Strategy & Operations Lead, RCM

Strategy & Operations Lead, RCM

Prosper Health is on a mission to make life happier and healthier for autistic and neurodivergent adults.

Autistic adults have been systematically overlooked by the healthcare systemdespite autism diagnoses increasing more than 5x in the past 25 years. This has led to extremely poor outcomes : autistic adults are 11x more likely than the average person to experience suicidal ideation and face a life expectancy 30 years shorter than average.

Prosper offers virtual mental health servicescovered by insurance and built specifically for autistic adults. We help thousands of people get diagnosed for the first time in their lives, pair them with neurodivergent-affirming therapists, and foster belonging through community. In just 2 years, we have grown to double digit millions of run-rate revenue, thousands of active clients, and 200+ clinicians. We have a lean, ambitious team, and recently raised a Series A to help us transform mental health for autistic and neurodivergent adults.

About the Role

As the Strategy & Operations Lead for RCM, you will be the driver behind all strategy and analytics related to revenue cycle management - helping us collect our revenue while ensuring clients can seamlessly access our services.

You'll be responsible for optimizing all aspects of the revenue cycle, including daily operations (e.g., insurance eligibility, claim submission, and post-claim adjudication flows), revenue collection, patient billing support, and data analysis.

The role is cross functional, collaborating closely across engineering, marketing, client experience, and more. As one of our first 25 team members, this is a unique opportunity to get significant ownership of a critical function at an early-stage, high-growth startup. This role is NYC-based (3-5 days / week in our Flatiron office).

Key Responsibilities

• Maximize revenue capture : Dig into data on denials, underpayments, and billing issues to find where money is slipping through the cracks, then implement targeted solutions
• Drive top-line revenue growth : Lead high-impact projects in payer network strategy and billing strategy that measurably improve top-line revenue
• Build analytics that matter : Design reporting that translate complex revenue cycle data into clear insights that drive decisions
• Streamline operational workflows : Find friction points in eligibility, collections, and billing, then design solutions that cut manual work of support team and accelerate turnaround times
• Own high-impact special projects : Lead initiatives that move the needle on company growthlike redesigning our state expansion playbook or building from scratch a late cancellation policy. You'll coordinate across engineering, operations, clinical, and client experience teams to launch solutions that actually work.

About You

More about Prosper Health

Our team : We are a team of thoughtful, caring, action-oriented problem-solverspaired with true experts in the field, including clinicians and autistic self-advocates. Our operations team is based in New York and spread across the U.S., with talent from Bain, McKinsey, BCG, FirstHand Health, SeatGeek, Benchling, and schools like Harvard, MIT, Yale, Penn, Northwestern, Dartmouth, Vanderbilt, and more.

Our culture :