Payer Enrollment Specialist

Job Summary

A company is looking for a Payer Enrollment Specialist.

Key Responsibilities

• Manage the end-to-end process for enrolling new providers with state Medicaid and health plan partners
• Collaborate with new clinical hires and third-party vendors to handle license applications and renewals
• Identify opportunities to enhance licensing, payer credentialing, and enrollment processes

Required Qualifications

• 3+ years of healthcare operations experience, preferably in healthcare delivery or a high-growth startup
• Experience with payer credentialing for various clinician roles, including APPs and physicians
• Proficient in enrolling clinicians in state Medicaid
• Strong project management and prioritization skills
• Experience in building and scaling operational processes for clinicians