Senior Manager, Revenue Cycle

Cartwheel•Cambridge, MA

13d•$110,000 - $140,000•Remote

About The Position

As Cartwheel's Senior Manager or Director of Revenue Cycle, you will lead our revenue cycle strategy and manage a team of 8 across billing, AR, credentialing, licensing, and payer enrollment. We work with 300+ school districts to provide life-saving mental health services to a diverse population (50-50 Medicaid/Commercial mix), and we're scaling rapidly – from 2,000+ therapy sessions per week across 15 states today to 4,000+ sessions per week in 25 states within the next year. You'll refine a high-performing revenue cycle function set up for scale, partnering closely with Care Operations, School Success, Product, Engineering, and Data teams to optimize the infrastructure and processes that support our growth. This role offers the right candidate significant ownership and impact at a critical inflection point for the company.

Requirements

You have 7-10+ years of revenue cycle experience and 3-5+ years of people management
You thrive in a world of rapid startup growth
You get stuff done and prioritize outcomes
In the face of competing priorities, you prioritize and move forward without getting stuck
You seamlessly transition between strategic thinking and hands-on operations
You bring deep behavioral health billing experience, with a keen understanding of: reporting dashboards, metrics, and targets; behavioral health license types and billing practices (e.g., incident-to-billing); Medicaid-specific billing opportunities (e.g., collateral calls); building scalable processes that can support rapid organizational growth

Nice To Haves

You have group payer contracting, delegated credentialing, and multi-state expansion experience

Responsibilities

Lead and develop a team of 8 RCM professionals, building a culture of accountability and continuous improvement
Partner with the Care Operations team to address "upstream" issues that have "downstream" effects (e.g., capture key patient info at intake to avoid claim denials)
Partner with the Care Operations and School Success teams to improve how we bill school districts for care provided to uninsured students
Partner with the Product and Engineering teams to implement billing automations that reduce manual workflows
Establish and implement strategies for multi-state expansion across payer contracting, credentialing, and licensing
Oversee RCM performance reporting and drive both individual and team performance in support of our primary goals: all sessions conducted by credentialed clinicians, claims submitted within a few days of service, claim denials kept below 5%, accounts receivable cleared within 30 days, cost to collect kept low
Build scalable processes and evolve organizational structure to handle 2-3x session volume growth

Benefits

Competitive compensation
Generous PPO medical, vision, and dental/ortho coverage
Life Insurance
Generous paid time off, including company closure from Christmas-New Years (12/25-1/1)
Paid holidays and sick leave
Paid parental leave
401K with employer match
Meaningful equity ownership stake in Cartwheel
Flexible and remote role with regular in-person retreats
Annual learning stipend
Laptop