Senior Manager, Revenue Cycle Management

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 A Street Ventures, 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

As Cartwheel's Senior Manager of Revenue Cycle Management (RCM), you will lead our revenue cycle strategy and manage a team of 8 across billing, accounts receivable, and eligibility. 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.

In this role, you will partner closely with Care Operations, 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.

Role type: W2, Full-Time, Salaried position

Salary range: $110-140K cash compensation plus competitive equity package

Location: Remote

WHAT YOU'LL DO

In your first 30 days:

• Learn the ins and outs of Cartwheel's processes and identify immediate improvement opportunities
• Become proficient in our key systems (relevant tech stack: Apero for billing, Verifiable and Salesforce for credentialing, Healthie EHR, Cartwheel web app for referral management and school collaboration, Asana for project management, and Slack and Google Suite for communication
• Get to know all our data sources and current dashboards; start partnering with the Data team to improve revenue cycle performance reporting
• Assess current team structure and develop a strategic roadmap for the next 90 days

Ongoing:

• 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 to support a high Net Collections Rate and other key metrics (e.g., high clean claim rate, low cost to collect, low DSO)
• Build scalable processes and evolve organizational structure to handle 2x session volume growth every year compared to prior year

WHO YOU ARE

• You have 5-10+ years of revenue cycle experience and 3+ 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
• Bonus: You have group payer contracting, delegated credentialing, and multi-state expansion experience

WHY YOU'LL LOVE CARTWHEEL

Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you'll have:

• Mission-oriented and inclusive colleagues who will go to bat for you
• 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