Senior Manager, Payer Enrollment Strategy – Operations

🕒 Maio 16

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $120.000 - $160.000 / ano

⏰ Tempo Integral

🟠 Sênior

⚙️ Operações

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Medallion

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2020

⚕️ Seguro de Saúde

☁️ SaaS

🤖 Inteligência Artificial

🔥 Investimento no último ano

💰 $43.000.000 Series C - Medallion em 2025-08

Healthcare Insurance • SaaS • Artificial Intelligence

A Medallion é uma empresa de operações de saúde com tecnologia de IA que oferece uma plataforma SaaS para automatizar credenciamento de provedores, inscrição de pagadores, licenciamento, concessão de privilégios e monitoramento contínuo. A plataforma utiliza aprendizado de máquina e automação em tempo real para extrair e padronizar dados, gerenciar regras específicas de pagadores e estados, executar follow-ups automatizados e garantir conformidade com os padrões NCQA e TJC—reduzindo custos e acelerando a integração de provedores. A Medallion atende pagadores, grupos de provedores, sistemas de saúde, organizações de RCM e empresas de saúde digital com foco na redução da carga administrativa e melhoria da prontidão de rede.

Descrição

• Own end-to-end enrollment outcomes for your customer portfolio – from application through completion – and be accountable for SLA performance, client satisfaction, and team throughput • Manage an on/offshore team of enrollment specialists: set clear goals, build capacity plans, run performance rhythms, and develop talent • Serve as the primary operational point of contact for your customers; lead recurring and ad hoc client calls, own escalation resolution, and communicate proactively on risks and delays • Establish and track the metrics that matter – SLA attainment, cycle time, error rates, team utilization – and build the reporting infrastructure to see them clearly • Conduct regular SLA and workflow reviews; triage and prioritize work based on urgency, client impact, and business criticality • Identify and resolve root causes of client issues by coordinating cross-functional teams; close the loop with clients with speed and professionalism • Map your operational workflows to find upstream and downstream leverage points – where handoffs break, where data is re-entered manually, where exceptions burn disproportionate time • Partner with engineering and product to scope and ship automation, tooling improvements, and scalable process changes • Translate operational patterns into structured recommendations; contribute to the broader playbook that scales across the team

🎯 Requisitos

• 5+ years in strategy & operations, bizops, management consulting, or a similarly rigorous operational environment – you know complex, metrics-driven operations are run successfully • 2+ years managing teams, including performance management, goal-setting, and team development • Demonstrated ability to diagnose operational problems, build structure around ambiguity, and drive cross-functional solutions • Strong analytical instincts – comfortable with owning a KPI dashboard, spotting trends, and building the case for process change • Excellent written and verbal communication; you can run a client call and write a crisp exec summary with equal confidence • Experience working with operational tooling (e.g. Airtable, Google Workspace, or similar); comfort picking up new systems quickly • Curiosity and speed-to-competence in a new domain – you don't need to know Payer Enrollment on day 1, but you're confident you will know it by day 90.