Provider Enrollment, Manager

Acentra Health, LLC•UNAVAILABLE, New Jersey

18h•Remote

About The Position

Acentra Health is looking for a Provider Enrollment Manager to join our growing team. The Provider Enrollment Manager's role involves overseeing daily provider network and recruitment operations, keeping internal databases updated, interfacing with our client to understand requirements and responsibilities, and general program management. This role is remote and requires the candidate to be a resident of the State of New Jersey.

Requirements

High School diploma or GED
Must be a resident of the State of New Jersey
5+ years' diverse, leadership experience in a healthcare organization (Payer)
2+ years' experience with healthcare system design, development and implementation (DDI)
3+ years leading provider enrollment operations, service delivery
Knowledge of provider enrollment requirements for government agencies (CMS), payor organizations, and insurance regulations.
Proficient in Microsoft Excel, and other Microsoft Office applications.
Strong customer service skills.

Nice To Haves

Bachelor's degree is preferred
PMP is preferred
Bachelor’s degree in Healthcare Administration, Healthcare Management, or general Business Administration or related field of study (preferred)

Responsibilities

Establish a Provider Enrollment operation/team, including Provider Enrollment/Credentialing, related Call Center Services, Site Visits, Training/Outreach, Documentation/reference guides
Demonstrated experience with excellent operational delivery, innovating through use of AI and automated tools
Serve as primary point of contact for services, during DDI and Operational start-up activities
Maintain strong client relationships
Support hiring activities, building a strong team
Oversee staff, productivity reporting, assure excellent contract/SLA performance, associated reporting/dashboards (including related design)
Support documentation development, refinement and maintenance; including User and Procedure Manuals
Manage escalations/urgent resolution matters
Maintain confidentiality.
Ensure that the program's services meet or exceed contract deliverables.
Meet mandatory deadlines and project standards.
Manage a team of up to 15, multi-disciplinary coordinators, Provider Education Specialist, Provider Enrollment, and Provider Relations Specialists
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules