C

Calpion/Plutus Health

AI-enabled medical billing, coding, AR management

Business Analyst

Full-Time
No salary listed
Mid
Bachelor's
Dallas, TX, USA
In Person
Business & StrategyBusiness Analysis

About the job

Requirements
  • A bachelor's degree in Business, Information Technology, Computer Science, Healthcare Administration, or a related field.
  • At least 3 years of experience as a Business Analyst, ideally in SaaS, healthcare technology, or enterprise software.
  • Experience with requirements gathering, business process analysis, and functional documentation, including BRDs, FRDs, user stories, acceptance criteria, and process flows.
  • Working knowledge of Agile/Scrum.
  • Experience working with Product Managers, Developers, QA, and business stakeholders.
  • Proficiency with Jira, Confluence, and diagramming tools such as Visio or Lucidchart.
  • Strong analytical, problem-solving, and critical-thinking skills.
  • Written and verbal communication skills sufficient to explain technical topics to non-technical audiences.
  • Comfort working in a fast-paced, product-focused environment.
Responsibilities
  • Lead stakeholder interviews, discovery sessions, and requirements workshops with clients and internal teams.
  • Gather, analyze, and document business and functional requirements.
  • Produce deliverables including BRDs, FRDs, user stories, acceptance criteria, process flows, and workflow diagrams.
  • Translate complex business needs into actionable requirements for Engineering.
  • Analyze client and internal workflows to identify opportunities for improvement and automation.
  • Recommend solutions using the Artemis platform's capabilities.
  • Identify gaps, dependencies, and risks early and bring them to the appropriate stakeholders.
  • Rank requirements by business value, customer impact, and product goals.
  • Partner with Product and Engineering throughout the product development lifecycle.
  • Support backlog refinement, sprint planning, and requirement clarification.
  • Develop test scenarios and lead user acceptance testing to verify features against documented requirements.
  • Maintain accurate and current documentation of requirements, workflows, and product changes.
  • Work with Client Success and leadership to align product direction with customer needs.
  • Support product demos, client implementations, training, and feature rollouts.
  • Serve as the subject matter expert on assigned business processes and product functionality.
Desired Qualifications
  • Experience with Salesforce.
  • Background in healthcare, behavioral health, ABA, revenue cycle management, medical billing, or practice management systems.
  • Familiarity with healthcare workflows such as clinical documentation, scheduling, billing, authorizations, or compliance, including HIPAA.
  • Experience with API integrations, data mapping, and system integrations.
  • Experience supporting SaaS implementations or client-facing projects.
  • Exposure to AI or automation products.

About the company

C

Calpion/Plutus Health

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Calpion/Plutus Health provides tech-enabled revenue cycle management for healthcare, using an AI-first approach for medical coding, billing, denial overturn, credentialing, AR follow-up, and IDR/out-of-network negotiations. They deploy 100+ AI agents to automate RCM tasks, aiming for faster turnarounds and higher collections. They serve behavioral health areas like ABA, outpatient psychiatry, SUD, ASC, and FSERs, and emphasize transparency, turnaround time, and technology as core values. Their goal is to reduce denials, cut days in AR, and improve cash flow with clear, compliant reporting.

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

Dallas, Texas

Founded

2008

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Simplify Jobs

Simplify's Take

What believers are saying

  • Plutus Health reported 131% three-year growth and third straight Inc. 5000 ranking in August 2026.
  • September 2026 product messaging shifted toward agentic AI, payer intelligence, and real-time denial prevention.
  • Industry pressure on behavioral health reimbursement and FSER IDR keeps demand high through 2027.

What critics are saying

  • No disclosed funding, audited financials, or customers make 2026 growth claims hard to verify.
  • Sponsor-heavy lead generation at BHT2026, NAFEC, and BHASe creates event-driven pipeline concentration.
  • Epic, Waystar, and in-house AI tools can compress margins and commoditize RCM by 2027.

What makes Calpion/Plutus Health unique

  • OlympusAI 3.0 uses 25+ agents across seven RCM stages, updated September 29, 2026.
  • Plutus Health specializes in behavioral health, ABA, and freestanding emergency centers, not generic billing.
  • Outcome-based fees tie compensation to client collections, aligning incentives with net cash performance.

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Benefits

  • Remote Work Options

Company News

ForPressRelease
Oct 14th, 2026
Plutus Health to sponsor Autism Investor Summit East 2026, advancing smarter RCM for autism care.

Plutus Health to sponsor Autism Investor Summit East 2026, advancing smarter RCM for autism care. Plutus Health will sponsor Autism Investor Summit East 2026, joining autism service providers, investors, commercial and Medicaid payers, policymakers, and industry partners in Washington, DC, on November 9-10. The summit focuses on business, policy, and payment realities shaping autism services. As a Silver Sponsor at Booth #02, Plutus Health will bring the revenue cycle perspective to an agenda where payer dynamics, reimbursement pressure, authorization practices, operating models, and sustainable growth are central to the conversation. Where Growth Meets Payment Reality The 2026 agenda goes deeper into the financial pressures behind those themes, with conversations around payer relations during industry contraction, autism therapy coverage decisions, reimbursement and regulatory oversight, changing underwriting assumptions, and how CEOs are rethinking capital allocation and operating models. For Plutus Health, those conversations create an opportunity to connect with autism care leaders around the revenue cycle factors behind sustainable growth, including: Payer reimbursement and collections Authorization and eligibility workflows Denial prevention and management Aging A/R and revenue recovery Revenue visibility across growing ABA organizations What You Can Expect from Plutus Health at Booth #02 Plutus Health helps ABA organizations strengthen revenue cycle performance with specialized RCM expertise, Agentic AI, automation, and analytics. 1:1 Revenue Conversations Meet with Plutus Health to discuss the RCM challenges affecting collections, payer performance, and operational scale. Free RCM Assessment Bring your numbers. Plutus Health will assess key revenue signals, including Net Collection Rate, denial trends, aging A/R, authorizations, and payer performance to identify where revenue may be getting delayed or lost. Payer & Revenue Insights Take a closer look at the revenue impact of payer requirements, authorization processes, denials, and reimbursement patterns, especially as AIS East examines how health plans approach coverage, utilization, and network strategy. Agentic AI for RCM Explore how Plutus Health combines Agentic AI with RCM expertise to reduce repetitive work, identify exceptions, and give leadership greater visibility into revenue cycle performance. Read Daily News Company :-Plutushealth User :- Thomas John Email :[email protected] Phone :-(469) 242-6053 * 1040ez online form * Income tax forms * Form Tax * More Information * Notebook Computer

Plutus Health Inc.
Sep 22nd, 2026
Plutus Health joins Behavioral Health Tech 2026 as exhibitor, bringing Agentic AI to Nashville's largest Behavioral Health gathering.

Plutus Health joins Behavioral Health Tech 2026 as exhibitor, bringing Agentic AI to Nashville's largest Behavioral Health gathering. Tuesday, September 22, 2026 Nashville, Tennessee Dallas, TX - September 21, 2026 Plutus Health, a technology-driven revenue cycle management company serving behavioral health providers, today announced it will exhibit at Behavioral Health Tech 2026 (BHT2026), taking place September 22-24 at the Gaylord Opryland Resort and Convention Center in Nashville, Tennessee. The conference, drawing more than 2,500 executives from health plans, health systems, government, and digital health innovators, is among the largest gatherings dedicated to expanding access to behavioral healthcare through technology. Why this matters now. Behavioral health providers face growing pressure to expand access as payer requirements grow more complex and reimbursement models shift toward outcomes-based structures. Plutus Health built its Agentic AI workflow, Olympus AI, to address this directly. The system handles claims, eligibility checks, and denial management, pairing automated workflows with human oversight to help behavioral health organizations keep pace with payer demands without expanding headcount. What Plutus Health is bringing to Nashville. Rather than a standard booth pitch, Plutus Health is offering BHT2026 attendees working sessions built around their own numbers: * A Free Net Collection Rate Check - In a short, no-obligation session, its team benchmarks your net collection rate, denial trends, and AR days against high-performing behavioral health organizations, reserved for BHT2026 attendees. * Understanding Agentic AI - Know more about how Olympus AI processes claims and flags denials pre-submission in real time, rather than reading about it on a slide. * Straight Answers on Payer Complexity - Where Medicaid shifts, commercial payer rules, and evolving value-based contract terms are quietly eroding margin, and what leaders should do about it. * A Benchmark Against the Field - See how collection rate, denial rate, and AR days compare to what top-performing behavioral health organizations are actually achieving today. Leadership perspective. "Every conversation in this industry eventually comes back to sustainability, how do you grow access to care without the back office collapsing under the weight of it," said Clive Sheldon, Vice President of Sales at Plutus Health. "That's the conversation we're bringing to Nashville. It's less about a product demo and more about showing operators, with their own numbers, where the leaks are and what fixing them looks like." - Clive Sheldon, Vice President of Sales at Plutus Health Clive Sheldon and Senior Sales Executive Stephen Moore will be available throughout BHT2026 for one-on-one meetings.

Plutus Health Inc.
Sep 22nd, 2026
Plutus Health to sponsor NAFEC Fall 2026 Members Meeting in Houston.

Plutus Health to sponsor NAFEC Fall 2026 Members Meeting in Houston. Tuesday, September 22, 2026 Houston, TX September 21, 2026 | Houston, Texas Plutus Health will sponsor the NAFEC Fall 2026 Members Meeting, joining freestanding emergency center leaders in Houston as the industry comes together for conversations with state and lobby teams, regulators, and leading industry experts. As a continuing NAFEC sponsor, Plutus Health will bring its focus on FSER revenue performance, payer reimbursement, IDR, and AI-powered revenue cycle management to the September gathering. Where FSER leaders come together. The NAFEC Fall Members Meeting brings together the people directly involved in the issues affecting freestanding emergency care. The September 22 Member Meeting will feature a full day of speakers, including state and lobby teams, state regulators, and industry experts. For Plutus Health, the meeting creates an opportunity to connect directly with FSER operators about the financial realities behind those industry conversations, including: * IDR and out-of-network reimbursement * Payer underpayments and reimbursement gaps * Denial prevention and recovery * Aging A/R and collections * Revenue cycle automation and performance visibility What you can expect from Plutus Health. Plutus Health combines specialized FSER revenue cycle expertise with Olympus AI-powered workflows to help emergency centers identify revenue leakage, accelerate collections, and strengthen payer reimbursement. 1:1 FSER Revenue Conversations Meet directly with Plutus Health to discuss the revenue cycle issues affecting your organization. Free FSER Revenue Assessment Bring your revenue cycle data and uncover underpayments, denial patterns, aging A/R, and potential recovery opportunities. IDR & Payer Revenue Insights Take a closer look at where reimbursement is being delayed, reduced, disputed, or written off. AI-Powered Revenue Cycle Strategies Explore how Agentic AI, analytics, and RCM expertise can help improve financial performance across high-volume FSER workflows. Leadership perspective. "NAFEC gives us the opportunity to have focused conversations with the people operating freestanding emergency centers every day," said Michael J. LaBay, Vice President of Sales at Plutus Health. "We want FSER leaders to bring us the numbers that concern them, whether that is aging A/R, denials, underpayments, or IDR. Those numbers usually tell us where the opportunity is." - Michael J. LaBay, Vice President of Sales at Plutus Health Plutus Health continues to support freestanding emergency centers with AI-powered, expert-led revenue cycle management designed around the complexities of emergency care reimbursement. Join Plutus Health at the:

Associated Press
Aug 12th, 2026
Plutus Health lands 3rd consecutive Inc. 5000 spot with 131% three-year growth

Plutus Health has secured a spot on the 2026 Inc. 5000 for the third consecutive year, posting 131% revenue growth over three years. The Dallas-based company provides AI-driven revenue cycle management for healthcare organisations. The firm attributes its growth to OlympusAI, its intelligent revenue cycle platform that combines automation, payer intelligence, and reporting to help providers identify revenue leakage and reduce claim denials. Plutus Health has supported more than 9,000 healthcare providers and recovered over $1 billion in insurance collections, maintaining a 98% net collection rate. Its services span credentialing, billing, claims processing, denial management, and accounts receivable. Chief executive officer Thomas John said the ranking validates the company's focus on predictive healthcare finance rather than reactive processing.

The National Law Review
Feb 11th, 2026
Plutus Health CEO Thomas John to Speak at BHASe Summit 2026 on Sustainable Revenue for Behavioral Health

Plutus Health CEO Thomas John to speak at BHASe Summit 2026 on Sustainable Revenue for behavioral health. Plutus Health announced participation in the 2026 BHASe Summit as a Platinum Sponsor. CEO Thomas John will address revenue workflows for behavioral health. DALLAS, TX, UNITED STATES, February 11, 2026 /EINPresswire.com/ - BHASe brings together senior executives, operators, investors, lenders, and advisors from across the behavioral health continuum, including mental health, substance use disorder treatment, ABA, IDD, residential, outpatient, and inpatient care. Plutus Health's presence at the summit underscores the importance of AI-driven automation and analytics in RCM shaping next-generation revenue operations. A Leadership View on Sustainable Revenue Operations As part of the conference program, Thomas John will speak on how behavioral health organizations can design revenue workflows that remain stable as operations grow. His session focuses on moving beyond reactive billing models toward disciplined, repeatable systems supported by AI-enabled insights, predictive analytics, and workflow automation that improve predictability and long-term value. "Sustainable growth in behavioral health depends on revenue operations that can withstand scale and complexity," said Thomas John, CEO of Plutus Health. "This conversation is about combining human expertise with AI-driven intelligence to build workflows that hold - not just processes that function." Plutus Health at BHASe summit 2026 As Platinum Sponsors, Plutus Health at BHASe Summit 2026 will actively engage with attendees throughout the summit and provide an exclusive RCM assessment. The company's leadership team will be on-site to connect with executives and investors around revenue integrity, operational clarity, financial sustainability, and the role of AI in reducing revenue leakage and accelerating reimbursement cycles. Designed as an executive retreat, BHASe Summit emphasizes curated networking and peer-level discussion over traditional conference formats. The summit is widely recognized as a setting where strategic alignment and long-term partnerships are formed. BHASe Summit 2026 will take place February 11 - 13 in Miami, Florida. About Plutus Health ADVERTISING Plutus Health is an AI-powered, technology-enabled revenue cycle management partner specializing in behavioral health billing. The company combines automation, advanced analytics, and human expertise to help organizations improve cash flow, reduce revenue leakage, and scale with confidence through intelligent, data-driven revenue operations. Legal Disclaimer: EIN Presswire provides this news content "as is" without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.