Michigan Payer Enrollment Operations Manager (Healthcare)

Location: Remote; strong preference for candidates based in Michigan, with candidates anywhere within the US considered. Listed locations: Ann Arbor, Detroit, Novi, or Grand Rapids, Michigan.

Salary: $90,000–$110,000 per year base, plus bonus and equity.

Company

hirify.global is a public benefit corporation supporting independent primary care practices, health centers, and clinics through value-based contracts and care delivery programs.

What you will do

• Oversee payer contracts, payer enrollment, contract membership, payment distribution, payment reporting, and client services delivery.
• Partner with IPA leadership, market management, operations, growth, payers, and client practices on contracting, payments, provider recruitment, membership, population health, physician alignment, care management, and health information technology initiatives.
• Monitor operational reports and key performance indicators, and oversee care management programs and third-party care management performance.
• Lead and develop the Operations Specialist and Membership team, including coaching, meeting coordination, communications, and membership process oversight.
• Coordinate payer meetings, resolve contract administration issues, respond to customer and prospective customer questions, and support client strategy, education, and communication.

Requirements

• Bachelor’s degree in Business, Healthcare Administration, or a related field, or an equivalent combination of education and experience.
• 8+ years of experience with a health plan, physician organization, physician office, or similar employer in progressively more responsible positions.
• Strong written and verbal communication, excellent interpersonal skills, and the ability to interact credibly with customers, leaders, payers, clients, and internal and external associates.
• Ability to lead, persuade, and influence, particularly in customer relationship development, while maintaining tact, diplomacy, and a professional business manner.
• Strong service ethic, high energy, positive attitude, and commitment to supporting clients and teammates.
• Strong analytical and consultative thinking used to solve customer problems and generate new business opportunities.
• Project management skills, including prioritizing multiple projects, meeting deadlines, and managing simultaneous projects and associated work teams.

Nice to have

• Familiarity with Microsoft Suite.
• Familiarity with Google Suite.
• Prior management experience.

Culture & Benefits

• Remote-first culture with flexible work schedules and remote work available for many roles.
• Health, dental, and vision insurance paid up to 80% for employees, dependents, and domestic partners.
• 21 days of PTO in the first year, two paid volunteer days, and 11 paid holidays.
• 12 weeks of paid parental leave, plus a six-week paid sabbatical after six years of service.
• Educational assistance, clinical employee reimbursement, a 401(k) with up to a 4% match, and stock options.