Payer Enrollment Operations Manager

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Collaborate with IPA leadership to manage the administrative aspects of payer contracts, contract membership, payment distribution, and client service delivery.

• Work across various internal departments to assist clients in optimizing pay-for-performance programs, risk-sharing arrangements, and value-based contracts.

• Lead a team that may consist of an Operations Specialist and Membership Associates.

• Establish respectful, trusting, and productive relationships with internal departments, payers, and client practices.

• Collaborate with the Market Manager and IPA Operations Director on strategic initiatives and operational tracking.

• Oversee payer enrollments, reports, and payments.

• Manage payment distribution, payment reporting, and tracking processes.

• Develop, monitor, and report on Key Performance Indicators (KPIs) related to IPA operations.

• Provide oversight for care management programs, including third-party care management functions.

• Mentor, coach, and supervise direct reports.

• Oversee processes within the Membership team.

• Address inquiries from customers and prospective customers regarding membership, health plan contracts, incentive programs, and IPA information.

• Organize payer meetings for contract administration, updates, and issue resolution with payers.

• Conduct internal team meetings focused on client strategy, contract deliverables, progress reports, and implementation plans.

• Oversee the delivery of client communication and educational materials.

• Assist in recruitment efforts alongside the growth department and IPA Operations Director.

• Perform additional duties as required.

⛳️ Requirements

• Bachelor's degree in Business, Healthcare Administration, or a related field, or an equivalent combination of education and experience.

• At least 8 years of experience in a health plan, physician organization, physician office, or similar setting, in progressively responsible roles.

• Strong written and verbal communication skills.

• Excellent interpersonal skills with the ability to interact effectively and credibly at all levels within an organization.

• Capability to lead, persuade, and influence, especially in the context of developing customer relationships.

• Ability to effectively engage with customers while maintaining a professional business demeanor.

• Tact and diplomacy in fostering and sustaining positive working relationships.

• Proficient in interacting with a diverse range of associates and leaders, both internally and externally.

• Exceptional service ethic characterized by high energy, a positive attitude, and the willingness to go "the extra mile" for clients and colleagues.

• Strong analytical and consultative thinking skills to address customer issues and create new business opportunities.

• Project management skills with the ability to prioritize multiple projects and meet various deadlines.

• Superior organizational skills to manage multiple simultaneous projects and associated work teams.

• Proficient in the Microsoft suite.

• Familiarity with Google suite.

• Previous management experience is preferred.

• Job involves extended periods of sitting and using a computer screen.

• Work hours may extend beyond the usual workday as necessary to serve clients and meet deadlines.

🏝️ Benefits

• Flexible work schedules and remote work options are available for many positions.

• Health, dental, and vision insurance coverage is provided for employees, dependents, and domestic partners, with up to 80% paid.

• Comprehensive time-off plan that includes 21 days of paid time off (PTO) in the first year.

• Two paid volunteer days and 11 paid holidays annually.

• 12 weeks of paid parental leave for all new parents.

• Six weeks of paid sabbatical after six years of service.

• Educational Assistant Program and Clinical Employee Reimbursement Program available.

• 401(k) plan with up to a 4% match.

• Stock options available.

• Bonus opportunities.

• Commitment to equal opportunity employment.