Provider Enrollment Manager

Job not on LinkedIn

🔥 13 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $68.2k - $102.3k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 0%

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OrthoVirginia

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🧘 Wellness

⚽ Sports

Healthcare • Wellness • Sports

OrthoVirginia is a multi-location orthopedic practice in Virginia that provides comprehensive musculoskeletal care, including orthopedic surgery, outpatient joint replacement, sports medicine, physical therapy, urgent care for orthopedic injuries, imaging, and telemedicine. With more than 160 physicians across 38 locations, OrthoVirginia offers integrated services such as on-site therapy, outpatient surgery centers, orthopedic urgent care, patient portals (MyChart), and community sports medicine partnerships to support recovery and active lifestyles.

📋 Description

• Lead and develop a high-performing team responsible for provider enrollment, credentialing, recredentialing, and privileging activities. • Ensure providers are ready to practice and bill efficiently by overseeing timely, accurate enrollment with commercial and government payers. • Serve as the organization's expert resource on provider enrollment, credentialing, privileging, and regulatory requirements. • Partner with Revenue Cycle and operational leaders to resolve enrollment-related challenges, minimize reimbursement delays, and support financial performance. • Drive process improvement initiatives by evaluating workflows, identifying efficiencies, and implementing best practices that enhance service and scalability. • Leverage technology and data to optimize enrollment and credentialing systems while establishing meaningful performance metrics and reporting. • Build strong relationships across the organization, collaborating with providers, practice leaders, hospital partners, and key stakeholders. • Support organizational growth initiatives, including provider onboarding, acquisitions, and practice integrations. • Manage vendor partnerships, departmental resources, and budgets while contributing to broader organizational objectives. • Create a seamless enrollment and credentialing experience for providers. • Maintain high standards of compliance while reducing administrative barriers and delays. • Develop an engaged, accountable, and high-performing team. • Implement process improvements that increase efficiency and scalability. • Provide leaders with meaningful operational insights through data, reporting, and performance metrics. • Serve as a trusted partner to providers and operational leaders throughout the organization.

🎯 Requirements

• Bachelor's degree in Business, Healthcare Administration, or a related field, or equivalent experience. • At least 7 years of experience in provider enrollment, credentialing, medical staff services, or related healthcare operations. • At least 3 years of leadership experience managing and developing high-performing teams. • Strong knowledge of provider enrollment, credentialing, privileging, payer requirements, and regulatory compliance. • Experience leading enrollment and credentialing functions within a healthcare organization, medical group, or multi-provider practice. • Proven ability to improve processes, optimize workflows, and drive operational excellence. • Experience with credentialing technology platforms, vendor management, and performance reporting. • Strong collaboration, communication, and problem-solving skills, with an understanding of revenue cycle operations and provider onboarding. • This organization participates in e-Verify.

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