Virta Health

• Build and own the RCM reporting infrastructure • Ensure accuracy and timely delivery of monthly client invoicing • Develop and maintain the KPI dashboard • Produce reporting for leadership and manage data extraction protocols • Lead high-priority RCM initiatives and coordinate with cross-functional teams • Own issues log and drive process improvement initiatives

• Own the end-to-end member eligibility process — from receipt of client eligibility files through verification of active insurance coverage in Athena Health • Define and enforce client eligibility file completeness standards; establish intake SLA with Client Success for incomplete or missing demographic and insurance data • Implement and manage real-time eligibility (RTE) verification (using ANSI X12 270/271) transactions to confirm active coverage before claims are submitted • Develop and maintain a reconciliation process to ensure all active members in Zuora have corresponding verified records in Athena • Identify and resolve eligibility discrepancies, retroactive terminations, and coverage changes before they result in denied claims or revenue loss • Monitor eligibility-related denial trends and implement upstream controls to reduce recurrence • Oversee the accuracy and completeness of claims preparation and entry across all Virta Health products — Diabetes Reversal, Diabetes Management, and Sustainable Weight Loss • Ensure all claims are coded correctly and submitted within payer-specific timely filing windows • Monitor claim submission lag — the time between billing period close and claim submission — and establish benchmarks to reduce exposure • Work with Engineering to improve the flow of billing trigger data from Spark into Athena, reducing manual intervention in claims entry • Implement pre-submission claim scrubbing processes to improve clean claim rates and reduce first-pass rejections • Maintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements relevant to Virta Health's digital health and value-based care model • Manage provider and program credentialing and payer enrollment for all applicable Virta Health providers, locations, and product lines • Ensure all providers are enrolled with payers prior to service delivery to prevent claim denials related to credentialing status • Maintain a credentialing tracking system with defined renewal timelines, expiration alerts, and re-credentialing workflows • Coordinate with Legal, HR, and Clinical Operations on provider onboarding and payer network participation requirements • Recruit, onboard, and develop front-end RCM staff including eligibility specialists, claims entry staff, and credentialing coordinators • Establish role-specific SOPs, training programs, and performance expectations for all front-end positions • Conduct regular performance reviews and provide coaching to develop staff competency in eligibility verification, coding, and claims entry • Partner with the Manager/Director of Operational Effectiveness on reporting and process improvement initiatives affecting front-end functions.

• Establish and maintain active monitoring of ANSI X12 277CA claim acknowledgment transactions to confirm payers have received submitted claims • Implement a tracking and escalation process for claims that have not received 277CA acknowledgment within defined payer-specific windows • Partner with the Front End Revenue Cycle Manager and Engineering to ensure clean claim submission and minimize rejection rates at the clearinghouse level • Maintain working knowledge of clearinghouse workflows and claim status tracking capabilities • Own the Athena Health AR aging report — ensuring it accurately reflects payment status and is actively worked on a defined cadence • Establish AR follow-up workflows by payer and aging bucket, with defined SLAs and escalation paths for each tier • Drive systematic reduction of the over-180-day AR balance through targeted payer follow-up, appeals, and collections activity • Coordinate with Finance and the Manager/Director of Operational Effectiveness to ensure AR balances in Athena are accurately reflected in Zuora and NetSuite through a defined reconciliation process • Identify and escalate AR balances where the insurance collection path has been exhausted and the employer guarantee of payment clause may apply • Build and manage a structured denial work queue in Athena Health with assigned ownership, defined SLAs, and a clear resubmission process for each denial reason code • Analyze denial trends by payer, reason code, and service line to identify root causes and implement upstream controls to prevent recurrence • Prioritize denial resolution based on dollar value and timely filing window expiration — ensuring high-value, near-deadline denials are worked first • Establish appeals workflows for payer-specific appeal processes, including supporting documentation requirements and submission timelines • Monitor denial overturn rates by payer and reason code, and use outcomes data to refine appeal strategies • Partner with the Front End Revenue Cycle Manager to address eligibility-driven denials at the root — denials reflecting coverage terminations that should have been caught upstream • Manage the collections process for both claims-billed payer populations • Establish payer-specific follow-up protocols including call queues, correspondence templates, and escalation timelines • Coordinate with Client Success on employer group collections, including communication protocols and escalation to the employer guarantee of payment process when appropriate • Monitor and report on cash collection rates by payer against contracted PMPM rates, identifying and investigating variances • Recruit, onboard, and develop back-end RCM staff including AR follow-up specialists, denial management analysts, and collectors • Establish competency requirements, training programs, and performance expectations for all back-end positions — with particular emphasis on experienced denial management and collections hires • Conduct regular AR review sessions with staff to ensure accounts are being worked effectively and escalations are appropriate • Build a culture of accountability, data-driven decision making, and continuous improvement within the back-end team

• Own day-to-day configuration, support, maintenance, and improvement of the Salesforce instance for the Commercial team. • Design, build, and maintain advanced workflows, automation, validation rules, approval processes, and page layouts using Salesforce Flow and other declarative tools. • Support and evolve integrated workflows between Salesforce and other systems (e.g., HubSpot, SalesLoft, LeanData, Slack). • Build and manage Slack integrations that enable real-time notifications, workflow automation, and improved collaboration across the Commercial organization. • Collaborate with Product Development’s Salesforce team to ensure scalable, secure, and aligned platform governance. • Partner with Sales, Enterprise Marketing (including HubSpot users), and Operations stakeholders to understand their business processes and translate them into scalable system solutions. • Analyze existing sales workflows and identify opportunities to streamline processes, reduce manual work, and improve pipeline visibility. • Ensure the accuracy and integrity of Commercial Salesforce data through monitoring, deduplication, and maintenance routines. • Design and maintain advanced reporting and dashboards that provide clear insights into pipeline health, sales performance, and operational efficiency. • Enable Commercial teams to access and utilize real-time data through dashboards, reporting frameworks, and best practices. • Be the go-to resource for troubleshooting, support, and training for Commercial Salesforce users. • Create documentation, training materials, and standard operating procedures for internal use. • Drive the roadmap for Commercial team Salesforce usage and future evolution of our GTM systems strategy with cross-functional input. • Operate with a builder’s mindset—taking ownership of near-term updates while recognizing the need to design the system for long-term growth.

• Lead and develop Virta’s Legal team, building a high-performing function with clear priorities, strong operating rhythms, and the capabilities needed to support company growth, enterprise risk management, and Virta’s next stage of scale • Serve as a strategic advisor to the executive team and Board on legal, regulatory, governance, and business matters • Partner closely with Commercial, Product, Clinical, People, Finance, and Operations teams to enable company growth • Lead all corporate legal matters, including governance, financing support, strategic transactions, litigation management, employment matters, and enterprise risk • Oversee healthcare regulatory and compliance strategy across a rapidly evolving landscape • Help prepare the organization for future public company requirements, including governance, disclosure practices, and operational rigor • Support complex commercial contracting with enterprise customers, health plans, employers, and strategic partners • Build scalable legal processes and infrastructure appropriate for a high-growth company • Modernize the legal function through the thoughtful adoption of AI-enabled tools and workflows • Manage and develop outside counsel relationships and any future in-house legal team expansion • Foster a practical, solutions-oriented legal culture that balances risk management with business velocity

• Execute and QA lifecycle campaigns across email, SMS, and direct mail in Braze and related tools • Support rapid A/B testing across messaging, cadence, and targeting to improve CVR and enrolls • Build and maintain campaign logic, segmentation, and audience definitions • Partner with Growth and Data teams to implement experiments and measure performance • Assist with launch support for new client cohorts and campaigns • Support data enrichment and outbound initiatives (e.g., calling, incentives, webinars) to drive incremental applications • Identify and implement opportunities to improve campaign throughput and operational efficiency

• Develop and lead comprehensive market entry and expansion strategies across regions • Analyze trends, customer behavior, competitive dynamics, and regulatory environments • Identify white space opportunities and translate insights into actionable strategic plans • Source, evaluate, and negotiate strategic partnerships and alliances • Oversee the full lifecycle of business development efforts • Collaborate with Sales, Marketing, and Product Development teams to align strategies • Partner with senior leadership to set growth targets and prioritize initiatives • Lead internal cross-functional teams for market expansion and business development initiatives

• Own and execute against a segment of the event portfolio: Plan, market, and execute conferences, field marketing events, webinars, and partner activations aligned to pipeline and growth goals • Drive audience strategy: Develop targeted acquisition plans that reach priority accounts and buying groups • Write high-quality marketing copy: Develop clear, compelling messaging for invitations, emails, landing pages, and follow-up that drives action • Lead event marketing & promotion: Partner across email, digital, sales, and partner channels to create promotion plans and embed events and webinars within broader marketing programs and projects • Track performance and optimize: Measure results (attendance, engagement, pipeline influence) and identify opportunities to improve impact over time • Execute with operational rigor: Manage logistics, vendors, budgets, and planning processes with strong discipline and attention to detail • Partner with leadership and cross-functional teams: Collaborate with sales, partnerships, and the Director of Integrated Marketing & Event Strategy to execute strategy and improve performance

Role Description Virta is launching a service for a select group of patients to assist them with their weight loss goals leveraging Virta’s well established approach to obesity reversal as well as GLP-1 agonist medications. We are looking for a small number of RNs who live in a nursing compact state to help our physicians and nurse practitioners launch this service. The role requires experience with diabetes and obesity care and an innovator’s spirit, as this program is new, and we need problem solvers who are willing to help Virta build this program from the ground up. Responsibilities: - Manage the prescriptions of a panel of patients seeking to reverse their obesity in collaboration with the patient’s Virta medical provider. - Educate patients about Virta and Virta’s treatment and help them prepare for their nutritional and behavioral journey with Virta, setting them up for clinical success. - Use motivational interviewing techniques to help patients progress in their weight management journey. - Support patients on their obesity reversal journey, whether it involves nutritional change, medication, or both, with a firm understanding and commitment to Virta’s nutrition-first approach to weight loss. - Collaborate closely with our clinical and technology teams to help us build out this new service line. - Embrace a MVP (minimal viable product) approach to clinical program development. - Provide clinical support for our team of providers (MDs and NPs) as time allows, including panel management, triage calls with patients, medication entry, and diabetes education regarding medication administration, sliding scale insulin, carb counting, etc. - Commit to providing care of the highest quality that delivers an exceptional experience for the patient. - Conduct 20-minute clinical intake visits with prospective patients via video and/or phone as time allows. Qualifications - Graduate of an accredited Practical/Vocational Nursing (LPN/LVN) program. - Active RN/LVN/LPN license with at least three years of clinical experience working with patients with type 2 diabetes. - Active multistate RN/LVN/LPN license in, and resident of, a Nursing Licensure Compact state. - Eligible for a LPN/LVN licensure in every U.S. state. - Interest and knowledge of diabetes care, education, and prevention. - Demonstrates a proactive use of AI tools to improve individual output and efficiency. - Must be proficient in computers and pass a technology assessment. - Knowledge of low carbohydrate nutrition and meal planning. - Interest and aptitude for working with a growth stage, tech-enabled healthcare organization. - Occasional (2-3x/yr) travel to team and company events. - An outstanding bedside manner: patients trust you and feel supported and empowered by your presence on the phone/video and your communication. - Excellent communication, time management, and critical thinking ability necessary in this remote role. - Team player: You work well with others, put your team first, and contribute toward the betterment of the Virta clinical team. Requirements - Virta’s company values drive our culture, so you’ll excel if you: - Put people first and take care of yourself, your peers, and our patients equally. - Take initiative and complete tasks conscientiously while empowering others to do the same. - Value positive impact over busy work. - Can check your ego and recognize that everyone has something to bring to the table. - Take risks and iterate rapidly. - Promote transparency, trust, and empowerment through open access of information. - Prioritize data and science over seniority and dogma. Benefits - Virta has a location-based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $23.07 - $34.62. - Information about Virta’s benefits is on our Careers page at: https://www.virtahealth.com/careers . Company Description As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco. Clinical roles: We currently do not hire in the following states: AK, HI, RI. Corporate roles: We currently do not hire in the following states: AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI. Virta uses Ashby as its applicant tracking system, which incorporates AI-powered tools in certain aspects of the recruiting process. Your data is not used to train AI models, and all final hiring decisions are made by Virta Health personnel.

• Own and Enhance Security Design: Assess our current security controls within GCP and Kubernetes, identify areas for improvement, and drive the maturation of our security posture from good to great. • Champion Secure Development: Partner closely with Engineering, Product, and Platform teams to integrate security best practices early and often ("shift-left") into the software development lifecycle. • Build and Automate: Design, implement, and manage security tooling and automation to streamline vulnerability detection, remediation, and compliance verification. Replace manual processes with efficient, automated solutions. • Refine Access Control: Evolve our identity and access management (IAM) strategy, ensuring least-privilege access and robust auditing capabilities across our systems. • Strengthen Network Security: Continuously improve our network security architecture, policies, and controls within our cloud environment. • Develop Clear Standards: Establish, document, and communicate practical security policies, standards, and guidelines for engineering teams. • Lead Security Initiatives: Drive vulnerability management efforts and enhance our incident response preparedness, ensuring we are ready to handle potential threats effectively. • Cultivate Security Awareness: Act as a security evangelist, promoting security awareness and best practices throughout the engineering organization.