1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific poli
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific poli
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific), and
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific), and
● Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial orMedicaid, depending on the requirement.● Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollmentprocesses, and revalidation cycles.Key Responsibilities1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations4. Process Improvement5. Mentorship & Team Support6. Documentation & Reporting experience5
● Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial orMedicaid, depending on the requirement.● Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollmentprocesses, and revalidation cycles.Key Responsibilities1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations4. Process Improvement5. Mentorship & Team Support6. Documentation & Reporting experience5