Manager, Payor Enrollment

Munson Healthcare•Traverse City, MI

About The Position

The Manager, Payor Enrollment oversees the payer enrollment team responsible for system-wide enrollment of providers, facilities, pharmacies, durable medical equipment (DME), and related entities. The role collaborates with credentialing, onboarding/provider relations, medical staff services, and operational leadership to support efficient and compliant enrollment throughout credentialing and onboarding. The manager leads and coordinates payor enrollment activities, ensuring timely submissions, approvals, and maintenance of active provider enrollments. The role serves as the primary escalation point for complex enrollment and credentialing issues, partners with health plans to resolve challenges, and monitors enrollment operations, including status updates, team inquiries, audits, KPI reporting, and final review of payer submissions. The manager also works with credentialing, onboarding, revenue cycle, and operational teams to support provider onboarding, enrollment compliance, and resolution of enrollment-related denials and underpayments.

Requirements

Bachelor’s degree required.
Minimum of five years of experience in physician services, revenue cycle, or another healthcare-related field required.
Knowledge of payor requirements required.

Nice To Haves

Three years of management or leadership experience preferred.
Knowledge of NCQA credentialing standards preferred.
Ability to interpret data within computerized information systems preferred.

Responsibilities

Oversee the payer enrollment team responsible for system-wide enrollment of providers, facilities, pharmacies, DME, and related entities.
Lead and coordinate 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.
Partner with health plans to resolve challenges and implement solutions.
Monitor enrollment operations, including status updates, team inquiries, audits, KPI reporting, and final review of payer submissions.
Collaborate with credentialing, onboarding, revenue cycle, and operational teams to support provider onboarding, enrollment compliance, and resolution of enrollment-related denials and underpayments.