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6 дней назад

Payer Enrollment Supervisor (Healthcare)

76 000 - 115 500$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
lead
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Payer Enrollment Supervisor (Healthcare): Overseeing payer enrollment and maintenance for individual and group providers with an accent on enrollment accuracy, compliance, provider participation, and revenue readiness. Focus on supervising enrollment staff, maintaining CAQH profiles, resolving payer issues, and building scalable workflows and automation.

Location: Remote, USA

Annual base salary: $76,000–$115,500, with potential discretionary bonuses.

Company

hirify.global provides evidence-based mental health care and an AI-powered platform for employers, health plans, and partners.

What you will do

  • Oversee the full payer enrollment and maintenance lifecycle for individual and group providers, including enrollments, revalidations, demographic updates, roster submissions, and payer maintenance.
  • Supervise, coach, train, and support payer enrollment staff through workload management, performance oversight, and quality reviews.
  • Serve as a subject matter expert and escalation point for commercial payer enrollment requirements, provider participation, and complex payer issues.
  • Maintain CAQH profiles, provider data, attestations, documentation, enrollment records, payer statuses, rosters, and effective dates.
  • Partner with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle, Billing, and commercial payers.
  • Develop scalable policies, controls, metrics, process improvements, and automation to improve accuracy, turnaround times, and billing readiness.

Requirements

  • Bachelor’s degree preferred, or equivalent work experience.
  • 4+ years of payer enrollment experience in a healthcare, medical group, health plan, hospital, CVO, or behavioral health setting.
  • 2+ years of lead or supervisory experience preferred, with demonstrated ability to coach staff and manage accountability.
  • Deep knowledge of commercial payer enrollment, provider participation, roster management, revalidations, and payer requirements.
  • Experience with CAQH, NPPES, PECOS, payer portals, credentialing software, and ticketing systems such as CredentialStream, Salesforce, or Zendesk.
  • Strong analytical, organizational, interpersonal, compliance, escalation-management, and process improvement skills.

Culture & Benefits

  • Full-time employment with hirify.global, Inc.
  • Medical, dental, vision, FSA/HSA, life, and disability insurance coverage.
  • Coaching and therapy services through Lyra for Lyrians.
  • Discretionary restricted stock units and a 401(k) with up to 3% matching.
  • Paid vacation, sick days, company holidays, and parental leave.
  • Monthly technology allowance plus well-being perks and community activities.

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