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Cartwheel · 7 hours ago

Payer Enrollment Specialist (Temp to Perm)

United States

Full-time

Remote

Mid Level

3+ years exp

Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. The Payer Enrollment Specialist will work directly with the Director of Health Plan Operations to research, prepare, and submit accurate health plan enrollment requests, while also addressing payer-related inquiries.

Health CareMental HealthmHealthTherapeuticsWellness

No H1B

Responsibilities

Research payer enrollment requirements by state and prepare complete enrollment applications for Medicaid, Medicare commercial, and managed care plans (including all required forms, documentation, and supporting materials)

Submit and track group and individual provider enrollment requests from application retrieval through completion notification

Follow up with payers and providers via phone, email, and online portals to gather information, resolve questions, and expedite approvals

Maintain enrollment trackers and organize payer/provider documentation (NPPES, CAQH, DEA, CDS profiles, etc.) accessible to internal stakeholders

Build relationships with payer representatives and contracting departments to streamline submissions and improve approval timelines

Process demographic updates and prepare reports on enrollment status as needed

Follow all company procedures and meet team performance metrics around enrollment application submissions and credentialing turnaround times

Ability to pass a background check without concerns

Other duties as assigned

Qualification

Payer enrollment experienceMedicaidMedicare knowledgeGoogle Suite proficiencySalesforce experienceCommunication skillsDetail-orientedOrganizational skillsTeam collaboration

Required

3+ years of experience with payer enrollment applications and processes, including Medicaid and commercial payers (outpatient behavioral health group contracting experience is a plus)

Expert with Google Suite tools (Sheets, Docs, Gmail)

Exceptionally detail-oriented with strong organizational skills - you ensure complex enrollment packages are complete and accurate

Able to work independently and collaboratively in a fast-paced environment, taking initiative to break down projects and identify process improvements

Strong communicator who builds effective relationships with internal teams and external contacts at all organizational levels

Ability to pass a background check without concerns