Manager of Payer Enrollment

Job Summary

A company is looking for a Manager, Payer Enrollment.

Key Responsibilities

• Facilitate the enrollment program and serve as the primary liaison for clinics, payers, and practitioners
• Ensure compliance with health plan requirements and streamline onboarding processes
• Oversee special projects and maintain up-to-date provider data in credentialing databases

Required Qualifications

• 5+ years' experience in managed care credentialing, billing, or medical staff services
• Experience leading enrollment teams with a large provider inventory
• Intermediate/advanced Microsoft Excel skills required
• Experience supporting Medicare/Medicaid is required
• Strong knowledge of NCQA guidelines and delegated payers preferred