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Sr. Medicare & Medicaid Manager (Remote)

Remote: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

8+ years experience in healthcare industry, Deep knowledge of Medicare, Medicaid, CMS regulations.

Key responsabilities:

  • Manage national launch and growth of Medicare/Medicaid books
  • Collaborate with cross-functional teams for successful operations
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Path Scaleup https://pathmentalhealth.com/
51 - 200 Employees
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Job description

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

About the Role

Rula’s mission is to make mental healthcare work for everyone. We are seeking a Senior Medicare & Medicaid Manager to help Rula realize this mission and expand our services to Medicare and Medicaid members. This Senior Medicare & Medicaid Manager will be responsible for helping Rula launch and grow both our Medicare, Medicaid and Medicare Advantage books of business nationally.

This role will be a mix of internal operations and external partner management, to ensure our launches and expansion are successful. The Senior Medicare & Medicaid Manager will work directly with Rula’s Product, Billing, Support, Compliance and Provider teams to launch Medicare and Medicaid nationally and deliver an excellent experience for our patients, providers, and payer partners.

Required Qualifications

  • Deep experience with Medicare or Medicare Advantage program management, including familiarity with CMS regulations and compliance requirements 

  • Advanced expertise with Medicaid program management, including knowledge of state and federal laws/regulations related to Medicaid program administration

  • Bachelor’s degree with 8+ years of work experience

  • 5+ years of dedicated experience in healthcare industry, with acute knowledge of healthcare operations, policies, and procedures

  • Proficiency in managing complex projects and processes, including the ability to lead cross-functional teams, and juggling multiple priorities simultaneously

  • Demonstrated analytical skills with the proficiency to interpret data and make informed judgements to improve program performance

  • Strong instincts on how to set up processes that are efficient and will scale well, with knowledge in designing, documenting, training, and rolling out new initiatives

Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.

  • Experience at a high growth start up

  • Past exposure in a consultancy capacity, working directly within mental health/behavioral health services, particularly in a Medicare/Medicaid context

  • Experience in a leadership role with at least one direct report

We're serious about your well-being! As Part Of Our Team, Full-Time Employees Receive

  • 100% remote work environment from anywhere in the US

  • Competitive pay and benefits that don’t change based on location

  • Health benefits: medical, dental, vision, life, disability, and FSA/HSA 

  • Access to our 401(k) plan

  • Generous time off policies, including 2 company-wide shutdown weeks each year (for most employees) to focus on self-care

  • Paid parental leave

  • Employee Assistance Program (EAP) 

  • Stipend to ensure your home office sets you up for success

  • Quarterly department stipend for team building or in-person gatherings

  • Wellness events and lunch & learns spanning many topics

Our Team

The people of Rula are what truly define our mission and determine our impact on the people we serve. We believe in building not only a team, but a diverse community, inspiring each other by taking on big challenges, growing and succeeding together.

Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Multitasking
  • Leadership
  • Analytical Skills

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