Company

1 in 5 Americans. Nearly half of all births. ~2.5% of US GDP. Number one line item of most state budgets. Medicaid: the health safety net of America's most vulnerable. Circulo Health is building the future of Medicaid insurance. Grounded in world-class member and provider experiences, technology, and our unique relationship with Olive.ai focused on AI and Automation. If you’re looking for a career that’s just as fun, join us today and let’s make a difference together in building the future of Medicaid

The Role

We have an ambitious roadmap to delight our customers and we are building a fully integrated AI/RPA focused payment platform. In this role, you will be responsible for establishing, maintaining and driving results within payment operation functionality to ensure our Bold promises (Instantaneous payment, and zero denials) to our provider partners. This leader will collaborate with engineers to enable Circulo’s multi-year roadmap to deliver transformational customer experiences. You will be both a thought-leader and a driver in executing the transformation of Medicaid through Circulo’s Intelligent Payment operation.

What you’ll need

• Progressive experience in leading, developing, reimagining new and innovative technologies, solutions and processes. 
• Deep empathy and understanding of provider and member needs within healthcare industry
• Develops and builds out all required teams and/or functions related to claim adjudication and operations to enable a intelligent payment platform
• Establishes partnership where needed to ensure Circulo’s commitment to providers and members
• Experience with key themes in carrier and provider relationships including value-based payment models, accountable care organizations, digital health, social determinants of health, transparency, and interoperability. 
• Effective story-teller, persuasive change-maker, and strong relationship builder with provider partners, state and/or other organizations.
• Represents the organization both internally and to external clients, as needed, to encourage open communication and maintains relationships
• Experienced in developing appropriate measurement to evaluate the effectiveness of implemented solutions / process changes 
• Thrives in fast-paced environments with a high cadence for reinventing and shipping new products, solutions, and processes.

Who we are looking for

• 10+ years combined experience within healthcare technology, ideally with a focus on payment platforms including advanced uses of automation.
• Experience managing complex business operations, driving efficiencies, scaling for growth, and implementing appropriate operational controls 
• Proven ability for envisioning, designing, and assisting in developing claim, billing, and other processes to be automated
• Experience with multiple products (Medicare, Medicaid, Duals, Commercial)
• Strong interpersonal skills and ability to cultivate relationships with other team members
• Ability to work in a fast paced, dynamic and changing environment while managing multiple priorities simultaneously

Our Perks... Here are some highlights:

• Medical, Dental, and Vision: 100% of premiums are covered by Circulo for quality care for all team members and their dependents
• Stock Options: all team members receive stock options
• 401(k) program: all team members have access to our 401(k) savings program and all administration costs are covered by Circulo
• Vacation: time off is not just unlimited, it’s required (min of 3 days a quarter)
• Parental Leave: 10 weeks fully paid time off for all new parents with flexible scheduling and additional unpaid leave available

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