---
title: 'Operations Manager, Insurance at Conduit Health'
canonical: 'https://feeny.ai/job/operations-manager-insurance-conduit-health-new-york-t49fmj9fdbrk'
type: 'job'
last_seen: '2026-09-15'
---

# Operations Manager, Insurance at Conduit Health

- **Company:** Conduit Health
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-07-23
- **Last confirmed live:** 2026-09-15
- **Apply:** https://jobs.ashbyhq.com/conduit-health/2fdcf92b-95c0-4c68-b458-110a85841f2c

## Job description

## About Conduit Health

Conduit Health is transforming one of the hardest, most outdated corners of post-acute care - getting essential medical equipment and supplies into patients' homes. We're the first vertically integrated, AI-powered platform to unite ordering, telehealth, prescriptions, insurance, and fulfillment into one seamless experience. In seconds, case managers and providers can say "yes" to patients who would otherwise wait weeks - while we handle every step behind the scenes.

## The Role

We're looking for an Operations Manager, Insurance to investigate, troubleshoot, and resolve the eligibility, benefits, prior authorization, and coverage nuances across patients and health plans. This is detective work: when an order stalls, you trace it back to root cause - a coverage lapse, the wrong plan on file, an MCO carve-out, an entity or NPI mismatch, a documentation gap - and you fix it so it doesn't recur. You'll report to the Head of Operations and work closely with our RCM, fulfillment, and product teams to keep orders clean, moving, and compliant while we scale across states. This role offers a unique opportunity to shape insurance operations in a high-growth startup environment, working hands-on with industry leaders and driving impact across our patient population.

## Who You Are

- Investigative & Detail-Oriented: You treat a stuck order like a case to crack. You follow the trail through eligibility responses, payer portals, and system flags until you find the real reason - not just the symptom.
- Payer-Literate & Compliance-Minded: You understand how Medicaid, Medicare, and commercial payers actually work - eligibility and benefit verification, prior authorization, plan structures, and coverage rules - and you operate within HIPAA and billing regulations by default.
- Systems-Minded, Not One-Off: You resolve the case in front of you and then build the SOP or flag that stops the next one.
- Collaborative: You partner across RCM, fulfillment, clinical, and product to unblock orders and cut turnaround time.
- Tech-Savvy & Efficiency-Focused: You use tools, portals, and metrics to work faster and catch the patterns people miss.
- Mission-Aligned: You care deeply about healthcare access and getting patients what they need without the wait.

## What You'll Do

- Investigate coverage and eligibility: Verify insurance, discover unknown or secondary coverage from patient demographics, and resolve mismatches between eligibility results and order routing.
- Do the detective work: When an order is stuck, trace it to root cause - lapsed coverage, wrong plan, MCO carve-out, entity/NPI mismatch, documentation gaps - and drive it to resolution.
- Own prior authorization: Submit, track, and follow up on prior auths and appeals; keep turnaround tight.
- Work denials and rejections: Resolve them, identify the patterns behind them, and close the gaps that cause them.
- Research payers: Maintain working knowledge of plan structures, coverage policies, and fee schedules across our active and expansion states.
- Build the systems: Develop and maintain SOPs; turn recurring investigations into repeatable, ideally automated, workflows.
- Track & report KPIs: Measure eligibility hit rate, auth turnaround, denial rate, and clean-order rate; prepare reports and surface insights to leadership.

## What You'll Bring

- 3+ years in DME or healthcare insurance operations, eligibility/benefits verification, prior authorization, RCM, or medical billing.
- Strong working knowledge of Medicaid, Medicare, and commercial payer rules; DMEPOS experience a strong plus.
- Hands-on experience with eligibility and clearinghouse tools (e.g., Availity, eMedNY, payer portals) and EMR or order-ordering platforms.
- An investigative mindset - you enjoy untangling messy, ambiguous problems and getting to the bottom of them.
- Experience building SOPs and improving processes in a regulated environment.
- Stellar communication and collaboration skills.

Values Excellence, Not Perfection - We set a high bar for our work and impact, but we don't get lost in endless polish for polish's sake. We focus on results that matter. Urgency, Not Chaos - We move fast because speed drives our advantage. We pair urgency with clarity to avoid noise and burnout. Systems, Not One-Offs - Every solution should eliminate the root cause so the problem never returns. Wins are good; scalable systems are better. Committed, Not Just Here - We show up engaged, proactive, and ready to go above and beyond. It's not about working 24/7 - it's about caring deeply and leaning into our shared mission. The outcomes you drive are what matter most. Crush Goals, Not Souls - We take our work seriously, but not ourselves. Be yourself, bring positivity, have fun, and laugh often.

## Compensation & Benefits

- Competitive salary with performance-based incentives.
- Flexible working environment (3 in-office days per week in New York).
- Unlimited PTO + 9 company holidays.
- Direct mentorship and growth opportunities with senior leadership.

## Equal Opportunity

Conduit Health is an equal-opportunity employer. We celebrate diversity and are committed to building an inclusive environment for all employees.

## About Conduit Health

## Company Overview
- **One-liner**: Conduit Health makes it easy for Medicare and Medicaid patients to get essential home medical supplies fully covered by insurance, by integrating clinical evaluation, insurance authorization, and supply fulfillment into one seamless platform.
- **Entity Type**: Private (Series A)
- **Headquarters**: New York, New York, USA
- **Founded**: 2023
- **Founders**: Natan Wise (CEO) and Rocky Seftel (CPO)

## Core Business
- Primary industry/industries: Healthcare technology, Durable Medical Equipment (DME), Insurance navigation
- Target customers: B2C (Medicare and Medicaid patients and their caregivers) and B2B (MLTSS plans, home care agencies, discharge planning teams, skilled nursing facilities, case management organizations)
- Mission or purpose statement: To make it easier for patients to access what they're already entitled to — insurance-covered home medical supplies — so they can stay healthy and independent at home.

## Products & Services
- **Platform/Service**: A consumer-facing platform that connects patients with licensed clinicians over a quick phone or video call, verifies insurance eligibility, and handles all prescriptions and paperwork to deliver medical supplies directly to the patient's door with easy monthly re-ordering.
- **CareOS (Proprietary AI Engine)**: The Conduit Authorization and Reimbursement Engine, an agentic AI platform trained on 50,000+ patient interactions. It predicts coverage and automates payer workflows in real time to accelerate approvals and cut through insurance bottlenecks.
- **Product Catalog**: A wide range of DME including adult diapers, pull-ups, chux, liners, pads, transport chairs, rollators, walkers, manual wheelchairs, Hoyer lifts, and continuous glucose monitors (e.g., Dexcom G7, FreeStyle Libre 2+ and 3+).

## Market Standing
- **Valuation/Market Cap**: Not disclosed
- **Key Metric**: Total Funding — $22 million (raised $17M Series A in March 2026, led by Drive Capital, with participation from XYZ Ventures, Twelve Below, Eniac Ventures, and others) [prnewswire.com](https://www.prnewswire.com/news-releases/conduit-health-raises-17-million-series-a-to-rebuild-the-path-to-insurance-covered-medical-supplies-302715481.html)
- **Notable Investors/Partners**: Drive Capital, XYZ Ventures, Twelve Below, Eniac Ventures, Diede van Lamoen [conduithealth.com](https://www.conduithealth.com/about)
- **Growth Signals**: Over 50,000 patients served since its public launch in late 2024. The company saw more patients in February 2026 than in the entire first half of 2025. Its payer network includes more than 100 health plans covering nearly 90 million lives. Product catalog has increased four times over since launch. [prnewswire.com](https://www.prnewswire.com/news-releases/conduit-health-raises-17-million-series-a-to-rebuild-the-path-to-insurance-covered-medical-supplies-302715481.html)

## Competitive Advantages
- **Vertically Integrated Model**: Conduit consolidates clinical evaluation, insurance authorization, and fulfillment under one roof, eliminating the administrative handoffs that typically delay access for weeks.
- **CareOS Moat**: A proprietary AI engine trained on 50,000+ cases that codifies hundreds of thousands of payer-specific rules. It gets stronger with every new case, creating a data network effect that is difficult to replicate.
- **Zero Cost to Patients**: Everything is fully covered by insurance — no out-of-pocket costs, no insurance forms, and no need to visit a doctor beforehand, dramatically lowering the barrier to access.
- **Consumer-First Approach**: Unlike traditional DME suppliers, Conduit is built for the patient experience, with a quick online intake, telehealth consults, and automated monthly resupply.

## Strategic Focus
- **Current Priorities**: Continue scaling the vertically-integrated model to serve the growing aging-at-home population. Expand the payer network and product catalog. Leverage CareOS to take on more denial risk and standardize workflows.
- **Future Vision**: Expand beyond DME into a broader range of insurance-covered services for home healthcare, including transportation to medical appointments, medically-tailored meals, and home modifications. [prnewswire.com](https://www.prnewswire.com/news-releases/conduit-health-raises-17-million-series-a-to-rebuild-the-path-to-insurance-covered-medical-supplies-302715481.html)

## Why Work Here
- **Culture Highlights**: Mission-driven team with genuine excitement for improving home healthcare. High-trust, autonomous environment where egos are left at the door. They move fast and have fun. [conduithealth.com](https://www.conduithealth.com/careers)
- **Remote/Hybrid Policy**: Hybrid model — collaborate in the NYC office 3 days a week, with flexibility to work remotely the rest of the time. [conduithealth.com](https://www.conduithealth.com/careers)
- **Notable Perks**: Competitive salary and equity, unlimited PTO, comprehensive medical/dental/vision coverage. [conduithealth.com](https://www.conduithealth.com/careers)
- **Engineering Culture**: Building a new system for healthcare at home. Opportunity to work on a cutting-edge agentic AI platform (CareOS) that directly impacts patient outcomes. Currently hiring across Engineering, Product, Operations, and Growth. [conduithealth.com](https://www.conduithealth.com/careers)

## Sources
1. [conduithealth.com](https://www.conduithealth.com/)
2. [conduithealth.com/about](https://www.conduithealth.com/about)
3. [conduithealth.com/careers](https://www.conduithealth.com/careers)
4. [prnewswire.com](https://www.prnewswire.com/news-releases/conduit-health-raises-17-million-series-a-to-rebuild-the-path-to-insurance-covered-medical-supplies-302715481.html)
5. [cbinsights.com](https://www.cbinsights.com/company/conduit-health)

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