Business Manager sourcing and developing new business for US Foods. Achieving sales targets and providing support to Territory Managers in foodservice distribution.
About the role
- Provider Enrollment Manager managing Medicaid provider enrollment and compliance at HMS, a Gainwell Company. Ensuring operational efficiency and high-quality service delivery within healthcare enrollments.
Responsibilities
- Manage the end-to-end Medicaid provider enrollment process, ensuring compliance with CMS and state requirements
- Day-to-day operations of the provider enrollment lifecycle including new enrollments, revalidations, and maintenance updates
- Supervise staff performance to meet or exceed Service Level Agreements, turnaround times, and quality targets
- Ensure compliance with state and federal regulations, manage team performance, and partner closely with clients and internal stakeholders to deliver accurate, timely, and high-quality enrollment processing
- Utilize the Medicaid Management Information System (MMIS) as the system of record for updating provider data, uploading approved enrollment documents, and maintaining data accuracy
- Oversee workflow and document processing using OnBase (Hyland) for document imaging, indexing, and secure storage
- Use Verint Workforce Management (WFM) tools to monitor productivity, adherence, and staffing needs
- Develop and maintain Standard Operating Procedures, training materials, and quality control procedures
- Analyze trends and data to guide strategic planning and continuous improvement initiatives.
Requirements
- Bachelor’s degree in healthcare administration, business administration, public health, or a related field
- Minimum of five (5) years of experience in Medicaid provider enrollment, credentialing, or similar healthcare operations functions
- At least three (3) years supervisory or management experience, leading teams in an operational or production-driven highly matrixed environment
- Working knowledge of Medicaid Management Information Systems (MMIS) and Medicaid provider data standards
- Exceptional written and oral communication and people skills.
Benefits
- generous, flexible vacation policy
- educational assistance
- comprehensive health benefits
- 401(k) employer match
- leadership and technical development academies
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