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Cartwheel · 2 hours ago

Health Plan Operations Manager

United States

Full-time

Remote

Mid, Senior Level

$95K/yr - $115K/yr

Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. As the Health Plan Operations Manager, you will lead strategic projects across payer contracting, enrollment, and revenue cycle management to optimize how Cartwheel generates medical revenue.

Health CareMental HealthmHealthTherapeuticsWellness

Responsibilities

Partner with the Director of Health Plan Operations around Cartwheel's group contracting strategy and execution as we expand into new states and markets

Lead Cartwheel’s delegated credentialing efforts to expedite provider enrollment with key payers–manage existing relationships, implement new contracts, and explore opportunities to expand delegation

Build operational infrastructure around psychiatrist and nurse practitioner licensing and collaborations as well as multi-state practice strategy

Partner cross-functionally to drive strategic projects for Health Plan Operations and Revenue Cycle. You will be working most closely with the People and Operations teams but will also engage with IT, Clinical, R&D, and others as well. This includes creating important analyses to inform key decisions, implementing new projects and tools, and analyzing and improving existing workflows and processes

Qualification

Payer contractingRevenue cycle managementDelegated credentialingBehavioral health experienceMulti-state operationsAnalytical thinkingAccountabilityLookerSalesforceAperoCollaboration

Required

You have management experience in a behavioral health, telehealth, or related field in the payer operations, payer contracting, and revenue cycle

You have group contracting, delegated credentialing, payer enrollment, health plan strategy, and revenue cycle strategy experience in relevant environments (multi-state, behavioral health, telehealth)

You are a highly analytical thinker and enjoy working in a culture that values structured logical reasoning (you're equally at home in a google sheet, payer contract, Looker dashboard, billing system, etc.)

Have experience building out payer operations and revenue cycle infrastructure within a growing organization

You are highly accountable (e.g., you define clear outcomes, set deadlines, escalate risks, deliver)

You embody our values: Human, Humble, Accountable, Innovative, Resilient