Payer Enrollment Specialist (Temp to Perm)
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Job Location:
Cambridge, MA - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Join Cartwheel to help tackle the student mental health crisis.
Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them we collaborate with them. This means:
- Earlier intervention
- Higher student and family engagement in care
- Better coordination among the trusted adults in a students life
Kids shouldnt just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life theyre excited to live. If you join Cartwheel youll help make this vision a reality for millions of students across the country. Were backed by top investors including Menlo Ventures Reach Capital General Catalyst BoxGroup and Able Partners and were looking for mission-driven teammates to join our team.
ABOUT THE ROLE
You will work directly with the Director of Health Plan Operations to research prepare and submit accurate and timely health plan enrollment requests on behalf of Cartwheel. Youll also research and resolve payer or client related questions related to submitted enrollments.
Role type: This is a full-time W2 temp to perm position
Location: 100% remote in the U.S.
WHAT YOULL DO
- 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
WHO YOU ARE
- 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)
- Strong preference for experience in Salesforce and/or Verifiable
- 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
WHY YOULL LOVE CARTWHEEL
Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time at a company well-positioned to do so when you convert to perm youll have:
- Mission-oriented and inclusive colleagues who will go to bat for you
- Competitive compensation
- Generous PPO medical vision and dental coverage
- Generous paid time off including company closure from Christmas-New Years (12/25-1/1)
- Paid parental leave
- 401K with employer match
- Meaningful equity ownership stake in Cartwheel
- Remote role with regular in-person retreats
- $500 annual learning stipend
- Macbook
Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. Were committed to equal employment opportunity regardless of race color religion ancestry national origin gender sexual orientation disability status or veteran status.
We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorization.
Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. Were committed to equal employment opportunity regardless of race color religion ancestry national origin gender sexual orientation disability status or veteran status.
We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorization
Note: Please do not contact our Care Provider or Patient Services lines regarding job postings or application status. These teams support our patients and families and are not involved in the hiring process. For all recruitment-related questions please email
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
