[Hiring] Medicaid & MCO Enrollment Specialist @Chatterboxes

Role Description

We are seeking a part time, remote specialist to work in a contractor position to help us successfully enroll with Virginia Medicaid Managed Care Organizations (MCOs) and build a clean, scalable billing foundation. This process is nuanced and time-intensive—and we’re looking for someone who has done this before and can guide us efficiently.

Responsibilities

• Lead enrollment with Virginia Medicaid MCOs (e.g., Anthem, Aetna, United, etc.)
• Interpret and complete MCO-specific requirements and applications
• Coordinate organizational and provider credentialing (group + individual NPIs)
• Ensure alignment between:
  • Early Intervention billing requirements (IFSP-based services)
  • MCO billing processes and reimbursement structures
• Advise on workflows for:
  • Direct billing to MCOs (vendor model vs. state billing)
  • Uninsured patient pathways and coverage through MCOs
• Support setup for:
  • Background check compliance (online systems)
  • Fidelity assessments and documentation requirements
• Act as a liaison between Chatterboxes and MCO representatives
• Provide clear timelines, checkpoints, and expectations (this process can be slow—we need visibility)

Qualifications

• Direct experience enrolling providers or organizations with Virginia Medicaid MCOs
• Strong understanding of:
  • Early Intervention services (IFSP model)
  • Medicaid billing structures in Virginia
• Experience with PECOS, NPPES, and/or Medicaid portals preferred
• Ability to navigate ambiguity and move processes forward proactively
• Bonus: Experience working with therapy providers (SLP, OT, PT)

What Success Looks Like

• Chatterboxes is fully enrolled with targeted VA MCOs
• Billing workflows are clearly defined and operational
• We have a repeatable system for onboarding future clinicians
• Leadership has clarity (not confusion!) around requirements, timelines, and next steps

To Express Interest

Please reach out with:

• A brief summary of your experience with VA Medicaid/MCO enrollment
• Examples of similar organizations you’ve supported
• Availability and preferred structure (contract, hourly, project-based)

Benefits

• Embrace the flexibility of remote work, allowing you to achieve a healthy work-life balance while playing a key leadership role in our team's success.
• Sleep well at night and be proud of your work by being a part of a team in a mission-driven company changing the pediatric speech language pathology industry.
• We are a neurodiversity affirming organization and proud to be an equal opportunity employer that believes in health, equity, equality, and prosperity for all.