Description:

Title: Market Operations Director

Reports to: Chief Operating Officer

Department/Location: Colorado Market

FLSA Status: Exempt

Summary:

As the Market Operations Director (MOD), you will serve as the senior operational leader responsible for the performance, growth, and clinical integrity of Guidelight Health's clinics across Colorado. Reporting directly to the Chief Operating Officer, you will partner with site-level Executive Directors and clinical leadership to drive a unified vision, one where exceptional patient outcomes and sustainable business performance go hand in hand. 

This is a high-impact, highly visible role for a leader who thrives at the intersection of clinical excellence, operational strategy, and team development. You will be accountable for market-level KPIs spanning access, clinical outcomes, financial performance, and team engagement, and you will lead with both the analytical rigor to drive results and the human-centered approach to build a culture people are proud to be part of. If you are energized by building things, developing people, and driving growth in a fast-paced, high-growth environment, this role is for you. 

Responsibilities:

• Team Leadership & Development 
  • Lead, coach, and develop a team of site-level Executive Directors and clinical/operational staff across the Colorado market. 
  • Build leadership bench strength through intentional talent development, succession planning, and performance management. 
  • Establish clear accountability structures while providing the support, resources, and development opportunities teams need to succeed. 
  • Foster a high-performance environment grounded in collaboration, transparency, and continuous improvement. 
  • Drive employee engagement and retention as a strategic priority, investing in the long-term organizational health of the market. 
• Market Culture & Engagement 
  • Champion a strong, values-driven culture across all Colorado locations, ensuring consistent alignment to Guidelight's mission and a client-centered, outcomes-focused mindset. 
  • Create meaningful consistency across sites while respecting and honoring the dynamics unique to each local community. 
  • Model and reinforce the behaviors, norms, and expectations that define Guidelight's culture — serving as a visible, present, and inspiring leader across the market. 
  • Drive a shared sense of purpose and belonging that fuels engagement, retention, and exceptional patient care. 
• Operational Excellence in a Multi-Site Environment 
  • Oversee day-to-day operations across all Colorado sites, ensuring efficient, compliant, and high-quality service delivery. 
  • Implement and continuously refine standardized processes and operational frameworks that scale across locations without sacrificing flexibility or quality. 
  • Partner cross-functionally with clinical, finance, HR, growth, and compliance teams to optimize performance and resolve operational challenges. 
  • Leverage data, analytics, and performance metrics to monitor trends, identify gaps, and drive timely, informed action plans. 
  • Thrive in a fast-paced, high-growth environment with evolving infrastructure, bringing structure and clarity without losing agility. 
• Growth & Market Expansion 
  • Bring a growth mindset to every aspect of the role — identifying opportunities to expand access, improve capacity, and drive market performance. 
  • Partner with clinical outreach teams and site leaders to execute growth strategies, build and sustain referral relationships, and grow average daily census (ADC) across the region. 
  • Identify opportunities for organic growth, new site development, and service line expansion in alignment with Guidelight's broader strategic plan. 
  • Serve as a market intelligence resource, synthesizing field feedback and competitive dynamics into actionable strategy for leadership. 
  • Maintain operational integrity and care quality as the business scales and new sites come online. 
• Program Development & Clinical Integrity 
  • Collaborate with clinical leadership and Executive Directors to design, implement, and continuously refine PHP and IOP treatment programs and protocols. 
  • Ensure all programs reflect current evidence-based practices, regulatory standards, and the evolving needs of the patient population. 
  • Serve as a clinical thought leader across the market, setting standards of care and championing a trauma-informed, culturally responsive treatment environment. 
• Financial Stewardship & Performance Accountability 
  • Hold ultimate accountability for regional profit & loss, working in close partnership with site-level Executive Directors to monitor and act on financial performance. 
  • Own market-level KPIs including client access, clinical outcomes, financial performance, and team engagement, communicating results and strategic recommendations to COO and Guidelight leadership on a regular cadence. 
  • Make data-informed decisions to optimize net revenue, manage operating costs, and drive long-term financial sustainability across the region. 
• Quality Assurance & Risk Management 
  • Monitor and evaluate clinical services to ensure ongoing compliance with JCAHO/CARF accreditation standards, Colorado state regulations, and internal organizational policies. 
  • Lead and champion quality improvement initiatives, fostering a culture of continuous learning and accountability at every level. 
  • Proactively identify clinical, operational, and compliance risks and implement appropriate mitigation strategies. 
  • Ensure all sites maintain rigorous safety standards and therapeutic treatment environments. 
• Patient Experience & Community Engagement 
  • Champion a patient-centered philosophy across all sites, ensuring care delivery honors the dignity, individuality, and preferences of every person served. 
  • Implement feedback mechanisms to capture the patient voice and integrate it into continuous improvement efforts. 
  • Represent Guidelight Health as an ambassador in professional forums, community events, and collaborative partnerships across Colorado. 
  • Advance mental health awareness and strengthen Guidelight's reputation and reach in the communities we serve. 

Qualifications:

• Must be based in the Denver market, with an ability to travel across the Colorado market to Guidelight's sites.
• Minimum of 5 years of progressive leadership experience in a multi-site healthcare environment.
• Demonstrated success leading and developing high-performing teams, with a track record of building bench strength and driving engagement. 
• Strong operational acumen with experience scaling organizations, standardizing processes, and driving performance in high-growth settings. 
• Track record of driving growth, including census/access goals, referral development, and market expansion, while maintaining operational and clinical integrity. 
• Deep knowledge of behavioral health regulatory requirements, accreditation standards (JCAHO, CARF), and quality improvement principles. 
• Proficiency in data analysis and performance measurement, with a clear bias toward outcomes-driven, evidence-based decision-making. 
• Exceptional communication and influencing skills, with the ability to engage and align stakeholders at all levels of the organization. 
• Demonstrated commitment to diversity, equity, and inclusion, with experience building culturally responsive and trauma-informed care environments. 

Preferred Qualifications:

• Active clinical licensure in the state of Colorado (e.g., LPC, LCSW, LMFT, or equivalent). 
• Experience within behavioral health strongly preferred, with consideration given to broader healthcare backgrounds (e.g., outpatient, ambulatory, specialty care).

*Please do not contact our public clinical admissions line regarding this or any other job posting. For recruiting-related inquiries, please contact the Talent team at Talent@guidelighthealth.com

Guidelight is an Equal Opportunity Employer. We are passionate about fostering an environment where everyone, irrespective of their race, gender, sexual orientation, or background, feels valued and included. 

We want to be a place where every employee has a voice and feels truly welcome, appreciated, free to be themselves, and empowered and enabled to do their best work. Our differences make us unique, and we actively support these differences and work to create communities of respect throughout our company. www.guidelighthealth.com  

Description:

Title: Director, Revenue Cycle Management 

Reports to: Senior Vice President, Finance

Department/Location: Revenue Cycle Management 

FLSA Status: Exempt

Summary:

The Director of Revenue Cycle Management (RCM) is responsible for leading and optimizing the end-to-end revenue cycle for Guidelight Health. This role will focus on advancing and standardizing existing processes across the full lifecycle - from patient access and benefit verification through coding, billing, collections, and denial management - to support Guidelight’s next phase of growth. 

This Director will drive performance improvements, enhance operational rigor, and ensure accuracy, timeliness, and compliance across all revenue cycle functions. This individual will partner cross-functionally with clinical, operations, and finance teams to identify opportunities for increased efficiency, scalability, and revenue capture. The ideal candidate brings strong leadership experience, a deep understanding of healthcare billing practices and payer requirements, and a proven track record of improving revenue cycle performance within a growing healthcare organization. 

Responsibilities:

• Revenue Cycle Oversight:  
  • Manage the end-to-end revenue cycle process, including prior-authorization, utilization review, billing, collections, and accounts receivable management.  
  • Develop and implement policies and procedures to improve the efficiency and effectiveness of revenue cycle operations.  
  • Devise and build strong internal processes and documented workflows in support of the revenue cycle and ensure appropriate integration with field operations and patient medical records.  
  • Continually seek ways to improve the delivery and support of revenue cycle activities and strategize with operations leaders to proactively identify process improvement and eliminate barriers to success.  
• Billing and Collections:  
  • Oversee accurate and timely submission of claims to insurance payers and government programs.  
  • Monitor accounts receivable aging reports and work with the collections team to resolve outstanding balances.  
• Compliance and Regulations:  
  • Ensure compliance with federal, state, and local regulations related to billing and revenue cycle management.  
  • Stay updated on changes in healthcare regulations, payer requirements, and coding standards relevant to behavioral health.  
• Team Leadership:  
  • Hire, lead, and mentor the revenue cycle team, fostering a culture of continuous improvement and professional growth.  
  • Implement productivity goals, measures and/or tools to ensure teammates are performing at an appropriate level.  
  • Conduct regular training sessions on billing procedures, coding updates, and compliance issues for revenue cycle and facility-based teammates.   
• Data Analysis and Reporting:  
  • Lead the establishment and implementation of KPIs for revenue cycle operations and oversee the measurement and reporting of KPIs.  
  • Analyze revenue cycle metrics and KPIs to identify trends, areas for improvement, and opportunities for increased efficiency.  
  • Prepare and present regular reports to senior management on revenue cycle performance, challenges, and initiatives.  
• Collaboration:  
  • Work closely with clinical teammates, financial analysts, and IT departments to enhance revenue cycle processes and ensure seamless operations.  
  • Collaborate with external auditors and compliance officers during audits and reviews.  
  • Manage external vendors to ensure service delivery is in compliance with Statement of Work.  
• Strategic Planning:  
  • Participate in strategic planning initiatives to enhance the financial performance of the organization.  
  • Recommend and implement technology solutions that improve revenue cycle processes and client experience.  

Qualifications:

• Bachelor's degree in healthcare administration, Finance, Business Administration, or a related field. Master’s degree preferred.  
• Minimum of 5 years of experience in revenue cycle management, with at least 2 years in a supervisory or management role, preferably in a behavioral health setting.  
• Strong understanding of billing practices, coding, and payer requirements specific to behavioral health care.  
• Proficiency in revenue cycle management software and electronic health record (EHR) systems.  
• Knowledge of relevant regulations and compliance standards (e.g., HIPAA, Medicare/Medicaid requirements).  
• Excellent leadership, communication, and interpersonal skills.  
• Flexibly and adaptability to meet the diverse needs of clients in a fast-paced environment.   

*Please do not contact our public clinical admissions line regarding this or any other job posting. For recruiting-related inquiries, please contact the Talent team at Talent@guidelighthealth.com

Guidelight is an Equal Opportunity Employer. We are passionate about fostering an environment where everyone, irrespective of their race, gender, sexual orientation, or background, feels valued and included. 

We want to be a place where every employee has a voice and feels truly welcome, appreciated, free to be themselves, and empowered and enabled to do their best work. Our differences make us unique, and we actively support these differences and work to create communities of respect throughout our company. www.guidelighthealth.com  

Title: Utilization Review Coordinator

Reports to: Senior Director of Revenue Cycle Management 

Department/Location: Remote

FLSA Status: Exempt

Travel Requirement: None

Summary: 

The Utilization Review Coordinator will report directly to the Senior Director of RCM. This team member will be responsible for handling pre-certifications, authorizations, retro-authorizations, appeals, medical records requests, and chart auditing duties that coincide with accurate reporting of each client’s clinical level of care, program, and treatment days utilized. The Utilization Review Coordinator should be a subject matter expert on payor requirements and expectations. This role requires strategic planning and coordination with on-site providers and the revenue cycle department to obtain optimal utilization review outcomes.

Responsibilities: 

• Utilization Review on Behalf of the Clinics:
  • Prescreen referrals to project/anticipate authorizations. Provide recommendations regarding level of care/services and treatment planning.
  • Conduct live reviews with payors and level of care chart reviews, conceptualizing the clinical presentation and care needs and applying medical necessity guidelines and /or LOCUS to compel authorization.
  • Clinically negotiate authorization outcomes with the payor, collaborating in advance with the primary treating clinicians.
  • Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling. Provide guidance and training to clinicians on completing P2P reviews.
  • Establish internal authorization or denial determinations for No Authorization Required (NAR) requests.
  • Establish post denial appeal response recommendations.
  • Obtain portal access to any utilization review portals for an efficient and scalable process.
• Interdepartmental Relations and Communication:
  • Coordinate with the clinical team on requests with clinically weaker presentations.
  • Coordinate all concurrent insurance reviews with clinicians and medical team.
  • Provide guidance on specific interventions or areas on which to focus to result in maximum authorized days.
  • Provide ongoing feedback and recommendations for improvement to meet payor medical necessity guidelines.
  • Attend and participate in daily huddles/weekly rounds as the payor expert to ensure appropriate authorization outcomes and provide ongoing education regarding payor requirements.
  • Communicate with relevant parties at the facility and in RCM about any issues with coverage or denials, facilitating client notifications as needed.
  • Partner with intake, utilization review, and finance for best practices in overarching company goals related to RCM.
  • Timely completion of the Denial Notification process.
•  Accurate Data Entry:
  • Document deficiencies for identification on the daily reporting
  • Timely documentation of authorization in KIPU/Avea
  • Upload authorization letters to KIPU/Avea UR module.
•  Clinical Auditing:
  • Notify the primary therapist of any missing documentation or delinquent services
  • Review medical records for quality clinical documentation and compliance with licensing, accrediting, and payor requirements
  • Running daily reports to ensure that all information needed for timely review has been entered into the EMR and communicating with the clinic team members to correct or update any missing or incorrect documentation.
•  Policy Compliance:
  • Ensuring compliance with legal, regulatory, and policy requirements.
•  Process Improvement:
  • Identifying Clinical problems and proposing innovative solutions.
•  Additional job duties as assigned.

Qualifications:

• Bachelor's degree in Social Work, Nursing, or any related field.
• Clinical or UR experience in PHP or IOP levels of care.
• 1-2 years of experience in the healthcare industry in utilization review or clinical care.
• Expert understanding of patient documentation, chart auditing, and state and federal regulations.
• Proficient in MS Office applications and ability to learn department and job-specific software systems (e.g., applicable practice management and EMR systems)
• Demonstrate organizational skills.
• Demonstrate effective verbal and written communication skills.
• Demonstrate analytical skills when problem-solving.
• Demonstrate high attention to detail and a high degree of accuracy.

Description:

Title: FP&A Manager

Reports to: Senior Vice President, Finance

Department/Location: Finance / Remote

FLSA Status: Exempt

Summary:

We are seeking an experienced Manager of Financial Planning & Analysis to join our growing finance team. Reporting to the Senior Vice President, Finance, this individual will serve as a key strategic partner across Guidelight Health, bringing financial rigor and analytical insight to decision-making as we continue to scale nationally. This is a high-impact role suited for a self-starter who thrives in a fast-paced, mission-driven environment and is eager to help shape the company’s financial future. The FP&A Manager will own core planning and reporting processes, build scalable financial models, and partner closely with clinic operations, growth, and clinical leadership to evaluate new initiatives and drive performance across our PHP and IOP programs. 

Responsibilities:

• Financial Planning & Forecasting 
  • Lead the annual budgeting, forecasting, and long-range strategic planning processes, partnering closely with functional and clinic leaders to ensure accurate, timely, and strategy-aligned submissions. 
  • Build dynamic financial models, KPI dashboards, and scenario analyses that inform business planning and support new clinic openings, service line expansions, and capital investment decisions. 
  • Drive long-range strategic planning efforts, developing financial frameworks that support margin improvement, market expansion, and multi-site growth. 
• Financial Reporting & Analysis 
  • Prepare and present executive-level financial reports, variance analyses, and dashboards that provide clear, actionable insights to support data-driven decision-making by clinic and senior leadership. 
  • Track and communicate key performance indicators across clinic operations, including patient volumes, revenue per visit, staffing ratios, payer mix, and operating margins. 
  • Take full ownership of financial analyses and strategic projects through to final recommendations, building Board- and leadership-ready materials that distill complex data into clear, actionable insights. 
• Operational & Revenue Cycle Support 
  • Develop strong cross-functional partnerships with clinic, operations, and clinical leadership, facilitating regular financial reviews and serving as a strategic thought partner to drive performance improvement. 
  • Partner with accounting, revenue cycle management, and operational teams to ensure financial data accuracy, resolve discrepancies, and support payer mix reviews and reimbursement trend monitoring. 
  • Continuously improve financial reporting tools, forecasting methodologies, and dashboard capabilities to enhance accuracy, transparency, and usability; drive initiatives to advance process automation and financial systems integration. 
• Strategic Projects 
  • Lead financial diligence and scenario planning for business cases related to new clinic openings, payer contract negotiations, and market expansion opportunities. 
  • Model and measure the ROI of strategic initiatives, including technology investments, automation opportunities, and operational improvement efforts. 
  • Conduct ad-hoc analyses for senior leadership to evaluate opportunities, risks, and cost-saving initiatives. 

Qualifications:

• Education & Experience 
  • Bachelor’s degree in Finance, Accounting, Economics, or a related field; MBA or CFA preferred. 
  • 5–7 years of progressive experience in FP&A, corporate finance, management consulting, or healthcare financial operations; multi-site healthcare or outpatient behavioral health experience strongly preferred. 
  • Demonstrated understanding of healthcare reimbursement, payer mix, and clinic operational drivers. 
• Skills & Competencies 
  • Deep financial modeling expertise with the ability to synthesize complex data into insights that drive executive decision-making. 
  • Advanced proficiency in Excel and financial modeling; experience with Power BI, Tableau, or similar data visualization tools preferred. 
  • Demonstrated ability to collaborate cross-functionally with operations, growth, clinical, and IT teams. 
  • Excellent communication and presentation skills, with the ability to translate financial information for both financial and non-financial stakeholders. 
  • Strong leadership capabilities with a track record of managing projects and competing priorities in a dynamic, high-growth environment. 
  • Proven discretion in handling sensitive and confidential information. 

Preferred Qualifications:

• Experience in behavioral health, outpatient mental health, or tech-enabled healthcare services. 
• Background in management consulting, investment banking, or corporate development. 
• Proficiency with EHR-integrated reporting or billing analytics platforms. 
• Experience championing AI, automation, and data visualization tools to enhance workflow efficiency and reduce administrative burden. 

*Please do not contact our public clinical admissions line regarding this or any other job posting. For recruiting-related inquiries, please contact the Talent team at Talent@guidelighthealth.com

Guidelight is an Equal Opportunity Employer. We are passionate about fostering an environment where everyone, irrespective of their race, gender, sexual orientation, or background, feels valued and included. 

We want to be a place where every employee has a voice and feels truly welcome, appreciated, free to be themselves, and empowered and enabled to do their best work. Our differences make us unique, and we actively support these differences and work to create communities of respect throughout our company. www.guidelighthealth.com