Manager, Provider Risk Management - Remote

Overview

Headway’s mission is a big one – to build a new mental health care system everyone can access. We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance.

1 in 4 people in the US have a treatable mental health condition, but the majority of providers don’t accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.

Headway was founded in 2019. Since then, we’ve grown into a diverse, national network of over 45,000 mental healthcare providers across all 50 states who run their practice on our software and have served over 1 million patients. We’re a Series D company with over $325m in funding from a16z (Andreessen Horowitz), Accel, GV (formerly Google Ventures), Spark Capital, Thrive Capital, Forerunner Ventures and Health Care Service Corporation.

We want your time here to be the most meaningful experience of your career. Join us, and help change mental healthcare for the better.

In Short

• Manage and grow an established team of clinicians, CPCs, and operations analysts
• Evaluate and improve Headway’s coding and billing policies, ensuring compliance with all Payer, state and federal regulations
• Develop the process and policies associated with managing Fraud, Waste, Abuse at Headway
• Review claims filing data to identify patterns to inform our internal coding policies
• Work directly with Providers to educate them and improve compliance
• Oversee the quality and accuracy of our internal audit team
• Support continuous and scalable auditing processes
• Collaborate with cross-functional teams on policy changes
• Ensure our tools and systems are optimized for compliant coding
• Contribute to strategic planning for the Provider Operations team

Requirements

• 5+ years of clinical operations/administration experience in behavioral health
• At least 2 years experience in clinical supervision and/or managing a team
• Licensed behavioral health clinician or certified expert coder/auditor (CPC, CPMA)
• Demonstrated passion for reimagining provider performance measurement
• Collaborative mindset with experience working with product, operations, and sales teams
• Cross-functional experience with teams from Legal to Compliance to Product or Engineering
• Nice to have: Experience at a high-growth technology start-up
• Maintaining a small practice
• Experience in merging technology and healthcare

Benefits

• Equity Compensation
• Medical, Dental, and Vision coverage
• HSA / FSA
• 401K
• Work-from-Home Stipend
• Therapy Reimbursement
• 13 paid holidays each year
• Unlimited PTO
• Employee Assistance Program (EAP)
• Training and professional development