Business Operations

Marble Health; New York (NY); Hybrid; USD 60,000 - 80,000; Full time

Job summary

A healthcare startup is seeking a founding leader for Revenue Cycle Management in New York. This position focuses on building systems for insurance processes, ensuring seamless billing for families. The ideal candidate has over 5 years of experience in strategy and operations, strong communication skills, and the ability to thrive in ambiguity. This role requires working in the SoHo office at least two days a week and offers a chance to make a critical impact on mental healthcare accessibility.

Qualifications

• 5+ years of experience in strategy and operations.
• Must be based in New York, working in SoHo office at least two days a week.

Responsibilities

• Own the full insurance payment flow from eligibility to claims.
• Design processes, tools, and partnerships for scaling.
• Ensure clear and accurate billing for families.

Skills

Strategy and operations experience

Ability to work in ambiguous environments

Strong communication

Job description

About the Role

At Marble, we believe every child deserves access to quality, affordable mental healthcare, and we’re building the system to make that real. One of the most important pieces of that system is making sure families can actually use their insurance, including Medicaid, without stress or confusion. That’s where this role comes in.

We’re looking for a founding leader to build and scale our Revenue Cycle Management (RCM) function. You’ll lay the foundation for a system that makes insurance work for families, and ensures Marble can sustainably scale care delivery by getting paid and keep doing what we do best.

This is a rare opportunity to build a mission-critical function from scratch, at the heart of our model. You’ll operate across strategy, product, and execution — and directly impact thousands of families’ ability to access mental health care.

What You’ll Do

• Own an ambiguous problem at the heart of the business. You’ll take charge of the full insurance payment flow, from eligibility to claims to payout. This function is the engine room of our revenue. You’ll partner closely with the CEO, co-founder, and senior ops leaders to uncover what’s working, what’s broken, and what to fix first — then make it happen. That might mean diving into a messy spreadsheet, reimagining a broken workflow, or picking up the phone to get answers from a payer.
• Build the systems that help us scale. You’ll design the processes, tools, and partnerships we need to grow, including internal workflows, product ideas for our engineers, and external vendors or BPOs. You’ll help us move fast now, and set us up to grow even faster later.
• Make insurance seamless for families. You'll play a key role in making sure billing is clear, accurate, and frustration-free for the families we serve. You'll partner with our customer experience and growth teams to turn one of the most confusing parts of healthcare into something that feels simple, transparent, and trustworthy.

Qualifications

Must have

• You have 5+ years of experience in strategy and operations. You’ve worked in environments where you had to figure things out, not just follow a playbook.
• You’re based in New York and can work from our SoHo office at least two days a week.

Nice to have

• You’ve worked at a startup or in a high-growth environment.
• You’ve worked in healthcare or with insurance systems.
• You’ve worked closely with product or engineering teams to build tools or processes.

Ideal traits

• Process thinker who likes to build — You know how to get from 0→1 with scrappy, simple solutions, and then 1→100 by spotting patterns and building systems that scale.
• Relentless drive — No task is too small for you. You’re just as willing to call a payer or follow up on a denial as you are to design a long-term solution.
• Thrive in ambiguity — You can make sense of messy claims data and get to the root of a problem, even when the path isn’t clear.
• Introspective team player — You’re a thoughtful communicator, open to feedback, and focused on what’s best for the mission and the people we serve.

How to Apply

If you think this role might be a fit we’d love to hear from you! Email us at [e-mail] with subject “BizOps”