
201 - 500 employees
Founded 2020
đź Consulting
âď¸ Legal
đŚ Logistics
đ° $15M Series A - OpenLoop Health on 2023-03
Consulting ⢠Legal ⢠Logistics
OpenLoop is a white-label telehealth platform and managed services provider that helps organizations launch and scale virtual care programs. It combines SaaS-based, brandable technology (scheduling, booking, payments, EHR/API integrations) with clinical staffing, credentialing, payer coverage and RCM, regulatory/legal support, and 24/7 patient support. OpenLoop serves health plans, hospitals and health systems, retailers, employers and digital health companies with AI-powered operations, a nationwide clinician network and broad insurance coverage including Medicare and Medicaid.
đĽ 0 minutes ago
đşđ¸ United States â Remote
â° Full Time
đĄ Mid-level
đ Senior
đ Manager
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201 - 500 employees
Founded 2020
đź Consulting
âď¸ Legal
đŚ Logistics
đ° $15M Series A - OpenLoop Health on 2023-03
Consulting ⢠Legal ⢠Logistics
OpenLoop is a white-label telehealth platform and managed services provider that helps organizations launch and scale virtual care programs. It combines SaaS-based, brandable technology (scheduling, booking, payments, EHR/API integrations) with clinical staffing, credentialing, payer coverage and RCM, regulatory/legal support, and 24/7 patient support. OpenLoop serves health plans, hospitals and health systems, retailers, employers and digital health companies with AI-powered operations, a nationwide clinician network and broad insurance coverage including Medicare and Medicaid.
⢠Manage and develop a team of 51 enrollment specialists handling government and commercial payer enrollment ⢠Build a management layer of leads/supervisors and clarify escalation paths ⢠Structure and prioritize daily workflows, queues, deadlines, and accountability standards ⢠Own root-cause analysis of denied enrollment applications and drive process improvements ⢠Hold payers accountable for turnaround and follow-up; escalate stalled or at-risk applications ⢠Serve as primary liaison between Enrollment and internal client-facing programs ⢠Partner with Revenue Cycle Management, Sales, Payer Contracting, Medical Staff Credentialing, and Compliance/Legal ⢠Help build and manage a Jira ticketing workflow ⢠Track and report team throughput, application volume, and denial/approval trends ⢠Coach and develop the team, set goals, manage performance, and support career growth ⢠Perform other duties as assigned
⢠5+ years of experience in provider/payer enrollment, credentialing, or payer relations, with direct experience across both government (Medicare/Medicaid) and commercial payers ⢠2+ years of experience leading or supervising a large, high-volume operational team, ideally 25+ staff ⢠Experience managing through sub-leads/supervisors ⢠Direct telehealth experience strongly preferred ⢠Experience with multi-state or multi-region private practice enrollment ⢠Understanding of differences between commercial, Medicaid, and Medicaid Advantage enrollment ⢠Experience analyzing denial and process data to identify root causes ⢠Working knowledge of enrollment and credentialing systems such as MDStaff, CAQH, and PECOS ⢠Excellent written and verbal communication skills ⢠Organized and detail-oriented, with experience building process and structure within a fast-moving team ⢠Demonstrated people leadership experience, including performance management and team development ⢠Experience with CAQH, PECOS, and/or similar credentialing and enrollment databases
⢠Medical, Dental & Vision ⢠Flexible Spending / Health Savings Accounts ⢠Generous PTO ⢠Hybrid-work flexibility ⢠401(k) with Company Match ⢠Life Insurance ⢠Pet Insurance ⢠Competitive compensation
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