Health Plan Operations Manager

Cartwheel is rapidly growing in scale and complexity. Our Health Plan Operations Team is responsible for both the strategy and operationalization of how Cartwheel contracts and partners with payers. Cartwheel works with Medicaid, Managed Medicaid, and Commercial payers in 15 states. We expect this footprint to double over the next two years adding more states and payers. This role will lead strategic, growth, and process improvement projects across payer contracting, payer enrollment, and revenue cycle management operations. As Cartwheel’s Health Plan Operations Manager, you’ll provide strategic support to both the Director of Health Plan Operations and Sr. Manager of Revenue Cycle to expand and optimize how Cartwheel generates medical revenue. You will partner with the Director of Health Plan Operations around Cartwheel's group contracting strategy and execution as we expand into new states and markets. You will also 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. You can expect to build operational infrastructure around psychiatrist and nurse practitioner licensing and collaborations as well as multi-state practice strategy. You will partner cross-functionally to drive strategic projects for Health Plan Operations and Revenue Cycle, working most closely with the People and Operations teams but will also engage with IT, Clinical, R&D, and others. This includes creating important analyses to inform key decisions, implementing new projects and tools, and analyzing and improving existing workflows and processes.