Manager, Payer Enrollment

3 weeks ago


West Long Branch, United States Allied Digestive Health Full time

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report.
- We are excited to announce that we are looking for a _**_Full-Time _**_Manager of Payer Enrollment _**_at our Corporate office in West long Branch._
- The_**_ _**_Manager of Payer Enrollment_** responsibilities are:

- Responsible for oversight of the enrollment process, development of relationships, and analysis to support the managed care function.
- Manages the enrollment process from initially engaging payers to finalizing contract language and rate-setting.
- Conducts data analysis to compare reimbursement scenarios for contract negotiations and budgets.
- Develop and foster positive working relationships with key health plan and third-party payor contracting and provider relations contacts.
- Oversees and manages the organization's enrollment process by interfacing with the organization’s credentialing vendor.
- Ensure appropriate measures are taken to enroll all providers with the appropriate payors within the organization.

The **_Manager of Payer Enrollment _**must have the following qualifications and/or experience:

- Bachelor's Degree preferred in the related field.
- Minimum 3-5 years of experience in healthcare preferred.
- Experience in value-based and managed care contracting preferred.
- Experience in payer enrollment and credentialing.
- We offer a competitive base salary, generous benefits, including: Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits._



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