Payer Enrollment Specialist (Temp to Perm)

Cartwheel•Cambridge, MA

5h•Remote

About The Position

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 student’s life Kids shouldn't 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 they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're 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. You’ll also research and resolve payer or client related questions related to submitted enrollments. Role type: This is a full-time, contract to perm position Location: 100% remote in the U.S.

Requirements

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

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

Benefits

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