The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm and 10:30 am - 7:00pm.

What You’ll Do

As a Behavioral Health Care Manager (BHCM) with Imagine Pediatrics, you will work with the families of medically complex children providing case management for members enrolled in Imagine Pediatrics behavioral health program. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include:

• Monitor high-risk pediatric patients (up to 21 years old), some recently discharged from the hospital, ensuring appropriate follow-up and adjusting care plans as needed.
• Conduct biopsychosocial assessments to address behavioral, social, emotional, and systemic needs of the patient and family.
• Create and evaluate the effectiveness of the patient/family’s care plan and modify based on families evolving needs and goal progression.
• Provide intervention that is consistent with the social/emotional/physical needs of patients and caregivers such as mental health crises, behavioral issues, and family conflict.
• Facilitate case management and support that requires clinical expertise in various systems with focus on helping patients and families negotiate the complexities involved with a mental health diagnosis and potentially co-occurring medical conditions.
• Resource validated external services requested by the family to meet behavioral and social needs such as social services agencies and behavioral specialists.
• Provides interventions in response to crisis to de-escalate and stabilize patient and family members
• Provides psychoeducation on the nature of mental health diagnosis and progression, the importance of treatment adherence, and related information as appropriate
• Collaborate with external care team members regularly including school systems, specialists, and child welfare agencies as needed.
• Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress
• Represent Imagine Pediatrics commendably to patients, families, providers, and community
• Performs other duties and assumes other responsibilities as assigned by manager

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need:

• Masters’ degree with major course work in social work or related field required
• LMSW required
• Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health required.
• Experience working with pediatric population and family systems required
• Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs
• Knowledge of social work including crisis prevention and intervention
• Experience with providing telehealth services
• Knowledge of MS Office Suite and ability to work in online platforms
• Strong knowledge of behavioral health principles and practices
• Proficient in trauma-informed care practices
• Strong knowledge of pediatric/adolescent mental health common signs and symptoms and able to identify difficulties with coping
• Role is remote with 10% travel necessary for training/education purposes
• Ability to work afternoons and evenings
• Bilingual Spanish strongly preferred

What We Offer (Benefits + Perks)

The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

The primary location of this position is remote with an expected schedule of 8:00am-5:00pm Monday-Friday. Candidates must reside in the tri-state area.

What You'll Do

As a Family Resource Specialist, you will provide direct support to patients and families in addressing social needs, working collaboratively with community partners and care team members to close gaps related to non-medical drivers of health. In this role, you will assist in building and strengthening community relationships, identifying and maintaining a robust
network of resources, and offering non-clinical support, guidance, and education to families navigating the unique challenges of caring for children with complex medical and behavioral health needs. In this position, you will:

• Identify resources and community support available to the family or caregivers
• Provide information, referrals, and non-clinical assistance with linkage to medical, psychosocial, and basic needs services
• Empower families to advocate for themselves by providing education, guidance, and supportive tools to navigate systems and access needed services.
• Assist with accessing specific programs and supports to address psycho-social needs both within Imagine Pediatrics and in the larger community
• Advocate with community agencies for, and on behalf, of clients and families to decrease service gaps and remove barriers to services
• Connect with relevant internal staff and providers to assist with system navigation, including eligibility, pediatrics, behavioral health, public health, etc.
• Assist in development of an internal community resource library (but do not create clinical library materials)
• Provide linkage to community-based resources and school-based services
• Network with new and established community resources to increase knowledge of services
• Administratively document memoranda of understanding (MOU) for partnerships with outside community agencies
• Develop effective working relationships with interdisciplinary care teams
• Participate in ongoing scheduled consultations with an interdisciplinary team regarding administrative and non-clinical resources provided to family and caregivers
• Perform other duties as assigned

What You Bring and How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve. In this role you will need:

• Bachelor’s degree or higher in healthcare, behavioral health, or social services related field preferred
• Certification as a Community Health Worker highly desired
• Familiar with navigating social service agencies
• Must have reliable transportation, a valid Driver's License, and ability to produce a copy of current auto insurance certificate
• Experience with resourcing and telephonic services
• Bilingual Spanish preferred
• Work hours are from 8am-5pm Monday-Friday

What We Offer (Benefits + Perks)

The hourly rate for this position ranges from $25-30/hr in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Full medical, dental, and vision insurance
• Healthcare and Dependent Care FSA
• 401(k) with 4% match, vested 100% from day one
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid parental leave
• Additional benefits to be detailed in offer

While this role is primarily remote, candidate must be living in New Jersey. 10 % travel for offsite meetings, training, and educational purposes. 8:00am-5:00pm Monday-Friday with 2 days determined with supervisor being 10:00am-7:00pm.

What You’ll Do

As a Resource Specialist Care Manager, you will work with the families of medically complex children providing emotional support, care coordination, and resourcing support in navigating the healthcare system. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including physicians, RNs, care team assistants, mental health therapists, community health navigators, pharmacists, dietitians, and more. In this position, you will:

• Conduct thorough assessments, exploring the current medical, behavioral, and complex social needs.
• Identify barriers to care, such as food insecurity, unstable housing, transportation challenges, and insurance limitations.
• Collaborate with families and multidisciplinary teams to establish individualized care goals.
• Develop and maintain an integrated care plan addressing medical, behavioral, and social needs.
• Ensure timely follow-up on referrals, evaluations, and treatment recommendations.
• Offer education to families about navigating local resources and agencies.
• Provide emotional support and guidance when families are facing challenging situations.
• Advocate for resources and removal of barriers and connect families with available resources.
• Build and maintain relationships with community organizations that serve children with medical and behavioral health complexities.
• Stay informed on emerging programs and resources relevant to the population served.
• Represent the organization at community events, health fairs, and resource meetings.
• Participate in ongoing scheduled consultations with an interdisciplinary team to monitor patient progress.
• Perform other duties as assigned.

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve. In this role you will need:

• Masters’ degree with major course work in social work, community/social services, and/or case management
  • LMSW strongly preferred
• License/certification preferred (LMSW, CCMC, C-SWCM)
• 2-3+ years postgrad experience in social service case management required
• Minimum 1 year of experience working with pediatric population required
• Knowledge and application of motivational interviewing practices and/or techniques
• Comfortability working with acute populations and familiarity with school and community resources highly preferred
• Experience with providing telehealth services and engaging with families in a remote environment
• Bilingual Spanish strongly preferred

What We Offer (Benefits + Perks)

The salary range for this position ranges from $70,000-77,000 annually in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

What You’ll Do

Note: The primary location for this role is remote in Southern Missouri, and will entail frequent travel throughout the area.

As part of the Patient Engagement Team, this role supports patients in re-engaging with Imagine Pediatrics services, ensuring they receive appropriate support by meeting them where they are. The role partners with an interdisciplinary team to address patient needs and enhance re-engagement of patients who were previously enrolled but did not complete onboarding or have not actively utilized services, ensuring they are supported in reconnecting with Imagine Pediatrics care. You will:

• Serve as a community-based, patient-facing resource, building relationships with patients and caregivers through direct, in-person re-engagement in assigned geographic areas
• Provide hands-on support to patients and caregivers, including assisting with program re-enrollment, onboarding, and mobile app setup and utilization
• Preform telephonic outreach to caregivers of attributed patients to re-engage children in care, support seamless onboarding, and re-engage those who missed their initial onboarding visit or have not utilized services post-onboarding.
• Educate patients and caregivers on Imagine Pediatric services and available community resources, ensuring they understand how to access care and support
• Maintain and gather up-to-date knowledge of local community resources (e.g., social services, healthcare providers, SDOH supports) and connect families to appropriate services
• Conduct community events and facility rounding to engage eligible patients, strengthen relationships, and support ongoing program participation
• Partner with our Behavioral Health teams and local behavioral health providers to support safe patient discharge planning and ensure seamless connection to community-based resources and ongoing care.
• Partner with caregivers, families, and facility staff to identify and address barriers to engagement, and access to care and work with leadership on ensuring workflows exist to enable access to care
• Collaborate closely with the Patient Engagement Team (Outreach & Enrollment), including Outreach Specialists and Registered Nurses, to support patient re-engagement goals
• Support non-clinical care coordination efforts in the community, including assisting with:
  • Connecting patients to primary care providers
  • Facilitating pharmacy access and medication-related needs
  • Providing basic discharge and follow-up support
  • Addressing social determinants of health (SDOH) needs
  • Removing barriers to care and service access
  • Support outreach efforts through outbound engagement calls, as needed, to assist with enrollment, follow-up, and achievement of patient engagement metrics

What You Bring & How You Qualify
First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve. You will need:

• A valid driver’s license
• A bachelor’s degree
• Ability to travel frequently
• 3+ years of experience in a healthcare setting (patient-facing hospital or facility role)
• Ability to navigate ambiguity, think critically, take initiative, and stay organized
• Ability to manage multiple tech platforms
• Experience working in a patient-facing hospital or facility role
• Experience working as part of an interdisciplinary team
• National Community Health Worker Certification highly preferred.
• Bilingual (Spanish) highly preferred
• Medical Interpreter Certification preferred

What We Offer (Benefits + Perks)

The role offers an hourly range of $23 - $28 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

Welcome to Brightline! We are searching for a stellar Member Support Specialist who will support our Brightline members with signing up, scheduling, billing and any other administrative help they need. You will be joining a small, but mighty team at the cusp of an exciting growth phase, and be integral in helping us provide great support to every member who accesses our services.

Responsibilities:

• Conducting first phone calls with new members to assess fit for Brightline services

• Scheduling appointments for members

• Ensuring member paperwork has been completed

• Supporting Providers with a variety of administrative tasks

• Answering all admin-related questions between sessions

• Conducting eligibility checks, filing claims, and collecting member payment

• Keeping our internal software tool for the Member Support team ultra-organized

• Identifying ways to delight our members, ease the workday for our clinical team, and overall improve our operational processes as we scale

This position is fully remote with a 8am - 5pm EST schedule (Monday to Friday)

Requirements:

• A passion for our mission to redefine behavioral health for children and their families.

• A desire to create a one-of-a-kind member experience and a background in providing excellent customer service.

• The drive to be part of building something new - to work hard, to be your best self and to change the lives of our families.

• Comfort with a wide variety of technology including email, EHR, scheduling tools and more. Most of our systems are designed with you in mind, so you’ll thrive if you can learn them quickly and provide feedback on how to make them better.

• Excellent communication skills (written and verbal) and organization skills.

• Ability to revel in the details and commitment to following through on all tasks, simple and complex.

• Previous experience managing a medical office and/or familiarity with insurance billing are a bonus.

• Spanish-speaking

We offer several benefits, perks, and stipends:

• Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k

• 12 Company Holidays, Time Off, Parental Leave

• Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement

At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the base hourly range for applicants is $21-$25.

Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce

At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to:

• building a future where all families can access inclusive, high-quality care

• creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive

• systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems

• ensuring that every employee, candidate, client, and family we serve is valued and respected

About Brightline

Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with . We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.

Brightline is redefining what pediatric behavioral health care looks like for families across the country. None of that reach matters if a provider cannot legally practice or a payer will not pay the claim. As Manager, Licensing & Credentialing, you own the machinery that keeps every provider licensed, enrolled, and revenue-ready across every state and every payer network Brightline works with. This is a remote role with no direct reports, and it is designed as a high-level individual contributor position.

Why This Role

This is the role where precision becomes something families actually feel. Every provider you get licensed and credentialed faster is a family that gets care sooner, and every payer relationship you strengthen is revenue Brightline has already earned finally landing where it belongs. You will own the licensing vendor relationship and its budget, direct how that vendor performs rather than simply tracking it, and run payer credentialing end to end. You will keep every roster airtight and turn slow enrollments into fast ones through relationships you build yourself. You will sit at the table with Contracting, Revenue Cycle, Compliance, Clinical Operations, and Legal, representing this function as someone leadership counts on for answers. And you will own the metrics that prove it is all working, while designing the processes that let this function scale as Brightline continues to grow. If you want a role where precision is the whole point and the impact is easy to see, this is it.

Responsibilities

Licensing Management

• Own the CertifyOS vendor relationship, including budget accountability and renewal negotiations.

• Direct the day-to-day work CertifyOS performs on Brightline's behalf and hold the vendor accountable to defined service levels.

• Oversee all provider licensing and license renewals across multiple states.

• Ensure timely submission, tracking, and renewal of provider licenses.

• Monitor vendor performance against established service level agreements (SLAs).

• Partner with internal stakeholders to ensure providers are licensed before scheduled start dates.

• Identify opportunities to improve licensing workflows through automation and process optimization.

• Maintain accurate licensing records and ensure compliance with all state licensing board requirements.

Provider Credentialing

• Manage all commercial, Medicaid, and managed Medicaid payer credentialing activities.

• Personally oversee provider enrollment, re-credentialing, and payer applications from submission through approval.

• Track credentialing status and proactively resolve enrollment delays.

• Ensure providers are credentialed and billable prior to delivering patient care whenever possible.

• Maintain complete and accurate credentialing documentation.

• Monitor re-credentialing timelines to prevent credentialing lapses.

Payer Roster Management

• Own payer roster management across all contracted health plans.

• Ensure provider roster submissions are accurate, timely, and synchronized with payer systems.

• Coordinate provider additions, terminations, demographic updates, tax ID changes, and location updates with contracted payers.

• Perform routine payer roster audits to identify and correct discrepancies.

• Partner with Revenue Cycle teams to resolve billing issues resulting from roster inaccuracies.

• Establish standardized processes for roster maintenance as the organization scales.

Payer Relationship Management

• Develop and maintain strong relationships with commercial and government payer credentialing representatives.

• Lead recurring monthly payer operational meetings focused on credentialing escalations, enrollment turnaround times, provider roster accuracy, re-credentialing performance, and process improvement opportunities.

• Serve as the organization's primary escalation point for payer credentialing issues.

• Represent the licensing and credentialing function in cross-functional forums with Contracting, Revenue Cycle, Compliance, Clinical Operations, and Legal, speaking for the function's priorities and status rather than simply coordinating within it.

• Partner closely with those teams to resolve payer related issues impacting provider enrollment.

Delegated Credentialing

• Support the development of delegated credentialing programs with contracted payers.

• Collaborate with Compliance and Quality teams to ensure delegated credentialing requirements are met.

• Coordinate payer audits and maintain audit readiness.

Accountability and Scale

• Own and report on the core metrics that define whether the function is working, including days to credential, license renewal on-time rate, and payer roster accuracy rate.

• Define the processes, documentation, and workflows this function runs on today, built so they hold up as provider volume, state coverage, and payer relationships continue to scale.

• Bring metric trends and process gaps to leadership proactively, rather than only when an issue has already caused a delay.

Requirements:

• Bachelor's degree or equivalent combination of education and experience.

• 5+ years of provider licensing and payer credentialing experience.

• Strong understanding of CAQH, NPPES, PECOS, Medicare enrollment, Medicaid enrollment, and commercial payer credentialing.

• Excellent communication, negotiation, and relationship management skills.

• Strong problem-solving and escalation management abilities.

• Ability to manage multiple priorities while maintaining exceptional attention to detail.

• Experience leading cross-functional initiatives that improve operational performance.

• Experience managing multi-state provider licensing

• Experience managing vendor relationships and delegated credentialing programs.

  • Experience working with CertifyOS or similar credentialing software preferred.

• Preferred experience with:

  • Credentialing providers through commercial and Medicaid payers

  • Managing payer roster submissions and provider directory accuracy.

We offer several benefits, perks, and stipends:

• Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k

• 12 Company Holidays + Floating Holidays, Holiday Shutdown, Flexible Time Off, Parental Leave

• Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement

• Stock Options

At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range for applicants is $80,000 - 90,000.

Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce

At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to:

• building a future where all families can access inclusive, high-quality care

• creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive

• systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems

• ensuring that every employee, candidate, client, and family we serve is valued and respected

About Brightline

Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with . We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.

Note: We sincerely appreciate your interest in us, but please do not call to follow up on your application as our direct phone line is used for inbound patient and caregiver calls. We encourage you instead to utilize our careers@imaginepediatrics.org inbox. We receive a high volume of applications, but will do our best to respond to every application in a timely manner.

Where You'll Be
This position will be remote, but must be able to attend an in-person final interview in Houston, Texas on August 13th or August 14th. The role will require working one of the following shifts in either Central or Eastern time:

• 9:00am-5:30pm
• 11:00am-7:30pm

What You’ll Do

As Patient Engagement Associate with Imagine Pediatrics, you will be responsible for telephonic outreach to prospective members (parents, family members, caregivers) and helping them get enrolled and set up with Imagine’s app-based technology. Your responsibilities will include:

• Utilize telephonic outreach and engagement strategies to contact families and walk them through the process of successfully downloading the Imagine app and scheduling an enrollment visit.
• Effectively communicate Imagine services and overcome parent/family objections.
• Represent Imagine Pediatrics to parents and families of medically complex children.
• In coordination with Local Outreach Team, support telephonic outreach to non-engaged and engaged patients.
• Leverage reporting and dashboards to prioritize telephonic outreach to prospective members.
• Successfully meet and/or exceed engagement monthly targets.

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need:

• High School diploma or equivalent required
• Minimum of one (1) year of experience working in an outreach, customer service, or call center environment where an outbound communication role was primarily performed
• Bilingual Spanish highly preferred

What We Offer (Benefits + Perks)

The role offers an hourly range of $20-$22 per hour in addition to a monthly bonus incentive, competitive company benefits package, and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

The primary location of this position is remote (CST required) with an expected schedule of 3x12s (7:00am - 7:00pm CST) Monday-Wednesday or Wednesday-Friday, with quarterly travel to Houston, TX.

What You’ll Do

The Care Team Assistant provides both clinical and clerical support and ensures the provision of quality and compassionate evidence-based care in a virtual Value-Based Care environment. In this position, you will:

• Accept incoming phone calls and return calls from patients involving clinical inquiries for responsible providers, perform protocol-based triage as appropriate, and route phone calls in the form of a phone note document in the EHRS to the provider for review and instructions
• Place calls and create template-based letters, as directed by the provider, regarding all lab results for delivery to the patient in a timely manner
• Review schedule on a daily basis to ensure that all pre-visit preparations have been completed prior to the patient's visit, ensuring lab and imaging results, consultation reports, care transition details, or major changes in health status are available in the patient’s medical record; when these documents are not present in the record, it will be the Medical Assistant's responsibility to call the patient, consultants, imaging centers, and/or hospitals to arrange for timely delivery of said information
• Call patients deemed to be at risk for a “no-show” prior to their appointment as well as new patients establishing care for their onboarding visit to remind them of both the patient’s and Imagines’ responsibilities; contact "no-show" patients and inquire as to their status and need for rescheduling, including assessment of barriers to care and initiation of appropriate social service referrals
• Initiate completion of forms for review and final signature by provider (disability forms, home health orders, durable medical equipment and supply requests, disease status letters)
• Assist care team in regular completion of reports that will allow it to manage and assess the health needs of the patient population; assist care team in recognizing patients who are members of a "vulnerable population" and provide appropriate social service or community-based referrals

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve. You will need:

• High-school level education or equivalency
• 2-4 years healthcare experience in outpatient clinics
  • Specialty/multispecialty clinics strongly preferred
• Spanish fluency preferred

What We Offer (Benefits + Perks)

The hourly rate for this position ranges from $21 - 24 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

What You’ll Do

As Director of Business Development, you will own and drive deal strategy and execution across defined opportunities and serve as a key thought partner and force multiplier within the Business Development team.

• Develop and drive execution of BD strategy and growth planning (go-to-market strategy, emerging trends and expansion opportunities, partnership development, contract execution)

• Drive deal structure development and risk modeling across a wide range of value-based care constructs, driving recommendations to senior leadership

• Develop and nurture high-level relationships with industry stakeholders and key partners while driving the process of developing strategic partnership opportunities with close support and partnership from the SVP, Business Development and CCO - from initial prospecting through contract execution

• Directly manage and develop the BD Operations Manager, providing strategic direction on pipeline reporting, deal infrastructure, materials governance, and team operating rhythm; Partner to drive continuous improvement of BD infrastructure including CRM, reporting, and market intelligence tooling

• Develop and maintain deep expertise in state Medicaid programs, RFP cycles, and policy trends that impact children with medical complexity or special healthcare needs

• Align and mobilize cross-functional stakeholders across BD and implementation, including finance, legal, and clinical teams as deals advance from discovery to go-live

• Drive internal executive alignment across activities such as board materials, ELT updates, or other reporting that helps increase transparency and understanding of key opportunities, activities, and next steps to support Imagine’s growth

• Represent Imagine Pediatrics externally at industry conferences, with health plan executives, and in state-level engagements as a senior spokesperson for our mission and model

What You Bring & How You Qualify
First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve.

• Bachelor’s degree required; MBA or graduate degree in business or related field, strongly preferred

• 6+ years’ experience in healthcare, including health plans, medical groups, providers, or healthcare delivery organizations

• Meaningful expertise in value-based care programs and Medicaid managed care markets

• Proven track record of independently originating and closing complex, multi-stakeholder partnerships or deals

• Previous strategy experience in consulting, banking, or corporate strategy roles

• Demonstrated ability to manage, mentor, and develop direct reports

• Advanced skills in Microsoft Office (Outlook, Word, PowerPoint, Excel)

• Excellent listening, negotiation, leadership, and relationship building skills

• Ability to communicate, present, and influence at all levels of the organization, including executive and C-level

• Proven success working in a fast-paced, high-growth environment

• Ability and willingness to travel up to 30%
  
  

What We Offer (Benefits + Perks)

The role offers a base salary range of $175,000 - $195,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

What You’ll Do

As a Medical Billing & Coding Specialist, you’ll serve in a hybrid role that blends coding precision with billing strategy to ensure timely and accurate claims submission,
compliance, and payment. You’ll collaborate with providers, the data team, and partner operations to streamline workflows, support documentation improvements, and reduce denials.

Billing & Claims Execution

• Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
• Track and resolve denials, rejections, and underpayments with appropriate follow-up and resubmission.
• Validate eligibility, authorization, and proper billing pathways for all patient encounters.
• Ensure accurate use of telehealth, SDOH, and preventive care codes.
• Coordinate with credentialing, partner success, and payer reps to ensure claims compliance.
• Perform other duties as assigned

Coding & Documentation Optimization

• Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines.
• Identify and escalate incomplete documentation or coding gaps; issue coding queries as needed.
• Educate providers under the guidance of the Coding Manager to drive documentation improvement.
• Support implementation and testing of new documentation macros and encounter note templates.

Cross-Team Workflow Ownership

• Maintain and contribute to the internal billing rules matrix (payer, state, provider type, modifiers).
• Collaborate with the Data & Analytics team to track claim trends, documentation compliance, and A/R performance.
• Partner with Revenue Cycle and Clinical Ops to align workflows with payer requirements and business goals.
• Support provider training, macro updates, and compliance education efforts.

Role Scope

This job description outlines core duties but is not all-inclusive. As Imagine Pediatrics grows, this role may evolve to support new markets, payer models, or initiatives. Flexibility, adaptability, and cross-functional communication will be key to success.

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need:

• AAPC Certified Professional Coder (CPC) required
• 3–5 years' experience in physician billing and coding (pediatrics preferred)
• Proficiency with Athena EMR and Microsoft Excel
• Deep understanding of CPT, HCPCS, ICD-10, HEDIS, and Medicaid/commercial payers
• Experience with telehealth billing, value-based care, capitation models, and quality measures a plus

What We Offer (Benefits + Perks)

The role offers a salary range of $55,000-65,000, in addition to an annual bonus incentive, competitive company benefits package, and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer