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Full-timeDescriptionOpenLoop is looking for a Senior Manager of Payer Enrollment to join our team remotely or in our HQ located in Des Moines, IA. This role will be a member of the Operations Team, collaborating closely with the Director of Operations. In this role, you will lead the payer enrollment team, manage relationships with insurance companies, and oversee the entire enrollment process for our telehealth services. This role requires a strategic thinker with strong leadership skills and a deep understanding of payer requirements and telehealth regulations.
The Senior Manager will work closely with internal stakeholders and external partners to ensure successful payer relationships and compliant enrollment practices.
About the Role
Responsibilities include, but are not limited to:
- Provide payer credentialing and enrollment oversight for OpenLoop including project management for collection and submission of all facility, ancillary, and practitioner delegated and non-delegated payer credentialing and enrollment.
- Directs and leads the activities of the Payer Credentialing and Enrollment team. Mentors, coaches and leads staff by providing performance assessment and feedback and advising on professional development and quality performance.
- Directs the operational and financial activities of payer credentialing and enrollment function.
- Create and maintain realtime reporting insight into payer enrollment activities both at the individual provider level and at the practice group enrollment level.
- Facilitate responsibilities and frames the implementation of strategies, policies, procedures to be operationally effective to achieve desired performance.
- Demonstrates leadership, collaboration, critical thinking, and teamwork when facilitating operational decisions and resolving issues.
- Demonstrates leadership competencies of team building, vision creation, and influence. Incorporates change with leadership strategies through building a compelling vision, understanding the perspectives of the stakeholders, identification for tactics to elicit commitment and address resistance.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, OpenLoop's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
- Collaborates with health care executives in executing the organizational mission, vision and goals. Provides vision and strategic support and directs the integration of the payer credentialing and enrollment team.
- Serves as an expert to communicate payer credentialing and enrollment issues at the system and state levels of the organization.
- Develops resource utilization strategies to improve organizational performance. Strategies reflect the changing societal and health care environments and the economic climate.
Requirements
- 7+ years of experience in payer enrollment, provider relations, or a similar role, with at least 2-3 years in a managerial or leadership position.
- Bachelor’s degree in Healthcare Administration, Business Administration, or a related field preferred
- Must possess a comprehensive knowledge of payer credentialing and enrollment through equivalent combination of education and experience.
- Experience and proven success record with telehealth payer enrollment.
- Must be comfortable in a fast-paced, highly tech-enabled environment where collaboration and competency with technology tools will be required.
- Strong analytical skills and metric/data-based focus.
- Highly developed verbal and written communication, persuasion and negotiation skills in order to effectively identify and coordinate services, assess organizational development opportunities, facilitate improvements, and present advisory, persuasive and authoritative recommendations to all levels of management and team members.
- Advanced business management skills to develop new or enhance existing operational and system strategies, policies and programs. Executive project management skills to lead strategic initiatives, identify and prioritize business needs, provide effective solutions and manage the necessary resources to accomplish goals and objectives.
About OpenLoop
OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring healing anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.
Our Company Culture
We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.Sound like a good fit? We’d love to meet you.Salary Description$80,000- $90,000
