Senior Manager, Payer Enrollment Strategy – Operations

🕒 May 16

🇺🇸 United States – Remote

💵 $120k - $160k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

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Medallion

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

🔥 Funding within the last year

💰 $43M Series C - Medallion on 2025-08

Healthcare Insurance • SaaS • Artificial Intelligence

Medallion is an AI-powered healthcare operations company that provides a SaaS platform to automate provider credentialing, payer enrollment, licensing, privileging, and ongoing monitoring. The platform uses machine learning and real-time automation to extract and standardize data, manage payer-specific and state rules, run automated follow-ups, and ensure compliance with NCQA and TJC standards—reducing costs and accelerating provider onboarding. Medallion serves payers, provider groups, health systems, RCM organizations, and digital health companies with a focus on lowering administrative burden and improving network readiness.

📋 Description

• 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

🎯 Requirements

• 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.