Director of Provider Enrollment (96% Remote)

This is one of the largest faith-based, non-profit healthcare systems in Texas! I have placed with this system several times and can tell you about their financial viability, their culture, and their constant aim towards excellent patient care. 

This role is only open because the current employee is retiring after being with the organization for over 18 years! Reporting up to the VP of Patient Financial Services and Revenue Cycle, this leader will have six direct reports and be direct partners with other departments such as Legal, Compliance, Managed Care, Medical Staff Services, Revenue Cycle, and Finance.

The Director of Provider Enrollment will provide strategic and operational leadership for enterprise-wide providers and facility enrollment activities across government and commercial payers. This role will ensure timely and accurate enrollments, revalidations, and CMS attestations to support clean claims submission and timely reimbursement.

Key Responsibilities Include:

• Oversee daily payer enrollment operations to ensure accuracy and timeliness.
• Establish and maintain policies and procedures supporting enrollment operations
• Ensure provider profiles and rosters are complete, current, and accurate
• Partner with billing and revenue cycle teams to resolve enrollment related issues impacting reimbursement
• Build and maintain strong relationships with payers, vendors, and internal stakeholders
• Serves as a subject matter expert on provider enrollment regulations, requirements, and industry changes

This director will be mostly remote with the following expectations:

• This person does NOT have to maintain residence in Texas.
• Expect to come to the office once a month for the first six months for onboarding, acclimation with the team, and ramp up.
• Once that is complete, they will come to the office once a quarter.

Salary: The midpoint for this role is $135,000 with a swing on either side based on years of experience and education. This also comes with a 20% Management Incentive Bonus.

Requirements:

• Bachelor’s degree in healthcare administration or a related field required
• 10 or more years of experience in a large integrated healthcare system
• 5 or more years of experience in provider enrollment and/or revenue cycle functions
• 3 or more years of leadership experience
• Strong knowledge of governmental and commercial payer enrollment requirements
• Familiarity with PECOS and state Medicaid enrollment systems preferred

For IMMEDIATE consideration, send your resume to [email protected]