Job Summary
A company is looking for a Manager, Payer Enrollment.
Key Responsibilities
- Facilitate the enrollment program and serve as the primary liaison for clinics, payers, and practitioners
- Ensure compliance with health plan requirements and streamline onboarding processes
- Mentor and train staff while managing information flow between payers and facilities
Required Qualifications
- 5+ years of experience in managed care credentialing or medical staff services
- Experience leading enrollment teams with a large provider inventory
- Intermediate to advanced Microsoft Excel skills
- Experience supporting Medicare/Medicaid
- Strong knowledge of NCQA guidelines and delegated payers preferred
Comments