Wheel

is looking for a

Sr. Manager, Credentialing, Licensing, Payor Enrollment

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Wheel is the health tech company powering the next generation of healthcare. The entire healthcare industry is racing to serve patients online, but outdated business models, technologies, and mindsets are continuing to get in the way. We pioneered a new way for companies to build and scale virtual care.

Instead of starting from scratch, companies can leverage Wheel’s virtual care platform and nationwide clinician network to develop a virtual care service — bypassing the 15 months and $15 million it can take to build from the ground up. Today, Wheel powers the most innovative companies in healthcare today, including digital health companies, clinical lab networks, retailers, traditional healthcare providers, and tech companies.

We’re a team of experts and innovators working together to solve some of healthcare’s most challenging problems in order to put great care within everyone’s reach. We’ve raised $216 million in funding and backed by top investors including Lightspeed Venture Partners, Tiger Global, Coatue, CRV, Tusk Ventures, Salesforce Ventures, and Silverton Partners.

In the last year we’re proud to have been named:

Forbes Next Billion Dollar Startups
Built In’s Best Remote-First Places to Work
CB Insights Digital Health 150
Business Insider 30 Leaders under 40 Changing Healthcare

We’re looking for people to join our team who share a passion for making a positive difference in healthcare and feel connected to our core values.

Position Summary

As the Senior Manager of Healthcare Services at Wheel, you will lead a team tasked with building, developing and managing our credentialing, licensing and payor enrollment programs at Wheel. As the leader of the team, you'll own the strategy, roadmap, and execution for your team, including big bets, incremental improvements, near- and long-term initiatives.

Job Responsibilities

Demonstrates commitment to the vision, core purpose/mission and goals of Wheel, modeling the values and culture
The Senior Manager of Healthcare Services will work under the supervision of the Director of Central Operations
Lead internal and external efforts around payor enrollment, including confidently speaking about payor-specific nuances to clients and working with vendors to facilitate the enrollment process
Serve as an internal subject matter expert on payor enrollment
Manage payor enrollment verification processes to support client-specific needs and overall company strategy
Oversee primary source verification credentialing, including maintaining NCQA-compliant credentialing processes
Manage licensing processes, including guiding clinicians (MDs, DOs, NPs, and BH professionals) on obtaining licenses
Manage collaboration requirements for Nurse Practitioners across all 50 states and oversee collaborative practice agreements
Work closely with payors, clients, vendors, and internal teams to ensure credentialing, licensing, and enrollment processes are completed in a timely and compliant manner

Qualifications

2+ years of experience in telehealth payor enrollment, preferably with experience across multiple payors and states
Understanding of payor networks as it relates to Primary Care, specialists, and Behavioral Health
Experience with NCQA accreditation, CAQH, URAC, governmental online application
Experience in primary source verification credentialing and licensing preferred
Experience with Nurse Practitioner scope of practice preferred
Effective project management - experience delivering on a multifaceted projects with many stakeholders
Interpersonal skills and the ability to make smart partnerships happen, both with internal and external stakeholders

Equal Employment Opportunity Statement

At Wheel, we know we will go further together by celebrating diversity and that starts by honoring each of our unique lived experiences. We look for a diverse pool of applicants including those from historically marginalized groups: women, people with disabilities, people of color, formerly incarcerated people, people who are lesbian, gay, bisexual, transgender, and/or gender nonconforming, first and second generation immigrants, veterans and people from different socioeconomic backgrounds. We are committed to ensuring a safe work environment where employees are not discriminated against based on age, race, ancestry, religion, sex, gender identity, sexual orientation, pregnancy, marital status, physical or mental disability, military or veteran status, national origin, or any other characteristic protected by law. We are proud to be an equal opportunity employer that believes in health, equity, equality, and prosperity for all so we can succeed in changing the way healthcare works.

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Sr. Manager, Credentialing, Licensing, Payor Enrollment