Director of Contracting, Provider Enrollment

🕒 Maio 5

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HealthOp Solutions

SiteLinkedInTodas as Vagas

1 - 10 funcionários

⚕️ Seguro de Saúde

🎯 Recrutamento

Healthcare Insurance • Recruitment • Consulting

A HealthOp Solutions é a principal agência de consultoria em saúde do Arizona, especializada em recrutamento direto, aquisição de pacientes e fusões e aquisições para organizações de saúde. Nossa equipe dinâmica de profissionais médicos experientes está dedicada a formar as equipes médicas perfeitas e fornecer insights empresariais especializados para aprimorar a excelência em saúde. Nos orgulhamos de entender as necessidades únicas de nossos parceiros, garantindo um encaixe perfeito e a satisfação do cliente.

Descrição

• Oversee a portfolio of healthcare clients and ensure provider enrollment, payer contracting, credentialing, and related client deliverables are completed accurately, efficiently, and on time. • Manage approximately 10 clients at a time, keeping projects organized, timelines visible, and client communication clear. • Serve as the primary operational lead for client accounts, ensuring requests are prioritized appropriately, payer issues are escalated when needed, and the internal credentialing team has the direction and support needed to execute well. • Review work for accuracy, completeness, and compliance with payer, client, and internal process requirements. • Coordinate with payers, provider groups, client contacts, and internal team members to resolve enrollment or contracting delays. • Track billable time accurately and manage work in alignment with client service expectations. • Identify process gaps, workflow issues, and opportunities to improve efficiency, quality, and accountability.

🎯 Requisitos

• Proven experience in healthcare provider enrollment, payer contracting, credentialing, or a closely related administrative healthcare function. • Experience managing multiple client accounts, projects, or complex operational workflows at the same time. • Prior project management experience with the ability to organize timelines, deliverables, stakeholders, and follow-up. • Experience overseeing, leading, or mentoring credentialing, enrollment, or administrative team members. • Strong understanding of payer enrollment processes, contracting workflows, provider documentation, and credentialing requirements. • Ability to work independently in a fully virtual environment with strong accountability and communication. • High level of professionalism, discretion, and accuracy when handling client and provider information. • Comfortable working in a billable-time environment and documenting time/work clearly. • Must be able to maintain a flexible full-time schedule under either a 4x10 or 5x8 structure. • Must be comfortable in a W2 role with no traditional benefits package currently offered.

🏖️ Benefícios

• Unlimited PTO