across messaging, cadence, and targeting to improve CVR and enrolls
• Build and maintain campaign logic, segmentation, and audience definitions
• Partner with Growth and Data teams to implement experiments and measure performance
• Assist with launch support for new client cohorts and campaigns
• Support data enrichment and outbound initiatives (e.g., calling, incentives, webinars) to drive incremental applications
• Identify and implement opportunities to improve campaign throughput and operational efficiency

Contract Growth Marketing Content Creator

Security Engineer

• Own and Enhance Security Design: Assess our current security controls within GCP and Kubernetes, identify areas for improvement, and drive the maturation of our security posture from good to great.
• Champion Secure Development: Partner closely with Engineering, Product, and Platform teams to integrate security best practices early and often ("shift-left") into the software development lifecycle.
• Build and Automate: Design, implement, and manage security tooling and automation to streamline vulnerability detection, remediation, and compliance verification. Replace manual processes with efficient, automated solutions.
• Refine Access Control: Evolve our identity and access management (IAM) strategy, ensuring least-privilege access and robust auditing capabilities across our systems.
• Strengthen Network Security: Continuously improve our network security architecture, policies, and controls within our cloud environment.
• Develop Clear Standards: Establish, document, and communicate practical security policies, standards, and guidelines for engineering teams.
• Lead Security Initiatives: Drive vulnerability management efforts and enhance our incident response preparedness, ensuring we are ready to handle potential threats effectively.
• Cultivate Security Awareness: Act as a security evangelist, promoting security awareness and best practices throughout the engineering organization.

Cloud Security Engineer

Data Scientist

• Serve as an embedded data lead:
• Understand the product – strategy, goals, roadmap, users – deeply enough to identify high-impact, strategic opportunities and risks.
• Use data to steer conversations: bring data-driven hypotheses, challenge assumptions, frame trade-offs, prioritize strategically.
• Translate vague product hunches into sharp analytical questions, and design the right approach to answer them.
• Be the source of truth for KPIs and product metrics: help define and monitor them, and identify trends and drivers.
• Drive decisionmaking with data: Prioritize analyses that meaningfully inform product decisions and change outcomes, reframe analysis requests that won’t do that into ones that will, and design and deliver the resulting analyses properly and rapidly.
• Lead experimentation thoughtfully: guide the team on when and when not to experiment, help enable self-serve experimentation, and focus on frequent, small experiments to speed learning.
• Identify where product strategy and ideas could be better, more easily, or more quickly implemented with the help of AI (ML or GenAI), and help enable this integration.
• Show up as a collaborative leader, not simply a service provider, and help focus work on what matters most.
• Work end-to-end to translate clinical, member, and claims data from our data warehouse into actionable recommendations: work with stakeholders to design reports and dashboards that answer real business questions, design the data flows to support these, and build the required data transformation pipelines.

Senior Data Scientist

Full-stack Engineer

• Build and enhance scalable Python and Golang services to power our member facing mobile app, and care delivery systems with a focus on supporting our patients and care teams.
• Contribute to building a digital first experience for patients and scaling care delivery.
• Partner with product management, design, analysts and non-technical stakeholders to come up with high-impact features that make metabolic weight loss feel accessible and exciting to our members.
• Contribute to the growth of the engineering team by sharing knowledge, mentoring peers, and helping introduce standardizations and processes that improve technical quality.

Senior Software Engineer – Care Delivery

• Own and deliver complex, ambiguous projects across the enrollment and early member journey, from problem definition through execution and iteration
• Design and evolve scalable backend systems that power enrollment workflows, reduce time-to-enroll, and enable operational automation
• Partner closely with product, design, data, and operations to identify high-impact opportunities and translate them into technical solutions
• Build and maintain integrations with internal and external systems (e.g., clinical platforms, lab vendors, partner APIs), ensuring reliability, observability, and data consistency across boundaries
• Lead technical decision-making for your team, balancing speed, quality, and long-term maintainability
• Identify and address cross-team dependencies, technical risks, and scaling challenges before they become bottlenecks
• Contribute to and elevate engineering standards, including code quality, system design, and developer experience
• Mentor engineers and act as a technical leader within the team, influencing beyond your immediate scope
• Leverage modern AI-assisted and agentic coding workflows to accelerate delivery and improve engineering productivity