Senior Manager / Director, Payer Enrollment Operations

2 hours, 48 minutes ago
Full-time
Lead
Project and Program Management
Medallion

Medallion

Medallion is a healthcare operations platform that automates credentialing, enrollment, and licensing processes, saving time and increasing revenue for healthcare companies.

Health Care Providers & Services
51-250
$85M raised

Description

  • Lead operational implementation through go-live, including team setup, workflows, reporting, and client cadence.
  • Build account instrumentation to track files, blockers, commitments, and performance.
  • Own delivery against contractual SLAs and SLOs, including turnaround, quality, deficiency response, and revalidation timelines.
  • Serve as the primary operational contact for client stakeholders and own client health, satisfaction, reviews, escalations, and reporting.
  • Lead onshore, offshore, and potential BPO teams, managing performance against SLAs.
  • Resolve escalated enrollments and partner with payer relationships teams on delays, rejections, and discrepancies.
  • Establish capacity planning, shift coverage, performance reviews, coaching, and performance management processes.
  • Partner with Product and Engineering to automate manual work, reduce rework, and improve handoffs.
  • Own account economics, including productivity, automation rate, and cost to serve.
  • Develop playbooks and expand responsibility to additional enterprise clients after stabilization.

Requirements

  • 5+ years of experience in strategy and operations, BizOps, management consulting, program management, or operations leadership, ideally at a high-growth company.
  • Demonstrated ownership of outcomes for initiatives that were launched, fixed, or scaled, supported by measurable results.
  • Strong bias for action and ability to make decisions with incomplete information.
  • Structured problem-solving skills and comfort managing KPI dashboards and identifying root causes.
  • SQL experience is a plus.
  • Experience leading offshore, distributed, or vendor teams.
  • Strong client-facing presence, including executive reviews, escalation management, and proactive communication of risks.
  • Clear and concise communication across organizational levels.
  • Payer enrollment, credentialing, revenue cycle management, or healthcare operations experience preferred.
  • Experience managing BPO or offshore operations, launching large enterprise customers, or working at a startup preferred.

Benefits

  • Base salary range of $175,000–$215,000.
  • Equity included in the total compensation package.
  • Benefits included as part of the total compensation package.
  • Remote role.

Interested in this position?

Apply directly on the company website

Apply Now

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