Provider Enrollment Manager

Washington Regional Medical System • Fayetteville, AR

19h • Onsite

About The Position

Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas, consistently ranked among the Best Places to live. It operates a 425-bed medical center, employs over 3,400 team members, and serves the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence. Health Partners is a membership-driven physician-hospital organization (PHO) dedicated to delivering contract management and advocacy services for healthcare professionals. The Provider Enrollment Manager reports directly to the Executive Director of Health Partners and is responsible for overseeing the full lifecycle of provider payer enrollment, credentialing coordination, and contract administration. This role ensures healthcare providers are accurately enrolled, contracted, and maintained with all contracted insurance payers, playing a critical operational and compliance function by supporting network participation, timely reimbursement, and regulatory adherence, while partnering closely with providers, payers, internal leadership, and revenue cycle teams.

Requirements

• Bachelor’s degree in healthcare administration or 2-5 years of applicable experience in provider relations or healthcare administration
• Competency in Microsoft office
• Must possess excellent organizational, interpersonal, and verbal/written communication skills

Responsibilities

• Lead and oversee provider enrollment
• Identify, analyze and implement workflow improvements to reduce enrollment delays, improve data accuracy, identify enrollment gaps and enhance provider onboarding efficiency across payers and networks
• Track enrollment and contracting metrics, provider effective dates, payer participation status, and turnaround timelines; provide reports and insights to leadership to support operational planning and process improvement
• Act as a point of escalation for provider enrollment and contracting issues impacting network status or provider satisfaction
• Resolve any claims disputes resulting from provider enrollment and loading issues
• Ensure data accuracy across PHO systems, payer portals, and provider directories to support proper network representation
• Provide general administrative support to the PHO office and work closely with PHO staff
• Assist with other duties, as assigned, including but not limited to credentialing and database management functions
• Mentor and develop a high-performing team of enrollment specialist(s), fostering a culture of continuous improvement and excellence

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees