Cylinder Health

Role Description As a Health Coach at Cylinder, you’ll deliver compassionate, evidence-based support to members seeking relief from chronic digestive conditions. Through HIPAA-compliant phone, video, and messaging sessions, you’ll use motivational interviewing, strengths-based care, and behavior change models to help members build healthier habits and achieve their goals. Most members you’ll work with are managing conditions such as: - Crohn’s disease - Ulcerative colitis - Celiac disease - IBS - Diverticulitis - Chronic constipation or diarrhea You’ll primarily support members with: - Stress management - Mindfulness - Sleep - Physical activity - Medication adherence - Self-monitoring - Self-advocacy This role is designed for approximately 15 hours per week, with a primary focus on evening and weekend coverage. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience and ranges between $25.50-29.50 per hour plus differential pay for weekend hours ($2/hr). Responsibilities Include: - Build trusting, supportive relationships with members, serving as a consistent partner in their health journey. - Apply evidence-based strategies (e.g., stress management, mindfulness, sleep hygiene, physical activity, medication adherence, self-monitoring) to improve members’ well-being and quality of life. - Use counseling skills (MI, TTM, strengths-based care) to help members progress through stages of change. - Guide members in building self-efficacy and advocacy, while providing education, SMART goal-setting, and accountability. - Refer members to Registered Dietitians for Medical Nutrition Therapy (MNT) in line with escalation protocols. - Document coaching sessions in line with program guidelines and company standards. - Collaborate with the interdisciplinary team to ensure coordinated, whole-person care. - Practice in alignment with HIPAA, state, and federal regulations, following our Clinical Pathways and scope of practice, while collaborating with or referring to other disciplines as outlined in our escalation guidelines. - Maintain strict confidentiality of members’ Protected Health Information (PHI) in compliance with HIPAA and company policy. Qualifications - National Board Health and Wellness Coach (NBHWC) certification, or eligibility to sit for the exam within six months of hire - Bachelor's degree in a health-related field - 1+ year of face-to-face, telephonic, or video health coaching experience. This does not include chat-based coaching - Ability to work a consistent schedule that includes evenings and weekends - Quiet and professional dedicated workspace with secure high-speed internet Preferred Qualifications - Bilingual (Spanish) Company Description Cylinder is an equal opportunity employer. We believe safe spaces where everyone can be their authentic selves is the key to a successful team so we welcome and embrace all identities, cultures, and backgrounds.

Social Description Flexible, work-from-home opportunity for Full-time Registered Dietitians. Cylinder health combines cutting-edge microbiome research with a scientifically-backed digital health program. About Cylinder Cylinder is an innovative digital health company with the mission to lift up people suffering from digestive disease. Our health management system empowers individuals who often feel invisible, neglected, or stigmatized by providing access to a tech-enabled, human-led GI platform. We help members spend less time worrying about digestive symptoms—and more time living fully. Position Summary As a Registered Dietitian at Cylinder, you'll deliver compassionate, evidence-based care to members seeking relief from chronic digestive conditions. Through HIPAA-compliant phone and video sessions, you’ll provide Medical Nutrition Therapy (MNT) using motivational interviewing, strengths-based care, and behavior change models to support member’s goals. Most members you’ll work with face conditions such as Crohn’s disease, ulcerative colitis, celiac disease, IBS, short bowel syndrome, diverticulitis, chronic constipation or diarrhea, gastroparesis, food allergies and intolerances, SIBO, and more. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience and ranges between $32.50-$36 per hour. Responsibilities Include: - Deliver individualized MNT, including assessment, nutrition diagnosis, interventions, monitoring, and evaluation. - Support members in managing comorbidities, dietary supplements, and probiotics. - Apply evidence-based strategies (e.g. FODMAP diet, elimination diets, mindful eating) to relieve symptoms and improve quality of life. - Use counseling skills (MI, TTM, strengths-based care) to help members move through the stages of change. - Guide members in building self-efficacy and advocacy, while providing education, SMART goal-setting, and accountability. - Document sessions in line with clinical guidelines and company standards. - Collaborate with an interdisciplinary team to ensure optimal, coordinated care. - Practice in alignment with HIPAA, state, and federal regulations, following our Clinical Pathways and scope of practice, while collaborating with or referring to other disciplines as outlined in our escalation guidelines. - Maintain strict confidentiality of members’ Protected Health Information (PHI) in compliance with HIPAA and our confidentiality agreement. You’ll be a good here fit if you: - Are excited about using technology to transform digestive health care. - Excel at building rapport and engaging members through clear, empathetic communication. - Have experience integrating behavioral modification strategies into nutrition counseling. - Value being part of a supportive, collaborative community of dietitians. Required Qualifications: - Bachelor’s degree in Nutrition or related field - Registered dietitian status certified through CDR - State licensure (as required) - Flexibility to work across multiple time zones, including evenings and weekends - Quiet, professional dedicated workspace with secure high-speed internet Preferred Qualifications - 1+ year of outpatient dietitian experience - Master’s degree in Dietetics or Human Nutrition - NBC-HWC Certification - Bilingual (Spanish preferred) - Multi-state licensure - Training in MI, SMART goal setting, stages of change assessment

About Cylinder Health Founded in 2021 and offered as an employer benefit, Cylinder (formerly Vivante Health) delivers personalized, clinician-backed care to those suffering from digestive issues through its virtual health platform. Cylinder’s tech-forward, human-first program connects members to the right level of support at the right time through an easy interface, bringing the healthcare ecosystem together to align around member needs. Cylinder’s dedicated care teams help members proactively address their gut health from every angle – decreasing costs, reducing absenteeism, and improving their quality of life, at scale. Cylinder’s vision is to create a world where people receive convenient, personalized, and affordable access to the quality digestive healthcare they need to improve their overall health. Position Summary We're seeking a talented and motivated Product Designer to join our team. As the sole product designer at Cylinder, reporting to the Chief Product Officer, you'll own the end-to-end design function and play a pivotal role in shaping the Cylinder experience — designing features that not only enhance our users' interactions but also contribute to better health outcomes. This is a role brimming with opportunities, enabling you to grow in a fast-paced environment while making a significant difference in people's lives. If you are passionate about user-centered design, enjoy collaborating with cross-functional teams, and are eager to design a product that truly impacts people's health, we'd love to hear from you. Responsibilities Include: - Own all stages of the design process for the Cylinder platform, from user research and wireframing to final implementation, leveraging AI-powered design and prototyping tools to accelerate workflows and explore design solutions efficiently. - Collaborate closely with product, engineering, and clinical teams to create easy-to-use and visually appealing experiences that align with business goals. - Develop and maintain design documentation, including specifications, interactive mockups, and style guides. - Perform usability testing and gather user feedback to inform design decisions. - Stay updated with the latest UX trends, AI design tools, and competitor products. - Ensure the integrity of our product design system while collaborating with marketing to maintain brand consistency. You'll be a good fit here if you are: - Passionate about using design to make a positive impact on people's health outcomes. - Driven by curiosity and a desire for continuous learning, always staying updated with the latest design trends and technologies. - A creative problem solver who isn't afraid to take on the challenges of designing for the healthcare industry. - Comfortable working in a fast-paced, agile, and remote environment. - Self-starter who can work independently and collaboratively. - Detail-oriented, with a keen eye for aesthetics and visually appealing designs. - Open to feedback and constantly willing to improve your design skills. - Able to manage time and prioritize tasks to ensure project deadlines are met. Desired Qualifications - A minimum of 3 years of experience in product design, demonstrating an understanding of design principles, user-centered design methodologies, and best practices. - While formal education in Product Design is a plus, it's not required. We value experience and skills and welcome candidates from diverse educational backgrounds. - Proficiency in Figma is required. - Comfort with AI-powered design and productivity tools (e.g., AI features within Figma, ChatGPT, or similar) and a willingness to integrate them into your workflow. - Experience implementing user research methods such as surveys, interviews, usability testing, and data analysis to gather actionable insights. Familiarity with the Maze user testing platform is a plus. - Strong communication and presentation skills, with the ability to clearly articulate design decisions to various stakeholders. - Self-starter who can work independently and collaboratively. - Digital healthcare experience is not required but preferred. Cylinder is an equal opportunity employer. We believe safe spaces where everyone can be their authentic selves is the key to a successful team so we welcome and embrace all identities, cultures, and backgrounds.

About Cylinder Founded in 2021 and offered as an employer benefit, Cylinder (formerly Vivante Health) delivers personalized, clinician-backed care to those suffering from digestive issues through its virtual health platform. Cylinder’s tech-forward, human-first program connects members to the right level of support at the right time through an easy interface, bringing the healthcare ecosystem together to align around member needs. Cylinder’s dedicated care teams help members proactively address their gut health from every angle – decreasing costs, reducing absenteeism, and improving their quality of life, at scale. Cylinder’s vision is to create a world where people receive convenient, personalized, and affordable access to the quality digestive healthcare they need to improve their overall health. Position Summary We are looking for a self-driven and ambitious Senior Manager of Accounting to own and operate our accounting function. This is a high-ownership, hands-on role for a seasoned accounting leader who enjoys being close to the work including preparing journal entries, reconciliations, and supporting schedules, while also providing oversight for accuracy and execution. Why is this a great opportunity for an accounting professional? Our team and the company are rapidly scaling, there are many decisions, new projects, and processes to develop. This is your chance to get in early and have a big impact on our team while enhancing your skills. It’s also a great role to grow within the company. Responsibilities Include: - Own and execute the monthly close process, including preparation, review, and posting of journal entries and account reconciliations - Prepare and reconcile all material balance sheet accounts, including cash, credit cards, intercompany, equity, prepaid expenses, and accruals - Capitalize, amortize, and reconcile commissions and other prepaid or deferred costs - Record and reconcile revenue, deferred revenue, and unbilled revenue in accordance with ASC 606 - Apply cash receipts, reconcile accounts receivable, and maintain the allowance for doubtful accounts - Oversee and directly review all cash activity, including accounts payable, payroll, cash receipts, and bank transfers - Perform detailed review of payroll runs and prepare or review payroll-related journal entries and accruals - Record and reconcile inventory changes, lease amortization, and stock-based compensation - Execute and reconcile intercompany transactions - Prepare monthly financial statements and provide ad hoc reporting and analysis to support leadership decision-making - Serve as the primary, hands-on point of contact for external audits - Identify and implement process improvements to enhance accuracy, efficiency, and scalability Required Qualifications: - CPA or CMA - 6+ years of progressive accounting experience, with significant hands on responsibility at a high-growth, startup, or healthtech environment - Strong knowledge of U.S. GAAP, including subscription-based revenue recognition (ASC 606) - Experience owning the full monthly close process and producing accurate, audit-ready financial statements and supporting schedules - Advanced proficiency in Microsoft Excel, including complex formulas and models - Experience serving as a primary point of contact for external auditors - Experience using Campfire, Ramp, Anrok, and/or Rippling You’ll be a good fit here if you are: - Comfortable operating as a player-coach and personally preparing journal entries, reconciliations, and supporting schedules - Highly detail-oriented, organized, and proactive, with a strong sense of ownership and accountability - Comfortable working in evolving systems and building processes as the company scales - Able to balance speed and accuracy in a fast-moving environment with shifting priorities - A clear and confident communicator with both finance and non-finance stakeholders - Process-minded, with a continuous improvement mentality Cylinder is an equal opportunity employer. We believe safe spaces where everyone can be their authentic selves is the key to a successful team so we welcome and embrace all identities, cultures, and backgrounds.

About Cylinder Founded in 2021 and offered as an employer benefit, Cylinder (formerly Vivante Health) delivers personalized, clinician-backed care to those suffering from digestive health issues through its virtual health platform. Cylinder’s tech-forward, human-first program connects members to the right level of support at the right time through an easy interface, bringing the healthcare ecosystem together to align around member needs. Cylinder’s dedicated care teams help members proactively address their gut health from every angle – decreasing costs, reducing absenteeism, and improving their quality of life, at scale. Cylinder’s vision is to create a world where people receive convenient, personalized, and affordable access to the quality digestive healthcare they need to improve their overall health. Position Summary We’re seeking a highly experienced Senior Data Engineer to lead our data infrastructure initiatives and mentor our growing engineering team. As a Senior Data Engineer, you will architect and optimize enterprise-scale data solutions while driving technical strategy across the organization. You'll play a pivotal role in establishing data engineering best practices and building systems that can scale with our rapidly growing member base. Why is this a great opportunity for a data engineer? You'll be joining at a pivotal moment where your technical leadership will directly shape our data strategy. The problem domain offers unique challenges - integrating previously disconnected healthcare data sources, building sophisticated GI patient models, and discovering insights that tangibly improve patient outcomes. As a senior contributor, you'll have significant autonomy in technical decisions and the opportunity to build a world-class data engineering function from the ground up. Key Leadership Responsibilities: - Architect and design scalable, fault-tolerant data pipelines for complex healthcare data ingestion, transformation, and reporting - Lead technical decision-making for data infrastructure and tooling selection - Mentor junior engineers and establish engineering best practices across the team - Drive cross-functional collaboration with Data Science, Business Intelligence, and Product teams - Champion data quality initiatives and establish robust monitoring and alerting systems - Design and implement solutions for complex distributed system challenges - Evaluate and implement emerging technologies to maintain our competitive edge Responsibilities Include: - Design and implement enterprise-grade data architectures with emphasis on scalability, reliability, and maintainability - Lead code reviews and establish coding standards that promote excellence across the engineering organization - Drive strategic partnerships with product stakeholders, translating complex business requirements into elegant technical solutions - Own end-to-end delivery of critical data infrastructure projects - Establish comprehensive testing strategies, documentation standards, and operational procedures - Continuously evaluate and optimize system performance, cost efficiency, and reliability - Serve as subject matter expert for healthcare data compliance and security requirements You'll be a good fit here if you bring: - Technical Leadership: You have a proven track record of architecting complex data systems and leading technical initiatives in fast-paced environments. - Healthcare Impact: You're passionate about leveraging data to improve patient outcomes and understand the unique challenges of healthcare data. - Security Excellence: You have deep expertise in healthcare data security, HIPAA compliance, and implementing robust data governance frameworks. - Collaboration & Mentorship: You excel at leading cross-functional teams and developing junior talent. - Innovation Mindset: You stay current with emerging technologies and can evaluate their strategic fit for our organization. Desired Qualifications - Bachelor's degree in Computer Science, Engineering, or related field, or equivalent professional experience - 5+ years of demonstrated experience architecting and building production data pipelines and MLOps environments - Expert-level proficiency in SQL and Python with demonstrated experience in performance optimization - Deep expertise with modern data stack technologies including dbt, Airflow, BigQuery, and cloud-native solutions - Extensive experience with major cloud platforms (AWS, GCP, or Azure) including infrastructure-as-code practices - Proven track record working with healthcare, medical, or population health data - Outstanding communication and leadership skills with experience mentoring engineering teams - Experience establishing data governance and compliance frameworks in regulated industries Preferred Qualifications - Advanced degree in Computer Science, Data Engineering, or related field - Extensive experience with Google Cloud Platform, including BigQuery, Vertex AI, IAM, Pub/Sub, Dataflow, and Cloud Composer - Expert-level experience with Terraform and infrastructure automation - Experience with real-time streaming data architectures - Track record of successfully scaling data systems in high-growth startup environments - Published thought leadership or contributions to open-source data engineering projects Cylinder is an equal opportunity employer. We believe that creating safe spaces where everyone can be their authentic selves is key to a successful team. We welcome and embrace all identities, cultures, and backgrounds.

About Cylinder Founded in 2021 and offered as an employer benefit, Cylinder (formerly Vivante Health) delivers personalized, clinician-backed care to those suffering from digestive health issues through its virtual health platform. Cylinder’s tech-forward, human-first program connects members to the right level of support at the right time through an easy interface, bringing the healthcare ecosystem together to align around member needs. Cylinder’s dedicated care teams help members proactively address their gut health from every angle – decreasing costs, reducing absenteeism, and improving their quality of life, at scale. Cylinder’s vision is to create a world where people receive convenient, personalized, and affordable access to the quality digestive healthcare they need to improve their overall health. Position Summary We’re seeking a seasoned Account Executive to join our growing team, focused on expanding and nurturing our health plan and channel partnerships. You’ll work closely with the Commercial team, Partnerships team, and cross-functional teams to support partner relationships, particularly with ASO clients, drive activation opportunities, and help scale employer adoption through our partners. This individual contributor role demands a growth mindset, a consultative approach, strong partner management skills, and a commitment to delivering exceptional partner experiences. Key Responsibilities: - Strategic Partner Oversight: Lead daily coordination, tracking, and execution for key health plan and channel partner relationships, including helping manage deliverables, communications, and internal follow-ups. - Manage Existing Partners: You will manage the sales process to support top of funnel growth opportunities and be responsible for collaborating with Partner Sales and Account Management teams to effectively communicate Cylinder’s value proposition and differentiation in market - Drive Growth and New Revenue: Identify and source employer deals within partner frameworks, ensuring alignment and activation across all stakeholders. Partner with Health Plan Growth teams to uncover and support expansion opportunities within existing partnerships. - Sales Enablement & Training: Contribute to the creation and upkeep of partner-facing resources such as pitch decks, email templates, FAQs, and co-branded collateral in collaboration with the Growth Marketing team. - Collaborate across Teams: Work with Sales, Health Plan Growth, Implementation, Client Success, Marketing, and Product teams to support successful partner launches, campaigns, and growth initiatives and help track progress against partner goals and maintain visibility into upcoming opportunities - Performance Tracking & Reporting: Monitor and report on partner-driven revenue, engagement, and member outcomes. Use data insights to identify opportunities for growth and enhanced collaboration. - Lifecycle Management Support: Assist with all aspects of the partner lifecycle from onboarding and integration to ongoing expansion and renewal. You'll be a good fit here if you are: - Self-motivated with a deep understanding of the employer health benefits landscape and passion for continuous learning - An excellent communicator and relationship builder, adept at navigating complex stakeholder environments - A highly detail oriented individual with an eye for process creation and improvement - Comfortable in a fast-paced, dynamic start up environment - Creative, innovative, and willing to share creative suggestions in a team environment - Empathetic to our members’ GI health conditions and are committed to improving their outcomes Desired Qualifications: - 7+ years of hands-on experience working with self-insured employers, payers, and TPA’s or previous experience in onboarding and ongoing management of large enterprise or strategic clients in a health-oriented industry - Demonstrated success in consultative sales, building trust-based relationships with complex stakeholders by identifying needs, aligning solutions, and guiding clients through strategic decision-making processes - Proven ability to identify and drive new revenue opportunities across product lines - Experience managing a book of business, owning client impact, reporting, and improving client relationships - Strong cross functional collaboration skills with a history of partnering effectively with sales and client success teams - Proven experience partnering with leadership to develop and executive growth strategies that align with business objectives - Excellent communication skills with ability to convey complex information clearly and effectively Cylinder is an equal opportunity employer. We believe that creating safe spaces where everyone can be their authentic selves is key to a successful team. We welcome and embrace all identities, cultures, and backgrounds.