• Manages an active desk of general liability bodily injury claims under business owner policies • Analyzes coverage issues under the Business owners coverage form, garagekeepers, hired non-owned auto, auto services and other standard industry forms • Analyzes, investigates, and evaluates new loss notices and claim tenders • Expeditiously analyzes and positions claim under applicable coverage • Collaborates on setting reserves at appropriate level for claims • Uses good judgment in managing ALAE in claims investigation • Appropriately documents claim files in accordance with established guidelines • Obtains and maintains adjuster licenses, as required

• The Property Claims Representative will be responsible for handling a desk of first-party commercial property claims. • Conduct investigations as they adjust 1st party property claims. • Investigating losses to determine coverage and the extent of indemnity owed under the policy. • Retaining and managing outside vendors and experts as part of a quality claims investigation. • Obtaining and reviewing evidence, reports, and records. • Establishing appropriate reserves, as warranted throughout the claims investigation. • Processing expense and indemnity payments, as appropriate. • Maintaining an organized and efficient workflow, including keeping an active diary on each open claim file. • Providing superb customer service in a fast-paced environment. • Drafting detailed correspondence, including coverage position letters and reservation of rights letters.

Role Description Join Cartwheel to help tackle the student mental health crisis. Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means: - Earlier intervention - Higher student and family engagement in care - Better coordination among the trusted adults in a student’s life Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team. Since our founding in 2022, we have grown to serve more than fifty school districts across six states, providing care to thousands of students and families. Cartwheel processes a high and growing volume of behavioral health claims across three revenue streams — school district partners, health plans, and members. Without dedicated support, denial and rejection recovery opportunities go unworked and result in preventable revenue loss. This role exists to close that gap. As our Senior Revenue Cycle Specialist, you'll own the workflows that directly protect Cartwheel's bottom line: - Investigating and resolving denials and rejections - Submitting corrected claims and appeals - Managing aging AR - Keeping payer follow-up moving as claim volume grows You'll also serve as the internal expert on billing compliance and payer requirements across all three revenue streams. This role is right for a senior behavioral health billing professional who sees a significant denial and rejection backlog as an opportunity — someone who digs into root causes, builds the systems to prevent recurrence, and wants to scale an RCM operation, not just maintain one. Qualifications - 3+ years of experience as a Billing Specialist, Accounts Receivable Specialist, Payment Coordinator, Revenue Cycle Specialist, or similar role required. - 1+ years of behavioral health billing experience. - Deep expertise in denials management, appeals, corrected claims, and AR follow-up. - Strong working knowledge of healthcare billing regulations, payer requirements, and compliance standards. - Proven ability to independently identify billing issues, investigate root causes, and implement fixes — not just escalate. - Experience with payment posting, cash reconciliation, and resolving complex payment discrepancies for members. Requirements - Experience with Apero and/or Healthie EMR (preferred). - Massachusetts CANS experience (preferred). Benefits - Equity ownership stake in the company. - High-quality health insurance with a $0 monthly premium option for employees. - Dental, Vision, and Employer-Sponsored Life Insurance. - 4 weeks of paid PTO (3 weeks any time + 1 week office closure in December). - Sick Leave + Holidays. - 401K with up to 2% employer match. - $500 annual educational stipend. - Team-based culture with mission-driven colleagues who will go to bat for you.

Role Description The Director of Integration and Compliance is a critical leadership role responsible for overseeing the planning, execution, and optimization of integration activities across business units, systems, technologies, and processes. This position ensures that new acquisitions are smoothly integrated into the organization’s existing infrastructure while maintaining operational continuity. Of equal importance, this role oversees the compliance program across all OSP locations with support of the Chief Compliance Officer. Essential Functions - Integration Strategy & Planning: - Develop and execute the acquisition integration strategy. - Lead the creation of integration roadmaps, timelines, and budgets, ensuring alignment with organizational goals. - Evaluate and identify potential integration challenges and provide solutions to mitigate risks. - Oversee the integration of people, processes, technology, and systems to achieve operational efficiency and alignment. - Cross-Functional Leadership: - Collaborate with senior leadership, business units, administrative support partners to ensure effective coordination across all integration activities. - Provide leadership and direction to integration project teams, ensuring clear communication, defined roles, and timely delivery of results. - Build strong relationships with new practice and doctor partners to foster a collaborative integration environment. - Change Management: - Lead change management efforts to ensure successful transitions during integrations. - Communicate effectively with stakeholders at all levels to manage expectations and reduce resistance to change. - Provide training, support, and resources for teams impacted by integration activities. - Risk Management & Compliance: - Ensure compliance with regulatory requirements, company policies, and industry best practices during integration processes. - Monitor systems and training to ensure compliance with various federal and state regulations across all oral surgery locations, including: - CMS (Medicaid and Medicare) - State licensure - HIPAA - DEA - OSHA - PCI - Conduct internal reviews or audits to ensure that compliance processes and procedures are followed. - Oversee chart audit process conducted by 3rd Party contractor in conjunction with Clinical Compliance Officer and implement other internal controls to ensure proper coding and documentation for services performed and billed. - Provide training and recommended corrective actions when deficiencies are identified. - Propose new solutions relating to compliance requirements that impact the company's oral surgery practices. - Performance Tracking & Reporting: - Establish and monitor key performance indicators (KPIs) for integration and compliance projects. - Track and report on integration progress to senior leadership, providing regular updates and insights on challenges, risks, and milestones. - Best Practices: - Drive innovation by identifying new technologies, tools, and processes to streamline integration efforts. - Promote the use of best practices across new partner practices to improve efficiency and consistency. - Foster strong relationships with surgeons, team members, and the support services teams; actively address the needs of our practices by resolving concerns, responding to feedback, and understanding the financial data. Qualifications - Bachelor’s degree in healthcare, business administration or related discipline, or equivalent experience. - 5+ years’ experience in business development integration. - 4+ years’ experience in regulatory compliance. - Experience in acquisitive healthcare is a strong plus. Requirements - Proven experience managing complex integrations involving multiple business units and technologies. - Knowledge of state and federal compliance requirements in a healthcare environment. - Strong understanding of change management principles and methodologies. - Exceptional communication, leadership, and interpersonal skills. - Ability to navigate complex organizational structures and drive consensus across diverse teams. - Strong analytical, problem-solving, and decision-making abilities. - Expertise in project management and relevant software tools. - Ability to travel heavily for integration or compliance activities, OSP events and other functions. Benefits - We offer Medical, Dental, and Vision Insurance plans to our full-time employees. - Two out of the three medical plans offered include Health Savings Account (HSA) eligibility. - Company-paid Life, AD&D and Long-Term Disability coverage. - Additional Voluntary Life and AD&D Insurance for you and your family! - Voluntary Short-Term Disability Insurance available to you as well. - Dependent Care Flexible Spending Account (FSA) offered. - Immediately begin saving for retirement through our 401(k) starting with very first paycheck! - Employer 401(k) contribution and Profit Sharing after six months of employment. - PTO and 8 Paid holidays for fulltime employees! Company Description The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. OPS’s management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.