Cofounder – Chief Reimbursement & Partnerships Officer

Overview

We’re building infrastructure to support diabetes care in primary care and community clinics
, including RHCs and FQHCs
, as reimbursement shifts toward outcomes, longitudinal accountability, and population-level responsibility across Medicare and Medicaid
.

Clinics don’t struggle because diabetes care is unclear. They struggle because reimbursement models and operations are changing faster than care delivery can adapt
.

This role owns reimbursement strategy and provider partnerships end-to-end —turning policy direction into real-world, audit-durable operations and ensuring provider partners can actually succeed under modern reimbursement models.

This is a cofounder role with executive authority
, not a sales or back-office position.

How we expect you to operate

This role requires:

• Deep fluency in public-payer reimbursement environments
• Strong audit-defensibility judgment
• The ability to educate, guide, and enable providers
  , not just analyze policy
• Comfort operating at the intersection of policy, operations, and partnerships

Formal certifications are a plus. What matters is that you already think and operate at this level
.

• Design reimbursement-safe operating models that support longitudinal diabetes care
• Translate reimbursement policy into clear, enforceable operational guardrails
• Make binding decisions on which revenue approaches are sustainable—and which are not
• Validate reimbursement strategy using real-world claims and operational patterns
• Ensure long-term audit survivability as programs scale

• Work directly with RHCs, FQHCs, and primary care providers as a trusted operator
• Lead or support provider pilots and early-stage implementations
• Educate clinic leadership and care teams on how to operate successfully under evolving reimbursement models
• Serve as a primary counterpart for provider partners during onboarding and scale

• Help design and execute pilot programs with provider partners
• Support provider contracting discussions
  , ensuring alignment between care delivery, reimbursement, and incentives
• Translate pilot learnings into scalable operational models

• You’ve worked close enough to Medicare and/or Medicaid reimbursement to know where theory breaks
• You’re comfortable sitting across the table from clinic leadership and frontline operators
• You think in patient journeys over time
  , not transactional encounters
• You value durability, trust, and long-term alignment over short-term optimization
• You’re ready to own decisions that directly shape company economics and partner success

• Traditional finance or accounting
• Sales, quota-carrying, or pipeline ownership
• Coding-only or denial-chasing work

• Diabetes care or primary care operations
• Safety-net environments (RHCs, FQHCs, community clinics)
• Public-payer reimbursement or care management programs
• Provider pilots, implementations, or early-stage programs
• Contracting or partnership work with healthcare providers

Candidates who bring CHDA- or CPMA-level analytical rigor and audit judgment—whether certified or not—are strongly encouraged to apply.

• Cofounder-level equity
• Early-stage salary aligned with runway
• Executive ownership and influence from day one

Healthcare doesn’t need complicated tools—it needs operators who can help clinics navigate change without breaking trust or compliance
. This role is central to making that happen.

If you want next, I can:

• Produce a private/internal version with full reimbursement mechanics for interviews
• Create a screening case that tests provider-facing judgment
• Draft a provider-facing bio for this role once hired