Provider Enrollment Director

To enhance productivity and manage provider enrollment projects, the full-time remote Provider Enrollment Director will develop workflows, oversee departmental operations, and ensure compliance with insurance regulations while collaborating with clinical departments and payers. Key responsibilities Develop and implement policies and procedures for provider enrollment activities, ensuring alignment with access to care and reimbursement Monitor and report on enrollment timelines, productivity, and compliance with Medicare, Medicaid, and commercial payer regulations Facilitate relationships with insurers and internal stakeholders to improve enrollment accuracy and efficiency Required qualifications Bachelor's degree in healthcare or a business-related field; Master's degree preferred Seven years of progressive responsibility in provider enrollment, with five years in a supervisory or managerial role Expertise in Medicare, Medicaid, and commercial payer regulations Knowledge of EPIC PB Resolute and HIPAA compliance Strong understanding of clinical practice management and medical billing processes