Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Key Responsibilities

• Own the ongoing relationship with assigned healthcare customers, driving adoption and ensuring they realize real value from our platform.

• Serve as the primary point of contact, acting as the connective tissue between customers and internal teams.

• Translate customer needs into outcomes, surfacing feedback and advocating as the voice of the customer.

• Proactively identify risks and opportunities within accounts to support retention and growth.

• Travel approximately 25% to engage with customers on the ground.

Required Qualifications

• 1–3 years of experience in healthtech, or in a healthcare setting working closely with health technology (e.g., athenahealth or similar platforms).

• Strong understanding of the pace and nuance of healthcare, with a track record of building durable customer relationships.

• Organized, proactive, and energized by solving customer problems.

• Clear communicator who takes ownership and thrives in a fast-moving, mission-driven environment.

• Customer success experience specifically within healthtech is a strong plus.

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Key Responsibilities

• Own the ongoing relationship with assigned healthcare customers, driving adoption and ensuring they realize real value from our platform.

• Serve as the primary point of contact, acting as the connective tissue between customers and internal teams.

• Translate customer needs into outcomes, surfacing feedback and advocating as the voice of the customer.

• Proactively identify risks and opportunities within accounts to support retention and growth.

• Travel approximately 25% to engage with customers on the ground.

Required Qualifications

• 1–3 years of experience in healthtech, or in a healthcare setting working closely with health technology (e.g., athenahealth or similar platforms).

• Strong understanding of the pace and nuance of healthcare, with a track record of building durable customer relationships.

• Organized, proactive, and energized by solving customer problems.

• Clear communicator who takes ownership and thrives in a fast-moving, mission-driven environment.

• Customer success experience specifically within healthtech is a strong plus.

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

This is a foundational executive leadership role responsible for scaling the engineering organization, the technical infrastructure, and the company's operational maturity.

As VP of Engineering, you will lead a distributed engineering team across NYC and Vancouver while shaping the systems, processes, and architecture required to support a rapidly growing healthcare platform operating in a regulated environment.

Success in this role means building a high-performing engineering culture, delivering reliable, scalable systems, and laying the technical foundation for long-term business growth.

• Lead, mentor, and scale a distributed engineering organization across NYC and Vancouver

• Own engineering recruiting strategy, hiring standards, organizational design, and headcount planning

• Define and drive technical strategy across backend services, infrastructure, integrations, and platform architecture

• Guide scalability and reliability initiatives for systems supporting real-time patient communications (audio and SMS) and asynchronous workflow processing

• Own infrastructure strategy, including cloud architecture, CI/CD, observability, deployment automation, and operational excellence

• Establish engineering best practices for security, compliance, resiliency, and performance in a HIPAA-compliant environment

• Partner closely with Product and Operations leadership to align engineering priorities with company goals and roadmap execution

• Improve engineering velocity, system reliability, and cross-functional collaboration as the organization scales

• Proven experience leading, managing, and scaling a distributed engineering organization, including direct ownership of recruiting, hiring, and headcount planning.

• Expertise in setting technical direction, architectural standards, and driving large-scale infrastructure decisions across backend services and complex integrations.

• Deep experience establishing and enforcing engineering standards and operating compliant, fault-tolerant production environments, preferably in a HIPAA or other regulated industry.

• Track record of driving and implementing reliability and scalability solutions, particularly for platforms handling real-time (audio/SMS) and long-running asynchronous data workflows.

• Demonstrated ability to partner effectively with Product and Operations leadership to translate business priorities into a clear, actionable engineering roadmap.

• Experience in healthcare technology or SaaS platforms at a medium-sized startup

• Familiarity with HL7, FHIR, or EHR integrations

• Experience with cloud platforms such as AWS, Azure, or GCP

• Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)

• Experience working in a monorepo setup (e.g., Turborepo, Nx)

• Nice to have: Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)

• Nice to have: Exposure to DevOps practices, including containerization, observability, and deployment automation

• Distributed remote team with hybrid offices in NYC and Vancouver

• This role requires regular and consistent in-person collaboration

• We maintain a highly collaborative culture with video-on team meetings and technical discussions

• Apply to any one of the postings for this job. All applications from different job aggregators are sent to a single ATS and deduplicated internally.

• Interviews:

  • Flagler intro: Q&A about who we/you are looking for in a new team member/team

  • Technical assessments: 2-3 (a mix of interview and take-home), depending on the candidate's level. No Leetcode. AI allowed.

  • Non-technical interviews with ops & c-suites: as many as you would like to get a sense of the company

• Offer & background check

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Role Overview

We are seeking a nationally certified Medical Assistant to serve in a dual-function role at our WI facility. You will act as the on-site point of contact for our Medicare 855B site inspection process while supporting our Remote Therapeutic Monitoring (RTM) program.

This position is currently 5 days per week, on-site at 444 Reid Street, De Pere, WI 54115. As our clinical program scales and staffing grows, a hybrid schedule (rotating in-office and remote days) will become available. That transition will be communicated in advance with clear expectations.

Physical presence during the 10:00 AM to 2:00 PM window is mandatory. Our facility is subject to unannounced CMS / MAC site inspections as part of a pending 855B application. A missed inspection results in automatic application denial. Punctuality and consistency are non-negotiable in this role.

On-Site Responsibilities

Medicare Site Inspection Compliance

• Serve as the sole dedicated physical presence at the facility during all posted operating hours.

• Act as the immediate, professional point of contact when a MAC field inspector arrives unannounced.

• Escort inspectors through the facility and respond to operational questions factually and without elaboration.

• Confirm each morning that the facility is open, utilities are operational, and equipment is functioning before 10:00 AM.

• Verify that external business signage is visible and in compliance.

• Maintain strict physical HIPAA compliance, including locked medical records storage and secured server areas.

• Maintain the Readiness Binder at the front desk at all times, containing:

• Active state facility licenses

• IRS CP-575 forms

• Current building lease

• Copy of the submitted 855B application

Clinical Responsibilities: Remote Therapeutic Monitoring (RTM)

These duties are performed during on-site hours when inspection coverage permits and will expand to full-time remote clinical work as the hybrid schedule is introduced.

• Facilitate patient enrollment into Flagler's RTM portal.

• Make daily outbound calls and send text messages to patients to document health status and maintain engagement.

• Collect and document patient health information, including medical histories, current health status, and new or evolving symptoms.

• Send evidence-based health support resources to patients, including stretching guides, light exercise videos, and meditation content.

• Participate in ongoing company training sessions and team check-ins.

• Maintain strict patient confidentiality in full compliance with HIPAA regulations and Flagler company policies.

Requirements

Credentials

• Nationally certified Medical Assistant holding the CMA (AAMA) credential. This is a firm requirement.

Experience

• Minimum 2 years of experience as a Medical Assistant in a clinical office or remote care setting.

• Background in healthcare administration, clinic operations, or front-desk management is a plus.

Technical Requirements

• Proficiency with Zoom, Slack, and online patient enrollment platforms.

• Personal laptop with a working microphone, camera, and reliable internet connection.

• Quiet, dedicated workspace available for remote work when the hybrid schedule is introduced.

Professional Attributes

• Calm, articulate, and professional conduct when interacting with federal auditors or healthcare officials.

• Excellent verbal and written communication skills with an emphasis on empathy and patient support.

• Strong organizational skills and the ability to manage multiple simultaneous responsibilities.

• Ability to work independently and take initiative without close supervision.

• Demonstrated commitment to HIPAA compliance and patient privacy.

Preferred Clinical Background

Candidates with experience in any of the following specialties are strongly preferred:

• Orthopedics

• Physical and Rehabilitation Medicine

• Sports Medicine

• Neurology

What We Offer

• Contractor position at $20.00 per hour.

• A path toward a hybrid schedule as the clinical program grows and staffing expands.

• Opportunities for professional growth within a Series B technology-driven healthcare company.

• A direct, collaborative team culture that values precision, ownership, and patient outcomes.

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

We are building out our sales team to create a scalable, high-performing revenue organization and take the company from founder-led sales to a repeatable, metrics-driven GTM engine.

As a Sales Development Representative, you’ll be the first point of contact with prospective customers and play a critical role in generating pipeline for the sales team. You’ll identify and engage target accounts, create qualified opportunities, and help build the foundation for a world-class outbound sales motion. This is a rare opportunity to join a company at an inflection point and directly influence growth, revenue, and market leadership.

Key Responsibilities

• Identify and engage prospective customers through cold calling, email campaigns, LinkedIn outreach, referrals, and industry events to generate qualified sales opportunities.

• Build and maintain a consistent pipeline of qualified meetings and opportunities for Account Executives by executing high-volume, personalized outreach campaigns.

• Evaluate inbound and outbound leads to determine fit, urgency, buying potential, and alignment with ideal customer profiles.

• Develop relationships with key decision-makers and stakeholders, uncover business challenges, and position the company’s solutions to generate interest and meetings.

• Maintain accurate and up-to-date records of prospect interactions, activities, and pipeline progression within the CRM.

• Conduct research on target accounts, industries, competitive landscapes, and key stakeholders to personalize outreach and improve conversion rates.

• Continuously refine messaging, outreach strategies, and prospecting workflows based on performance data and market feedback.

• Partner closely with Account Executives, Marketing, and Leadership to align on target accounts, campaign effectiveness, and revenue goals.

• Gather and share insights from prospects regarding market trends, competitive offerings, customer pain points, and buying behaviors.

Requirements

• 1+ years of experience in sales development, business development, recruiting, or customer-facing roles, preferably within SaaS or healthcare technology environments.

• Demonstrated ability to consistently achieve or exceed activity and pipeline generation goals.

• Strong written and verbal communication skills with the ability to engage senior-level decision-makers.

• Experience using CRM platforms (Attio, Salesforce, HubSpot) and sales engagement tools such as ZoomInfo, Clay, Apollo, Outreach, or Salesloft.

• Strong organizational skills with the ability to manage multiple prospecting campaigns simultaneously.

• Highly coachable with a desire to learn modern sales methodologies and advance into closing roles.

• Comfortable operating in a fast-paced startup environment with evolving priorities and processes.

Non-Functional Skills & Cultural Fit

• Relentlessly driven and highly competitive.

• Resilient in the face of rejection and persistent in pursuing opportunities.

• Naturally curious and eager to understand customer challenges.

• Takes ownership and consistently follows through on commitments.

• Strong work ethic with a bias toward action.

• Thrives in ambiguity and enjoys building processes from the ground up.

Reasons to Join Flagler Health

Fast-Growing Leader

Help transform how healthcare organizations operate while accelerating your career growth.

Career Development

Clear path into Account Executive and leadership opportunities as the company scales.

Untapped Market, No Competition

Build pipeline in a category-defining company with significant white-space opportunity.

Valuable, Freemium Products

Generate demand for solutions with clear ROI and low barriers to adoption.

Meaningful Impact

Help healthcare providers improve efficiency, reduce administrative burden, and enhance patient outcomes.

High Earning Potential

Strong commission structure tied directly to pipeline generation and company growth.

Cutting-Edge Tools

Access advanced sales technology, AI-powered prospecting tools, and modern GTM infrastructure.

Industry Network Growth

Build relationships with healthcare executives, operators, and clinical leaders nationwide.

High-Performance Culture

Join a team that values speed, ownership, continuous learning, and excellence.

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Role

We’re hiring a Patient Navigator to embed at one of our partner pain management clinics in Minnesota. Flagler’s recommendation engine flags patients who may be candidates for advanced therapies. Your job is to meet those patients in the clinic and help them understand and move forward with the treatment options their physician has recommended.

You’ll be the human bridge between our software and the patients it’s designed to help, and the playbook you build will be replicated across every clinic we partner with next.

Key Responsibilities

• On-site patient engagement. Be present at the partner clinic during operating hours. Greet, meet with, and follow up with patients flagged by Flagler’s recommendation tool.

• Patient education. Walk patients through their advanced therapy options in clear, non-clinical language. Answer questions, surface concerns, and help them feel confident pursuing their physician’s recommendation.

• Drive conversion. Schedule consultations, coordinate next steps, and shepherd patients from “interested” to “scheduled” to “treated.”

• Partner with clinic staff. Build trust with the front desk, medical assistants, and physicians. Identify candidates in real time and integrate into the clinic’s daily workflow without disrupting it.

• Feed signal back to Flagler. Track conversion metrics, surface common patient objections, and report back on where the recommendation tool is working and where it’s missing.

• Maintain compliance. Operate within HIPAA guidelines and respect the clinical environment at all times.

Requirements

• 2+ years in a patient-facing role (medical assistant, patient navigator, patient access, clinic intake, healthcare sales, or comparable).

• Comfortable spending the workday in a clinical environment and interacting with patients in varying states of pain or stress.

• Ability to explain medical concepts clearly without being a clinician yourself.

• Self-directed and reliable,you’ll be the only Flagler employee on-site most days.

• Based in Minnesota or willing to relocate, with reliable transportation to the clinic.

• HIPAA-trained, or willing to complete training before starting.

Non-Functional Skills & Cultural Fit

• Warm, patient-first demeanor. People trust you quickly.

• Resilient. Some patients will say no and some days will be slow,you stay steady.

• Coachable. You take feedback well and iterate on your approach.

• Curious. You ask why a patient hesitated, what the physician said, what would have helped,and you bring those answers back to the team.

Why Flagler Health

• Foundational impact. You’ll define what this role looks like at Flagler. The playbook you build gets replicated across every clinic we partner with.

• Direct line to leadership. This is a small team. Your feedback from the clinic floor will shape the product.

• Mission that matters. Advanced pain therapies are often life-changing for the patients who qualify. You’ll be the reason more of them actually get there.

Preferences

• Background in pain management, MSK, orthopedics, or a related specialty.

• Prior experience as a patient navigator, medical assistant, or patient access representative.

• Bilingual (Spanish or other language relevant to the patient population).

• Lives within easy commuting distance of the partner clinic.

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Role Overview

Flagler partners directly with pain management and orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success.

We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and prescription medications. This role focuses on provider/clinic-side workflows and requires someone who understands payer requirements, documentation standards, and how to proactively prevent downstream denials.

The ideal candidate is detail-oriented, experienced in complex authorizations, and comfortable working independently in a fast-paced environment.

What You’ll Be Doing

You will help ensure providers receive timely authorization approvals by managing the full lifecycle of prior authorization workflows.

Procedural Authorizations

• Submit and manage prior authorizations for pain management and orthopedic procedures, including:

  • Epidural steroid injections

  • Facet injections

  • Radiofrequency ablation (RFA)

  • SI joint injections

  • Advanced imaging (MRI, CT)

  • Orthopedic surgical procedures

Prescription Drug Authorizations

• Manage prior authorizations and reauthorizations for medications commonly used in pain management

• Navigate pharmacy benefit portals and step-therapy requirements

• Submit formulary exception and medical necessity documentation when required

Authorization Management

• Navigate multiple payer portals efficiently

• Verify insurance eligibility and benefits prior to submission

• Review provider documentation to confirm medical necessity and procedural alignment

• Follow up on pending or denied authorizations

• Identify documentation gaps before submission to reduce preventable denials

• Maintain clear documentation within EHR and tracking systems

• Support billing and reconciliation activities as needed, including resolving authorization-related billing issues

This role requires strong workflow discipline, attention to detail, and the ability to manage a high volume of requests accurately.

Required Qualifications

• 3+ years of prior authorization experience in Pain Management or Orthopedics

• Demonstrated experience with:

  • Interventional pain and/or orthopedic surgical authorizations

  • Prescription drug prior authorizations (medical and pharmacy benefit)

• Experience working on the clinic/provider side (not hospital/facility billing)

• Ability to independently manage high daily authorization volume

• Hands-on experience with payer portals (e.g., Availity, UHC, Carelon/AIM, eviCore, Cohere, CoverMyMeds, etc.)

• Strong working knowledge of CPT codes and procedural terminology

• Experience reviewing documentation for medical necessity

• Exceptional attention to detail and follow-through

Strongly Preferred

• Experience with Medicaid plans, including AHCCCS

• CPC-A or other coding certification

• Familiarity with NCCI edits, bundling rules, and step therapy protocols

• Experience identifying recurring denial patterns and process gaps

What Success Looks Like

• Strong first-pass approval rates

• Minimal preventable authorization-related denials

• Consistent, timely submissions

• Clear documentation and communication

• Independent execution with limited supervision

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

What You'll Be Doing

As Flagler continues to grow, there is a unique opportunity to strengthen customer relationships and leverage deep revenue cycle expertise to help our provider partners maximize financial performance. This is where you come in - to design and own customer success processes with a specific focus on RCM operations for MSK practices.

this role is not responsible for direct claim submission or coding production, but requires the ability to diagnose revenue cycle issues and guide execution across billing vendors, clinical staff, and practice leadership.

• Work directly with the CEO, Head of Business Operations, and Head of Clinical Operations to own dozens of relationships with provider groups, ensuring customer satisfaction and retention.

• Serve as the primary point of contact and subject matter expert for all RCM-related questions, issues, and escalations from provider partners.

• Onboard new customers, ensuring fast, smooth implementation of Flagler's tech platform and services - including integration touchpoints with in-house staff and third-party billing vendors.

• Manage and monitor third-party billing partner relationships on behalf of customers, holding vendors accountable to performance benchmarks and SLAs.

• Oversee and advise on front-end RCM operations, including prior authorizations, insurance eligibility verification, and patient benefit checks to minimize claim denials at the source.

• Monitor and guide back-end RCM operations, including accounts receivable (AR) work-down, denial management, appeals, and collections follow-up.

• Create and present monthly reports to customers demonstrating Flagler's impact on clinical and financial outcomes - critical to the core operations and growth of the business.

• Identify revenue leakage and reimbursement gaps across the patient journey and collaborate with customers and billing partners to remediate.

• Gather and relay RCM and operational feedback from customers to Flagler leadership to inform product development.

• Collaborate with sales and tech teams to ensure a seamless customer journey.

• Respond to and resolve ad hoc clinic and patient requests efficiently, enhancing their overall experience.

Who You Are

Experience & Domain Knowledge

• 7–10 years in RCM leadership or customer-facing revenue operations roles within MSK, orthopedic, or procedural specialties, with hands-on experience managing third-party billing vendors - including performance oversight, SLA enforcement, and escalation resolution.

• Deep working knowledge of RCM in procedural specialties (MSK/Ortho/Pain), including front-end and back-end revenue optimization, denial management strategy, and vendor performance oversight.

• Expertise designing and implementing RCM technologies to augment practice-specific workflows.

• Full-cycle RCM fluency: front-end (prior authorizations, eligibility verification, benefits investigation, pre-certification) through back-end (AR work-down, denial management, appeals, aging bucket strategy, and collections).

• Strong working knowledge of coding and billing as it applies to pain management and orthopedics - CPT, ICD-10-CM/PCS, HCPCS Level II, modifier usage (e.g., 25, 59, XU, LT/RT), bundling edits, and global period policies. The ability to diagnose coding-related revenue issues is essential; production coding is not.

• Professional coding certification (CPC, CCS, COC or equivalent) and/or a degree in Health Information Management is a plus, as are specialty credentials such as COSC or CASCC.

Execution & Analytics

• Ability to translate RCM performance data into executive-level insights and strategic action plans for provider partners.

• Comfortable building and interpreting RCM dashboards (days in AR, denial rate, clean claim rate, collection rate) and driving accountability across internal and external stakeholders.

• Proven ability to manage complex, multi-stakeholder projects independently, prioritize competing deadlines, and deliver results without hand-holding.

Soft Skills & Fit

• Strong communicator and relationship builder - equally effective presenting monthly performance reports to practice administrators and rolling up your sleeves on a client site visit.

• Strong-willed team player who is open to feedback, adapts quickly, and thrives in a fast-paced, startup environment.

• Comfortable with Google Drive and/or Microsoft Office.

• Familiarity with common EHRs, practice management systems, and clearinghouses.

What We'll Give You

We'll treat you well. If any other benefits are important to you, we'd love to know.

• Adjusted comp - Competitive salary & meaningful equity

• Benefits - Unlimited PTO

• Fully-distributed culture - We are remote first; live and work where you'd like, with an

• NYC office for folks who want to work together

• Ownership - You'll be our go-to for lots of things

• Growth - You will learn a lot, very quickly

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Key Responsibilities

• Develop, manage, and optimize data pipelines on the Databricks platform.
• Debug and troubleshoot Spark applications to ensure reliability and performance.
• Implement best practices for Spark compute and optimize workloads.
• Python Development:
• Write clean, efficient, and reusable Python code using object-oriented programming principles.
• Design and build APIs to support data integration and application needs.
• Develop scripts and tools to automate data processing and workflows.

• Integrate, query, and manage data within MongoDB.
• Ensure efficient storage and retrieval processes tailored to application requirements.
• Optimize MongoDB performance for large-scale data handling.
• Collaboration and Problem Solving:
• Work closely with data scientists, analysts, and other stakeholders to understand data needs and deliver solutions.
• Proactively identify and address technical challenges related to data processing and system design.

Required Qualifications
• Proven experience working with Databricks and Spark compute.
• Proficient in Python, including object-oriented programming and API development.
• Familiarity with NoSQL (MongoDB preferred), including querying, data modeling, and optimization.
• Strong problem-solving skills and ability to debug and optimize data processing tasks.
• Experience with large-scale data processing and distributed systems.

Preferred Qualifications
• Strong understanding of data architecture, ETL processes, and data warehousing concepts.
• Knowledge of other big data technologies like Delta Lake, Hadoop, or Kafka.
• Experience with cloud platforms (e.g., AWS, Azure, or GCP).
• Familiarity with CI/CD pipelines and version control systems like Git.

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.

Flagler Health is building the clinical operating system for modern musculoskeletal care.

We partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care across patient acquisition, clinical workflows, and ongoing patient engagement. Our platform sits at the intersection of care delivery and clinic operations, helping providers capture more value across the full patient lifecycle.

We’ve recently raised our Series B and are entering our next phase of growth.

Key Responsibilities

• Design, build, and maintain backend services and web applications

• Work on real-time web applications for audio and SMS communications with users (patients)

• Implement and operate fault-tolerant, long-running workflows for asynchronous and background processing

• Collaborate with frontend, product, and infrastructure teams to deliver reliable, compliant systems

Required Qualifications

• Proven experience building highly available backend applications in a regulated environment (e.g., healthcare, finance, compliance-driven SaaS)

• Proficiency in TypeScript and/or Python for backend service development

• Experience interacting with backend APIs built using Node.js, Express, Mongoose, Twilio or similar frameworks

• Experience with Temporal or similar distributed workflow orchestration systems (e.g., Cadence, AWS Step Functions, Conductor)

• Solid understanding of distributed systems fundamentals, including retries, idempotency, and failure handling

Preferred Qualifications

• Experience in healthcare technology or SaaS platforms at a medium-sized startup

• Familiarity with HL7, FHIR, or EHR integrations

• Experience with cloud platforms such as AWS, Azure, or GCP

• Hands-on experience with CI/CD pipelines, infrastructure automation, and version control systems (e.g., Git)

• Experience working in a monorepo setup (e.g., Turborepo, Nx)

• Nice to have: Experience with distributed data or batch processing frameworks (e.g., Apache Spark, Databricks, or similar)

• Nice to have: Exposure to DevOps practices, including containerization, observability, and deployment automation

Work Environment

• The team is distributed remotely, with regional hybrid offices in NYC and Vancouver, Canada.

• Hybrid. Regular and consistent on-site presence is required for this position.

• We have video on for our weekly team syncs and pair-coding/tech discussions. Camera is required to be on during meetings.

Application Process

• Apply to any one of the postings for this job. All applications from different job aggregators go to one ATS and are deduped internally.

• Interviews:

  • Flagler intro:
    Q&A about who we/you are looking for in a new team member/team

  • Technical assessments:
    2-3 (a mix of interview and take-home) depending on the candidate level. No Leetcode. AI allowed.

  • Non-technical interviews with ops & c-suites: as many as you would like to get a sense of the company

• Offer & background check

Our values

This is what you can expect of your teammates at Flagler:

• Persistence + ownership of outcomes: We wear many hats and aren’t afraid to run through walls to solve hard problems.

• Personal + professional growth: We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail.

• Don’t take things personally: We value and react quickly to constructive feedback.

• Speed is our ally: In the fast-paced world of startups, we understand the value of moving swiftly. We thrive on the adrenaline of working rapidly.

• Be Right: We are highly detailed oriented and try to be right, a lot.