Adentris (Y Combinator) builds AI-powered revenue integrity and compliance software for behavioral health and substance use disorder providers. We're now building the services side of the business: a technology-enabled RCM services operation, from a blank page. We're hiring the founder-like leader to build it.
This is a hands-on, entrepreneurial role reporting to the Chief Product Officer. You'll define how Adentris delivers RCM services, translate deep billing expertise into product specifications and automation requirements, deliver for the first customers yourself, then hire the team behind you, and work with the founders on acquisitions in the SUD billing services market.
You should know what separates an exceptional BH/SUD billing organization from an average one. Your job is to build that judgment into a scalable operation and into software.
You'd be working directly with all three founders. Dmitry Karpov (CEO) is a second-time YC founder with a track record in B2B enterprise products and go-to-market; he leads executive sales, and you'll be in those rooms with him. Sergey Yudovskiy (CPO), your direct manager, is also a second-time YC founder: he previously ran ElectroNeek (YC W20) as CEO, scaling it to ~$5M ARR across 30+ countries, and comes from a family of physicians, which is why revenue lost to documentation errors is personal, not abstract. Alex Odin (CTO) is a third-time founder who led AI at ManyChat ($140M+ ARR); he owns the multi-agent architecture your automation specs will be built on.
- First 30 days: Get inside our live BH/SUD customer engagements. Map their revenue cycle end to end, take ownership of service delivery for at least one account, and stand up the baseline metrics dashboard: clean-claim rate, denial rate, days in A/R.
- By day 60: Your first process maps and automation specifications are in engineering's hands, and the service delivery model (SOPs, quality controls, staffing plan) exists on paper because you wrote it.
- By day 90: You've onboarded a customer on the delivery model you designed, joined executive-level sales conversations as the subject-matter expert, and built the first version of our framework for evaluating billing-company acquisition targets.
- The operating model and roadmap for Adentris's automated RCM services offering
- Turning real billing operations into process maps, workflows, and product specifications engineering can build against
- End-to-end service delivery in BH/SUD: SOPs, quality controls, staffing models, and dashboards on clean-claim rates, denial rates, and days in A/R
- Credentialing for Adentris clients, including Medicaid and Medicare
- Recruiting and leading the billing operations, implementation, and account management team
- Serving as the subject-matter expert in executive-level sales conversations, and generating business through your own network
- M&A alongside the founders: sourcing targets in the SUD billing market, operational due diligence, post-acquisition integration
- 5+ years in the BH/SUD industry, ideally in founder, CEO, or senior operating roles
- Deep command of the SUD revenue cycle: benefits verification, authorizations, coding, claim submission, denials, appeals, collections, payer follow-up
- You've built, run, or materially improved an RCM operation, and you can document it in process maps and business requirements
- You've hired and led high-performing billing teams
- Executive-level credibility with leaders at BH/SUD treatment organizations
- M&A, operational due diligence, or integration experience strongly preferred
In 12-18 months: a productized RCM service customers want, a repeatable onboarding and delivery model, a growing book of recurring service revenue, a strong team, and a working framework for evaluating acquisition targets.
- Full-time; Austin, Denver, Phoenix, Reno, or Los Angeles preferred
- Competitive salary plus meaningful equity
- Healthcare and 401(k) benefits
We keep this simple and fast. No recruiters, no panels, no take-home decks: you talk directly to the two founders who make the decision.
- Call with Sergey, CPO (45–60 min). Your future direct manager. Your BH/SUD revenue cycle background, how you'd build a services business from a blank page, and an honest look at where Adentris is today — what's working, what isn't.
- Working conversation with Dmitry, CEO (60 min). A realistic scenario from our market: a BH/SUD provider's revenue cycle with real problems in it. You tell us what you'd do in the first 90 days, and how you'd sell the result to the customer's executives.
- Decision. Sergey and Dmitry decide together, typically within 72 hours of the second call. Then references and a direct compensation conversation — with a founder, not a form.
Two conversations, about a week from first call to offer. If it's a strong mutual fit, faster.