Head of Enrollments
About the Opportunity:
A new healthcare clearinghouse is being built. In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers.
The organization is the world’s only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, both healthcare technology businesses and established players are enabled to exchange mission-critical transactions. The clearinghouse product and customer-first approach have set this team apart. The organization was ranked the number three fastest-growing SaaS vendor in Ramp’s April 2025 report.
The organization has lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the infrastructure; passion for automation and eliminating toil; ninety-two million dollars in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more.
What is transaction enrollment?
The organization is an API-first healthcare clearinghouse. By offering a modern API interface for running eligibility checks, processing claims, and ingesting ERAs, healthcare technology businesses are able to exchange transactions with payers without dealing with the EDI protocol or carrier-specific connectivity.
Transaction enrollment is the process of registering a provider with a payer to exchange specific healthcare transactions. It involves submitting information about the provider, including their name, tax ID, NPI, billing address, and contact information.
Transaction enrollment is the most toilsome process that revenue cycle businesses and teams have to manage. Thousands of payers, each with their own quirky enrollment experience. Form fills, faxes, PDFs, wet signature, and provider portal all stand in the way of reconciling financials.
What is being looked for?
The organization is searching for someone to lead the transaction enrollment operation. This team is responsible for the systems, automations, communications, and payer interactions that all result in a seamless enrollment experience for customers and their providers. This is an operationally intensive process, which requires attention to the smallest details, excellent customer communication, and a product mindset to fix the incidental complexities inherent in these enrollment processes.
This leader will work with customers, internal operations teams, engineering, product, payers, and intermediaries to build and scale a world-class enrollment operation. This individual will also be responsible for managing the current team and bringing on exceptional talent. The work moves extraordinarily fast and is in the critical path for customers, the business, and revenue.
Who you are:
• Experience building operational processes and programs. Seen where systems break down, where bottlenecks emerge, and excited to come in every day and improve the system. Understands the benefits of compounding small incremental gains.
• A leader. Knows what it takes to hire and develop the best. Understands that the strongest leaders are also high-performing individual contributors. Not afraid to do the work and lead by example.
• Exceptional at staying on top of many open threads simultaneously. Hyper-responsive, organized, and thorough. Almost never drops balls.
• Experience in externally facing roles: Experience in client-facing roles; ideally within consulting, support, implementation and onboarding, or program management.
• A systems mindset. Goes beyond helping with the task at hand. Able to intuitively understand gaps as work progresses through implementations and able to articulate those to the product, payer operations, and engineering team.
• Does what it takes to get the job done. Resourceful, self-motivating, self-disciplined, and does not wait to be told what to do. Puts in the hours.
• Moves quickly. The organization moves quickly as an entity. This requires an ability to match the pace and not get lost by responding with urgency (both externally to payers and internally to stakeholders), communicating what is being worked on, and proactively asking for help or feedback when needed.
What you’ll do:
• Lead the day-to-day operations of the transaction enrollments program.
• Manage the team and hire exceptional talent as the organization scales.
• Interface with customers, intermediary clearinghouses, and payers on a daily basis in order to get enrollments approved, improve the systems, and scale the operation.
• Create and grow a content management system of payer-specific enrollment steps and feed those steps back into the product and system that is operated.
• Collaborate with product to define and ship requirements to improve the enrollments product, both the external version and internal tooling that supports.
• Measure the performance of the system by defining metrics, and driving those metrics to levels not achieved by other clearinghouses.
• Troubleshoot enrollment issues, solve root causes, and manage customer-related escalations relating to missing ERAs.