Provider Enrollment Manager

Lead a High-Impact Team Supporting World-Class Orthopedic Care

Are you a provider enrollment and credentialing leader who enjoys building strong teams, streamlining complex processes, and driving operational excellence? At OrthoVirginia, Virginia's largest provider of orthopedic and therapy care, we're seeking a Provider Enrollment Manager to lead a critical function that helps our providers deliver exceptional patient care from day one.

In this highly visible leadership role, you'll oversee provider enrollment, credentialing, recredentialing, and privileging operations while partnering with leaders across the organization to ensure our physicians and advanced practice providers are positioned for success. Your work will have a direct impact on provider onboarding, revenue cycle performance, regulatory compliance, and organizational growth.

If you're passionate about improving processes, developing people, and creating exceptional operational outcomes, we'd love to hear from you.

Why This Role Matters

The Provider Enrollment Manager plays a pivotal role in ensuring providers are credentialed, enrolled, and ready to care for patients without unnecessary delays. As a trusted leader and subject matter expert, you'll help shape scalable processes, drive continuous improvement initiatives, and support the growth of an organization committed to delivering outstanding patient care throughout Virginia.

What You'll Do
As our Provider Enrollment Manager, you will:

• Lead and develop a high-performing team responsible for provider enrollment, credentialing, recredentialing, and privileging activities.
• Ensure providers are ready to practice and bill efficiently by overseeing timely, accurate enrollment with commercial and government payers.
• Serve as the organization's expert resource on provider enrollment, credentialing, privileging, and regulatory requirements.
• Partner closely with Revenue Cycle and operational leaders to resolve enrollment-related challenges, minimize reimbursement delays, and support financial performance.
• Drive process improvement initiatives by evaluating workflows, identifying efficiencies, and implementing best practices that enhance service and scalability.
• Leverage technology and data to optimize enrollment and credentialing systems while establishing meaningful performance metrics and reporting.
• Build strong relationships across the organization, collaborating with providers, practice leaders, hospital partners, and key stakeholders.
• Support organizational growth initiatives, including provider onboarding, acquisitions, and practice integrations.
• Manage vendor partnerships, departmental resources, and budgets while contributing to broader organizational objectives.

What Success Looks Like
In this role, you will:

• Create a seamless enrollment and credentialing experience for providers.
• Maintain high standards of compliance while reducing administrative barriers and delays.
• Develop an engaged, accountable, and high-performing team.
• Implement process improvements that increase efficiency and scalability.
• Provide leaders with meaningful operational insights through data, reporting, and performance metrics.
• Serve as a trusted partner to providers and operational leaders throughout the organization.

What We're Looking For

• Bachelor's degree in Business, Healthcare Administration, or a related field, or equivalent experience.
• At least 7 years of experience in provider enrollment, credentialing, medical staff services, or related healthcare operations.
• At least 3 years of leadership experience managing and developing high-performing teams.
• Strong knowledge of provider enrollment, credentialing, privileging, payer requirements, and regulatory compliance.
• Experience leading enrollment and credentialing functions within a healthcare organization, medical group, or multi-provider practice.
• Proven ability to improve processes, optimize workflows, and drive operational excellence.
• Experience with credentialing technology platforms, vendor management, and performance reporting.
• Strong collaboration, communication, and problem-solving skills, with an understanding of revenue cycle operations and provider onboarding.
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Compensation Range for this position:
$68,200.00 - $102,300.00

Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.