Provider Enrollment Manager
Tasks
- Audit enrollment files for accuracy
- Conduct weekly provider enrollment meetings
- Design training programs for enrollment policies
- Ensure compliance with CMS and NCQA
- Ensure directory data accuracy
- Generate enrollment performance metrics
- Lead provider enrollment team
- Maintain accurate provider records
- Manage provider enrollment lifecycle
- Meet processing and reporting deadlines
- Optimize enrollment workflows
- Resolve escalated enrollment issues
- Serve as liaison between providers and payers
- Use provider enrollment systems and databases
Perks/Benefits
Skills/Tech-stack
CAQH | CMS | Compliance Management | Credentialing | Data Auditing | Microsoft Excel | Microsoft Outlook | Microsoft PowerPoint | Microsoft Word | NCQA | NPPES) | PECOS | Payer requirements | Performance Metrics | Provider enrollment | Stakeholder management | Workflow Optimization
Education
Related jobs
-
Robotics Sales Manager, Americas Region USD 140K-180KAccount Management | Automation | B2B Sales | BI | Business DevelopmentTravel opportunitiesMid-level Full TimeNewport, ME, United States12h ago
-
Program Manager III, AI/ML, Google Cloud USD 159K-231KArtificial Intelligence | Change Management | Machine Learning | Metrics | Program ManagementSenior-level Full TimeSunnyvale, CA, USA18h ago
-
Data Visualization | Google BigQuery | Microsoft Excel | Microsoft PowerPoint | MicrostrategyMid-level Full TimeLas Vegas, NV, United States1d ago
-
Ad Hoc Reporting | Ad-Hoc | Agile | Business Intelligence | Credit RiskEntry-level Full TimeCharlotte, United States1d ago
-
Chief of Strategy & Operations - Growth Analytics USD 100K-231KBudgeting | Data reporting | Executive Communication | Impact Reporting | Operational planningMedical, dental & vision coverage | Paid time off | Retirement savings | Wellness programsExecutive-level Full TimeNew York-161 Ave of the Americas, …1d ago
-
Program Manager - Robotics & Computer Vision USD 118K-197KDependency management | Milestone planning | Program Management | Project Management | Risk ManagementEmployee assistance program | Paid parental leave | Relocation assistance | Tuition assistanceEntry-level Full TimeNiskayuna, United States1d ago
-
Staff GMP Data Governance Business Partner USD 92K-206KCGMP | Clinical GMP | Continuous Improvement | Data Governance | Data Integrity401k company match | Annual bonuses | Dental insurance | Disability insurance | Equity awardsSenior-level Full TimeRENSS - GLOBAL VIEW, United States1d ago
-
Program Manager - Robotics & Computer Vision USD 118K-197KBudget Management | Computer Vision | Dependency management | Integration Management | Milestone planningDental insurance | Disability benefits | Employee assistance program | Health Coach | Life insuranceEntry-level Full TimeNiskayuna, United States1d ago
-
Associate Director, Market Research and Analytics - GIC USD 137K-261KAnalytics models | Behavioral analytics | Competitive Intelligence | Data Visualization | Data strategy401k matching | Dental insurance | Health insurance | Long term incentive program eligibility | Paid time offMid-level Full TimeMettawa, IL, United States1d ago
-
Enrollment Operations Manager USD 90K-105KCampaign tracking | Dashboard Reporting | Data Analysis | Jira | Performance Metrics401k retirement savings plan | Employer-sponsored healthcare | Equity participation | Flexible spending account | Health savings accountMid-level Full TimeRemote, USA R1d ago
-
Associate Manager, FP&A and Data Analytics USD 110K-116KAutomation | Budgeting | Data Warehouse | Data integration | DomoMid-level Full TimePlano, TX, United States1d ago
-
Strategic Project Lead - Code USD 200K-250KArtificial Intelligence | Data Pipelines | Fine Tuning | Human Feedback | LLM EvaluationFive-day workweek | Flexible working hours | Supportive work cultureSenior-level Full TimeSan Francisco, California, United States1d ago
-
Director, Analytics Product Management USD 186K-278KBusiness case | Business case development | Business planning | Case Development | Competitive AnalysisExecutive-level Full TimeBusiness Office - Benson Tower, United …2d ago
-
Actuarial Director, Reserving & Loss Analytics (Hybrid) USD 130K-180KData Modeling | Data Quality | Excel | Financial Forecasting | Loss analytics401k match | Backup Child Care | Backup elder care | Dental insurance | Hybrid work scheduleExecutive-level Full TimeSt. Paul, MN, United States R2d ago
-
Analytics Business Manager 3 USD 130K-174KExcel | Microsoft Access | Microsoft Outlook | Microsoft PowerPoint | Microsoft WordVaccination requirement influenzaSenior-level Full TimeSchrafft City Center, United States2d ago
-
Data Quality | Data analytics | Data remediation | Financial analytics | GovernanceAnnual discretionary bonus | Flexible time off | Healthcare benefits | Hybrid work model | Leave benefitsMid-level Full TimeNY7 - 50 Hudson Yards, New … R2d ago
-
Data Quality | Data analytics | Data quality control | Governance | Investment ManagementFlexible time off | Healthcare | Hybrid work model | Leave benefits | Retirement benefitsExecutive-level Full TimeNY7 - 50 Hudson Yards, New … R2d ago
-
Senior Data Governance Professional USD 140K-160KBudgeting | Change Management | Compliance | Dashboard Reporting | GovernanceCompany-Paid Holidays | Dental insurance | Disability insurance | Employee assistance program | Life insuranceSenior-level Full TimeNew York, NY, US2d ago
-
DTC Inventory and Fulfillment Manager USD 70K-100KBudget Management | Compliance Management | Cost Control | Cross-Functional Collaboration | Cross-functional401k plan | Dental insurance | Disability insurance | Family building benefits | Fertility benefitsMid-level Full TimeNapa, CA, US, 945582d ago
-
Manager - AI & Machine Learning USD 96K-125KAI Governance | Artificial Intelligence | Automation | Cloud Computing | Data strategyMid-level Full TimeSavannah, GA, US2d ago
-
Manager, R&D Data Steward USD 123K-163KAccess Control | Cause analysis | Data Cataloging | Data Enrichment | Data Governance401k | Dental insurance | Discretionary Equity Awards | Employee stock purchase plan | FSA/HSAMid-level Full TimeRemote (US), United States R2d ago
-
Data Analytics Group Manager USD 156K-234KCompliance Management | Data Architecture | Data Engineering | Data Visualization | Data analytics401k | Life, accident, and disability insurance | Medical, dental, and vision coverage | Paid Holidays | Paid time offSenior-level Full Time6400 LAS COLINAS BLVD IRVING, United …2d ago
-
Customer Success Manager, Customer Data Platform USD 120K-175KAI tools | Account Management | Automation | Business review | Customer Data401k matching | Catered lunch | Dog-friendly office | Equity grant | Extra leaveSenior-level Full TimeNew York, New York, United States2d ago
-
Treasury Fulfillment Advisor USD 95K-107KAccount Management | Active Listening | Analytical Thinking | Card services | Cash ManagementFlexible schedule | Health and wellness support | In-office culture | Inclusive workplace | Team collaborationMid-level Full TimeCharlotte, United States2d ago
-
Provider Enrollment Account Manager- Healthcare USD 51K-68KCredentialing | Customer Service | Customer communication | Data Management | ExcelMid-level Full TimeAustin | 13640 Briarwick Dr Suite …2d ago