Medicaid Enrollments Manager - RCM/Healthcare
About The Position
As an Implementation Manager, you support new and existing customers, guiding them through each phase of the RCM onboarding process to ensure a smooth and successful transition. This position is well-suited for a problem-solver who is passionate about helping customers progress during each phase of onboarding. You will play a critical role in problem-solving, troubleshooting, and optimizing workflows, ensuring customers achieve their desired outcomes efficiently. This role is ideal for a strategic thinker and proactive problem-solver who is passionate about customer success and skilled at managing multiple projects simultaneously. You will collaborate cross-functionally to streamline processes, address challenges, and drive continuous improvement in departmental processes. This position reports to the Director of Implementation and Enrollments.
Requirements
- Minimum 3 years of experience in Medicaid enrollments, credentialing, or provider onboarding (multi-state experience strongly preferred)
- Minimum 2 years of people management experience with proven leadership in a healthcare operations setting
- Strong knowledge of Medicaid regulations, revalidation processes, and compliance requirements
- Excellent organizational, problem-solving, and communication skills
- Ability to manage multiple priorities in a fast-paced environment
- Proficiency with CRM systems (HubSpot preferred), databases, and MS Office Suite
Nice To Haves
- Bachelor’s degree in Healthcare Administration, Business, or a related field preferred
- Relevant experience may be considered in lieu of a degree
Responsibilities
- Lead and manage the Medicaid Enrollment team, including training, performance management, and professional development
- Oversee daily operations for all Medicaid enrollment activities, including initial applications, revalidations, and updates
- Ensure compliance with state and federal Medicaid regulations and payer-specific requirements
- Maintain dashboards, track KPIs, and provide regular reporting to leadership on enrollment progress, turnaround times, and issue resolution
- Collaborate with Implementation, Billing, and Account Management teams to ensure providers are fully operational post-enrollment
- Develop and refine standard operating procedures (SOPs) for consistent and efficient enrollment practices
- Serve as an escalation point for complex enrollment issues, guiding the team through problem-solving and resolution
- Partner with Product and Operations teams to identify opportunities for automation and process improvement
- Stay current with Medicaid policy changes and communicate updates to internal teams and providers
- Other duties as assigned
Benefits
- Medical, dental, and vision benefits
- 401k retirement plan
- Aflac benefits
- Paid time off
- Professional development support
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
11-50 employees
