Payer Enrollment Specialist

Manage payer enrollment and credentialing for new and existing markets.

• •Manage licensing activities, Medicaid enrollments, payer credentialing, and payer re-credentialing across clinician types for our existing and new markets.
• •Key Responsibilities Own the end-to-end process for enrolling new providers with state Medicaid and our health plan partners.
• •Work closely with new clinical hires and our third-party vendor to manage new license applications and license renewals.
• •Partner with the Licensing, Credentialing, and Enrollment team to enroll providers in Medicaid across existing and new markets.
• •Identify opportunities to improve our licensing, payer credentialing, and enrollment processes.
• •Requirements 3+ years healthcare operations experience.
• •Experience with payer credentialing for various roles with Medicaid managed care plans.
• •Experience enrolling clinicians in state Medicaid.
• •Exceptional project management and prioritization skills.
• •Comfort with ambiguity.