Full-Time

Sr. Medicare & Medicaid Manager

Remote

Posted on 9/6/2024

Rula

Rula

201-500 employees

Telehealth platform for mental health services

Enterprise Software
Healthcare

Senior

Remote in USA

100% remote work environment.

Category
Operations Consulting
Consulting
Required Skills
Data Analysis
Requirements
  • 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
  • Experience submitting applicants and enrolling providers groups for Medicare & Medicaid program management
  • 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
Responsibilities
  • Help Rula launch and grow both our Medicare, Medicaid and Medicare Advantage books of business nationally
  • Work directly with Rula’s Product, Billing, Support, Compliance and Provider teams to launch Medicare and Medicaid nationally
  • Deliver an excellent experience for our patients, providers, and payer partners

Rula operates in the telehealth market, focusing on mental health services. The platform helps individuals find suitable therapists by matching them based on their preferences, insurance information, and specific needs. Rula partners with major insurance carriers to offer affordable mental healthcare, making it accessible to a wider audience. The company has a network of over 8,000 licensed therapists, ensuring high-quality care through thorough background checks and clinical reviews. Clients can connect with their therapists via live video sessions, providing convenience and flexibility. Rula's goal is to simplify the process of accessing mental health support and to make therapy more affordable for everyone.

Company Stage

Series B

Total Funding

$107.9M

Headquarters

Los Angeles, California

Founded

2019

Growth & Insights
Headcount

6 month growth

-6%

1 year growth

-46%

2 year growth

16%
Simplify Jobs

Simplify's Take

What believers are saying

  • Partnership with Amino Health expands Rula's reach and patient acquisition potential.
  • Collaboration with Amazon enhances visibility and accessibility for mental health services.
  • Doug Newton's appointment as CMO strengthens clinical strategies and patient care quality.

What critics are saying

  • Increased competition from telehealth startups may erode Rula's market share.
  • Rapid provider network expansion could challenge consistent quality of care.
  • Reliance on insurance partnerships risks changes in reimbursement policies.

What makes Rula unique

  • Rula offers a network of over 10,000 diverse, licensed mental health providers.
  • Rula's partnerships with major insurers ensure affordable care for over 120 million people.
  • Rula provides next-day therapy availability and 24/7 crisis support across the U.S.

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