Full Job Description
Senior Manager, Member Enrolling & Billing Operations is responsible for leading multiple operational teams supporting member enrollment & billing; as well as leading operations within the Provider Enrollment area as well. This leader will drive operational excellence, client satisfaction, quality, productivity, and continuous process improvement while developing a high-performing team.
Key responsibilities:
- Lead managers and supervisors responsible for member enrollment & billing operations
- Drive achievement of client SLAs, quality metrics, productivity and financial targets
- Partner with clients and internal stakeholders to identify operational improvements
- Coach and develop leaders while fostering a culture of accountability and continuous improvement
- Monitor operational performance through reporting and key performance indicators
- Manage staffing, workforce planning, and capacity forecasting
- Identify opportunities for automation, standardization, and process optimization
- Manage escalations and implement corrective action plans to improve client satisfaction
Qualifications
Preferred Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field
- 7+ years of leadership experience in healthcare operations
- 3+ years leading managers or senior-level leaders
- Experience supporting payer operations
- Strong understanding of the healthcare provider lifecycle and payer operations
- Experience in provider data management, credentialing, member enrollment, claims or related healthcare operations
- Proven ability to manage large operational teams
Additional Information