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OpenLoopOpenLoop

Manager, Enrollment

Leads a large, distributed provider enrollment operation across government and commercial payers, improving application throughput and reducing denials. Requires extensive enrollment experience, large-team people leadership, and familiarity with CAQH, PECOS, and workflow tools.

About the job

Responsibilities

  • Manage and develop a team of 51 enrollment specialists covering government payer enrollment and high-volume commercial payer enrollment.
  • Build a management layer of leads or supervisors and clarify escalation paths.
  • Establish queues, deadlines, prioritization, and accountability standards for accurate, timely application submission.
  • Analyze denied enrollment applications, identify root causes, coordinate corrections and resubmissions, and reduce denial rates.
  • Manage payer follow-up cadences and escalate stalled or at-risk applications.
  • Serve as the primary liaison between Enrollment and internal client-facing programs.
  • Partner with Revenue Cycle Management, Sales, Payer Contracting, Medical Staff Credentialing, Compliance, and Legal.
  • Build and manage an enrollment ticketing workflow in Jira.
  • Track and report team throughput, application volume, and denial and approval trends.
  • Coach the team, set goals, manage performance, and support career development.

Requirements

  • 5+ years of experience in provider enrollment, credentialing, or payer relations, including both government and commercial payers.
  • 2+ years of experience leading or supervising a large, high-volume operational team, ideally 25+ staff.
  • Experience managing through sub-leads or supervisors.
  • Experience with Medicare, Medicaid, Medicaid Advantage, and commercial payer enrollment.
  • Direct telehealth experience preferred.
  • Experience with multi-state or multi-region private practice enrollment.
  • Ability to analyze denial and process data and identify root causes.
  • Working knowledge of enrollment and credentialing systems.
  • Excellent written and verbal communication skills.
  • Strong organization and attention to detail.

Nice-to-Haves

  • Telehealth industry experience.
  • Experience managing or partnering with globally distributed or offshore teams.
  • Experience implementing or managing Jira or similar ticketing and workflow tools.

Compensation & Benefits

  • Competitive compensation.
  • Medical, dental, and vision insurance.
  • Flexible Spending Accounts and Health Savings Accounts.
  • Generous paid time off.
  • Hybrid-work flexibility.
  • 401(k) with company match.
  • Life insurance and pet insurance.

Skills

Provider Enrollment, Credentialing, Payer Relations, Medicare, Medicaid, Caqh, Pecos, Jira, Revenue Cycle Management, Root Cause Analysis

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