Medicare Enrollment Specialist (Temporary)

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone!

We are looking for an experienced Medicare Enrollment Specialist (Temporary) to join our Network Operations team. The Medicare Enrollment Specialist plays a key role in expanding Talkspace's network by managing provider enrollment with payers that do not fully delegate credentialing. This position is vital for achieving network capacity and successful non-delegated credentialing outcomes through expert project management, process optimization, and robust operational support. Core functions include fostering continuous improvement within enrollment processes and ensuring seamless collaboration across departments, especially with Onboarding, Training, and Credentialing on network operations projects. Furthermore, the Specialist will act as a key liaison with vendors, internal Talkspace teams, and leadership to drive the success of all provider enrollment operations.

This is a temporary position for 2- 3 months with an hourly rate between $28 - $35. This position is remote based in Eastern Time. Talkspace Headquarters is located in NYC.

What You’ll Do

• Medicare Provider Enrollment Operations
  • Oversight and management of the Medicare Enrollment Flow
  • Acquire a deep understanding of Medicare related systems (CMS, PECOS etc)
  • Send surrogacy requests
  • Assist in medicare application reassignment of benefits
  • Prepare provider applications for initial enrollment and/or assignment of benefits
  • Coordinate with providers to provide resources and support throughout the enrollment process
  • Liaise with the network operations team to ensure medicare needs are being met via enrollment
  • Engage providers re medicare application signing
  • Report on medicare enrollment issues
• Credentialing / Enrollment Operations
  • Receive and process Tricare East certification applications
  • Manage Horizon BCBS provider roster in Availity Essentials, disenrolling deactivated providers and linking new participating providers
  • Manage Optum provider roster of newly added and termed providers in Provider Express, ensuring all newly credentialed providers are confirmed as active in the system and all newly termed providers are confirmed as deactivated.
  • Process enrollments of newly credentialed providers for Magellan PHP of New Mexico. Process disenrollments for providers leaving the platform.
  • Data management for BCBS data integrity, ie: name verification, license acronym verification, etc.
• Process Improvement
  • Identify areas of improvement, enrollment gaps, and operational bottlenecks
  • Complete knowledge and full understanding of area of specialization, principles and practices within a professional discipline. 
• Team Meetings
  • Be an active participant and problem solver in recurrent meetings
• Performs other related duties as assigned.

About You 

• Medicare systems/Medicare enrollment experience
• Provider enrollment experience
• BA/BS Degree
• 1-2 years of operations preferred
• Having experience with technical platforms and funnels preferred

Why Talkspace? 

Talkspace is the world’s leading online therapy company, serving over 2 million users looking to begin their wellness journey through tele-health. According to the World Health Organization, close to 1 billion people worldwide live with a mental disorder, and on average more than 75% with mental, neurological, and substance use disorders receive no treatment for their condition at all. Additionally, one-third of the world’s population – 2 billion people – live in countries that spend less than 1% of their health budgets on mental health. Therapy is an universal need and it's our mission here to change the world by cultivating an intentional space for people to feel supported through quality care that is simple and accessible.

Combining our passion for innovation along with our desire to help others overcome the stigma behind “getting help,” we are transforming the way patients find the right care provider, making an otherwise impossible feat easily conquerable. Our network of licensed, accredited, and board-certified clinicians are increasing access to mental health for our members through a myriad of high quality therapy services: anytime and for a fraction of the price. Dedicated to our mission, we are looking for candidates that want to bring their talents into a diverse  “for purpose” space. If you’re equally as passionate about making quality mental healthcare accessible to all then Talkspace is the right place for you!

Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification or if your path has been nontraditional — such as not completing a formal degree program, taking a career break, or having a prior criminal record — if you believe you could make a great addition to this team. Come as you are and learn about the exciting opportunities on our team.

Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.

How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace? 

Diversity

Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.

Equity

Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.

Inclusion

Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.

Belonging

Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.