(USA) Senior Manager, Enrollment Services - Health & Wellness
(USA) Upstream Building AR Bentonville Home Office, United States
USD 90K-180K Senior-level Full Time
Tasks
- Analyze enrollment KPIs
- Collaborate with IT legal compliance operations and contracting
- Ensure timely enrollment submissions
- Lead payer provider enrollment operations
- Maintain enrollment compliance with state and federal requirements
- Manage provider enrollment appeals
- Mentor and develop enrollment coordinators
- Monitor portal issues and policy changes
- Optimize process performance
- Oversee facility and individual provider enrollment
- Reduce processing times
- Streamline enrollment workflows
Perks/Benefits
- 401k
- Company discounts
- Education benefit (Live Better U)
- Family care leave
- Life insurance
- Long-term disability
- Medical, dental & vision coverage
- PTO
- Parental leave
- Short-term disability
- Travel up to once per month
Skills/Tech-stack
Billing | CAQH | CMS | Commercial Payers | Cycle management | Document SOP Management | EDI | Eligibility and Insurance Verification | Insurance verification | Joint Commission) | Laws Regulations | Medicaid | Medicaid MCO | Medicare | Medicare MCO | NCQA | Provider credentialing | Provider enrollment | Revenue Cycle | Revenue Cycle Management | SOP management | State Laws Regulations | URAC
Education
Related jobs
-
Pharmacist Fulfillment Manager USD 124K-155KACHC | CAPA | Chain management | Cold Chain | Cold chain management401k match | Adoption Assistance | Dental insurance | Educational assistance | Flexible spending accountMid-level Full TimeMadison, WI, United States1d ago
-
Software Development Manager, Embedded SW, Amazon Leo USD 184K-250KBuild processes | Code Reviews | Coding Standards | Control Management | Cycle managementMid-level Full TimeRedmond, Washington, USA2d ago
-
Ambulatory Patient Groups | Ambulatory Payment Classifications | CPT | Capitation | Claims ProcessingRemote workMid-level Full TimeUnited States R2d ago
-
Mid-level ContractRedmond, WA4d ago
-
Provider Enrollment and Screening USD 95K-135KAgile | Backlog Management | CMS guidance | Claims | Encounters401k match | Educational assistance | Flexible vacation policy | Fully remote | Health benefitsMid-level Full TimeAny city, PA, US, 99999 R7d ago
-
Access Management | Billing | Compliance | Data Modeling | Decision modelsCompany vehicle | Hybrid workMid-level Full TimeGM Global Technical Center - 7000 …7d ago
-
Sr. Manager, Pricing Analytics USD 203K-251KBilling | Business Intelligence | CPQ | CRM | Cause analysisAdoption leave | Commuter benefits | Dental insurance | Disability insurance | Flexible spendingSenior-level Full TimeSan Mateo, CA, United States8d ago
-
Manager, Revenue Analytics USD 83K-124KAR Reserve Analysis | Aged Trial Balance | Cause analysis | Claims Analysis | Clinical and Financial AnalyticsAnnual compliance training | Continuing education opportunities | Hybrid work setupMid-level Full TimeSimi Valley, CA, United States9d ago
-
Manager, Health Care Data Engineering USD 93K-139KAI Deployments | Agile | Analytics | Azure | Business AnalyticsContinuous learning | Hybrid work model | Retirement planning | Time offMid-level Full TimeBloomington, MN, United States9d ago
-
Sr. Manager, Contract & Pricing Analytics USD 175K-190KBid modeling | Budgeting | Commercial Pricing | Contract strategy | Financial ModelingHybrid workSenior-level Full TimeStoughton, MA13d ago
-
People Systems & Analytics Manager USD 130K-165KAPI | ATS | Analytics | Audit Readiness | Benefits Administration401k plan | Commuter benefits | Dental insurance | Disability insurance | FSAMid-level Full TimeSan Francisco19d ago
-
Enrollment Manager USD 47K-52KCall Center | Call center management | Customer Service | Eligibility verification | Healthcare ComplianceOn site work opportunity | Professional development opportunitiesMid-level Full TimeBronx, NY, United States23d ago
-
Case Manager - Enrollment USD 57K-57KCare Coordination | Case management | Documentation | Eligibility determination | Medicaid401k match | Credit union membership | Employee assistance program | Employer-paid training | Flexible spending planMid-level Full TimeAurora, CO, USA R24d ago
-
Fulfillment Manager, Wholesale Operations USD 86K-111KCross-Functional Collaboration | Cross-functional | Data Reconciliation | Demand Planning | Distribution center operationsAssociate discount | Community impact | Dental insurance | Family planning support | Fitness discountsMid-level Full Time225 Liberty, United States27d ago
-
Medicaid Enrollment and Eligibility Manager USD 80K-98KCustomer Service | Data Analysis | Eligibility Regulations | Epic | Health Insurance Portability and Accountability ActAccidental death and dismemberment insurance | Employee assistance program | Life insurance | Medical, dental, and vision insurance | Paid HolidaysMid-level Full TimeSeattle, Washington, United States27d ago
-
Adobe Experience | Adobe Experience Manager | Adobe Firefly | Adobe Workfront | CMS401k plan | Bonus opportunities | Dental insurance | Life insurance | Long-Term Disability coverageSenior-level Full TimeDallas, 5205 N OConnor Las Colinas, …28d ago
-
Manager, Engineering (Data Platform) USD 239K-275KAWS | AWS Glue | Amazon EMR | Amazon Web Services | Apache Airflow401k | Flexible PTO | Medical/Dental/Vision | Teladoc HealthMid-level Full TimeNew York City, New York29d ago
-
Sales Manager - Quantum Solutions USD 115K-181KAccount Management | Business planning | CRM | Cycle management | Lead generationMid-level Full TimeChicago, IL, US1mo ago
-
Sales Manager - Quantum Solutions USD 122K-181KAccount Planning | CRM | Cycle management | MS Office | Market ResearchMid-level Full TimeBoston, NY, US1mo ago
-
Enrollment + Partnerships Manager USD 45K-65KAccount Management | Billing | CRM | Communication | Customer Retention401k match | Major holidays | Medical/Dental/Vision insurance | Paid time offMid-level Full TimeNew York, New York, United States1mo ago
-
Sales Manager - Quantum Solutions USD 115K-184KAccount Management | Business Development | CRM | Cycle management | Electrical EngineeringMid-level Full TimeLos Angeles, CA, US1mo ago
-
Product Manager, Claims and Enrollment USD 135K-190KAPI Design | Claims Processing | Customer discovery | Cycle management | EDI X12Mid-level Full TimeRemote in the USA R1mo ago
-
Associate Director, Emerging Channel Insights & Analytics -Market Access & Patient Services USD 137K-261KClaims Analysis | Commercial Insurance | Cross-Functional Collaboration | Cross-functional | Data Analysis401k | Dental insurance | Health insurance | Paid time off | Short Term Incentive ProgramMid-level Full TimeSan Francisco, CA, United States1mo ago
-
Associate Director, Emerging Channel Insights & Analytics -Market Access & Patient Services USD 137K-261KAccess Strategy | Channel analysis | Claims Analysis | Commercial Insurance | Data Analysis401k plan | Medical/Dental/Vision insurance | Paid time off | Short Term Incentive ProgramMid-level Full TimeIrvine, CA, United States1mo ago
-
Fulfillment Manager, Wholesale Operations USD 86K-111KData Reconciliation | Demand forecasting | Distribution center operations | EDI | Inventory TransferAssociate discount | Community impact | Dental insurance | Family planning support | Fitness discountsMid-level Full TimeRemote - New York, United States R1mo ago