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Customer Insights Manager, Home Health/Hospice (US, Remote)

$120k - $150k

Eleos Health, Inc

New York, NY
  • Remote job

Customer Insights Manager, Home Health/Hospice (US, Remote) US Who is Eleos Health? Today, more people than ever are speaking publicly about their mental health. Whether it's ourselves, our friends and family or even public figures, taking care of your behavioral health is no longer a taboo, it's vital, and it's only human. Eleos is on a mission to help deliver the world's most effective behavioral care through data, measurement, and personalization. Or simply put, we want to give clinicians the support they need to do the important work only they can do . What is this opportunity? We are looking for a Customer Insights Manager to join Eleos Health as we expand into the Home Health and Hospice (HH&H) market, working closely with the Clinical Strategy team. You'll be the HH&H compliance subject matter expert across the company — the bridge between our customers' clinical realities and our product, engineering, sales, and implementation teams. You'll translate regulatory frameworks like CMS Conditions of Participation, OASIS-E, HOPE, PDGM, and hospice eligibility standards into actionable product requirements, compliance rulesets, and customer-facing guidance, while helping build the compliance dashboard and custom rules engine for the Care at Home vertical. Who are you? You are someone who has lived the frustration of manual, fragmented compliance in home health and hospice and wants to build the technology that actually fixes it. You've spent real time delivering direct patient care and have since moved into quality assurance or compliance leadership, so you know both sides of the equation — what clinicians live day to day and what auditors expect on paper. You're comfortable in ambiguity and energized by cross-functional work, moving fluidly between product conversations, customer discovery calls, and frontline clinical detail. You're confident enough in your regulatory knowledge to push back when something isn't right, and you find genuine satisfaction in turning dense CMS language into something an engineer or a salesperson can actually use. How will you contribute? Translate CMS Conditions of Participation, state regulations, accreditation standards, and payer requirements into operational workflows and AI rule sets, and maintain compliance rule libraries covering OASIS-E accuracy, HOPE assessment validation, hospice eligibility/recertification documentation, PDGM coding compliance, and SDoH capture. Provide clinical validation and subject matter expertise for AI-driven compliance prompts, Live Quality Assist nudges, and compliance dashboard checks, reviewing AI-generated narrative notes, OASIS responses, and HOPE items for clinical accuracy and regulatory alignment. Lead discovery sessions with HH&H executives, QA/QAPI directors, and clinicians to identify compliance needs and workflow gaps, and support compliance implementations end-to-end — including data schema validation, EHR ingestion review, and custom rules development. Serve as the HH&H compliance SME during customer meetings, QBRs, and onsite visits alongside sales, customer success, and implementation teams. Educate internal teams on HH&H compliance personas, regulatory frameworks, and market dynamics, and partner with Product, Clinical Strategy, Engineering, and Sales Engineering to keep HH&H needs reflected in product and go-to-market materials. Monitor changes in CMS regulations, MAC and payer requirements, and accreditation standards, translating market and competitive signals into product and positioning recommendations. What qualifications and skills will help you be successful? Required qualifications: Clinical licensure and direct patient care experience in home health or hospice (RN, PT, OT, SLP, SW, or equivalent) 5+ years in quality assurance, compliance, or clinical operations leadership (director level or above preferred) within a home health, hospice, or combined HH&H organization Deep working knowledge of CMS Conditions of Participation, OASIS-E, HOPE, PDGM, and hospice eligibility/recertification documentation standards Hands-on experience with audit preparation (CMS surveys, state surveys, ADRs, ZPIC/UPIC audits), QAPI programs, and corrective action planning Familiarity with major HH&H EHR systems (e.g., HCHB/Homecare Homebase, WellSky/Kinnser, MatrixCare, Netsmart, Careficient, Healthwyse) Strong project management skills, with the ability to prioritize and execute across multiple workstreams simultaneously Experience with LLM prompt engineering, AI model validation, or data-driven quality improvement methodologies Some nice-to-haves: Background in revenue cycle management, coding compliance, or billing operations in HH&H Certifications such as COS-C, CHC, CPHQ, or HCS-D Experience navigating PDGM recoupment risk, hospice fraud enforcement, or CMS TPE reviews This is a unique opportunity to join a startup that has a meaningful impact on thousands' well-being and mental health. This role offers: A team of amazing people with a shared vision and the infinite drive to make it happen The base pay range for this position is $120,000-150,000 per year. The determination of what a specific employee in this job classification is paid depends on several factors, including, but not limited to, prior employment history/job-related knowledge, qualifications and skills, length of service, and geographic location. Opportunity to build, grow, and become highly instrumental in shaping how technology can increase the effectiveness of therapy Fully remote work environment Competitive health and well-being benefits, mental healthcare support, and life and AD&D insurance Significant equity and 401(k) plans matched to 4% Company sponsored retirement plan Global business travel insurance for you and any dependents traveling with you Domestic conference budget and annual learning & development stipend Life & family Generous PTO, additional mental health days, and paid time off to recharge, care for yourself and loved ones, and handle life's moments Fertility treatment and family planning coverage Annual learning & development stipend Employee resource groups and team-driven celebrations and events As set forth in Eleos Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Voluntary Self-Identification of Disability Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 04/30/2026 Why are you being asked to complete this form? We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years. How do you know if you have a disability? A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to: Alcohol or other substance use disorder (not currently using drugs illegally) Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS Blind or low vision Cancer (past or present) Cardiovascular or heart disease Celiac disease Cerebral palsy Deaf or serious difficulty hearing Diabetes Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders Epilepsy or other seizure disorder Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome Intellectual or developmental disability Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD Missing limbs or partially missing limbs Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS) Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities Partial or complete paralysis (any cause) Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema Short stature (dwarfism) Traumatic brain injury PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete. #J-18808-Ljbffr Eleos Health, Inc

Vacancy posted 3 days ago
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