Role OverviewThe Manager, Payor Enrollment oversees the payer enrollment team, responsible for system-wide enrollment of providers, facilities, pharmacies, DME, and related entities. Collaborates with credentialing, onboarding/provider relations, medical staff services, and operational leadership to ensure efficient and compliant enrollment throughout the credentialing and onboarding process.
What You Will Do
Lead and coordinate all payor enrollment activities, ensuring timely submissions, approvals, and maintenance of active provider enrollments. Serve as the primary escalation point for complex enrollment and credentialing issues, partnering with health plans to resolve challenges and implement solutions.
Why It Might Be a Fit
Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, 29 days of PTO, management incentive program, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings
Requirements
- Bachelor’s degree required
- Minimum of five (5) years of experience in physician services, revenue cycle, or another healthcare-related field required
- Three (3) years of management or leadership experience preferred
- Knowledge of payor requirements required
- Knowledge of NCQA credentialing standards and the ability to interpret data within computerized information systems preferred
Benefits
- Tuition reimbursement
- In-person and online development
- Access to our career hub
- Full benefits
- Paid holidays
- 29 days of PTO
- Management incentive program
- Employee discounts
- Free individual retirement counseling
- Free wellness platform for you and your family
- Personalized support for personal or family challenges
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