CommonSpirit Health

Sys Manager Governmental Payor Enrollments

CommonSpirit Health$80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Finance, Accounting, or related field preferred but not mandatory.
  • Minimum of 5 years of progressive experience in healthcare with a focus on government enrollments.
  • Strong understanding of payor enrollment processes, particularly with Medicare and Medicaid.
  • Experience in managing detailed documentation and data entry for enrollment applications.
  • Proficiency in government enrollment systems such as PECOS and PAVE.

Responsibilities

  • Oversee facility payor enrollments for governmental health plans including Medicare and Medicaid.
  • Coordinate and execute complete enrollment processes from data collection to application submission.
  • Collaborate with leadership, vendors, and payor reps to validate enrollment information.
  • Ensure timely submission of applications for review in line with governance and payor standards.
  • Work with governmental contractors to address enrollment issues and additional information requests.
  • Maintain systems proficiency to efficiently manage enrollment workflows.

Benefits

  • Opportunity to work in a system-level role with direct impact on healthcare operations.
  • Engage with a variety of stakeholders including facility leadership and government entities.
  • Potential for professional growth in a focused area of healthcare administration.
  • Access to innovative platforms for managing enrollment processes.
  • Contribute to operational continuity and revenue integrity for healthcare providers.
Full Job Description
Job Summary and Responsibilities

This system-level role is responsible for the management and oversight of facility payor enrollments, including governmental (e.g., Medicare, Medicaid) health plans. Responsibilities include the review, analysis, coordination, and submission of enrollment data required for all CommonSpirit Health providers and facilities.

While enrollment requirements vary across payors, this role ensures standardized, accurate, and timely enrollment processes across government entities.

This position focuses primarily on facility-level enrollments; however, it may support individual provider enrollments when necessary to ensure operational continuity and revenue integrity.
  • Provide oversight and execution of facility payor enrollments across governmental payor, including Medicare, Medicaid, and managed care/health plans.
  • Coordinate and complete end-to-end enrollment processes, including data collection, application completion, submission (manual and electronic), and follow-up for both government payors.
  • Partner with facility leadership, operational teams, third-party vendors, and payor representatives to collect, validate, and confirm accuracy of enrollment information to meet submission timelines and requirements.
  • Submit completed applications to designated Authorized/Delegated Officials for review and approval in accordance with internal governance and payor requirements.
  • Collaborate with governmental contractors to resolve enrollment requirements, deficiencies, and requests for additional information.
  • Gain and maintain proficiency in government enrollment systems (e.g., PECOS, PAVE) and credentialing platforms to manage enrollment workflows.


Job Requirements

Required
  • Bachelors Other Bachelor Admin degree in Finance, Accounting or Finance concentration preferred but not required
  • (Four to Six) 4-6 years Minimum of five (5) years of current progressive experience in a healthcare environment, with government enrollments background.

About CommonSpirit Health

CommonSpirit is a nonprofit health care center. They offer community health programs, research programs, virtual care services, and home health programs that address the root causes of poor health, such as access to care, affordable housing, neighborhoods, and a healthy environment.

CommonSpirit Health Careers

Join the dedicated team at CommonSpirit Health, a leader in healthcare innovation and community wellness. CommonSpirit Health offers a range of job opportunities that empower professionals to grow their careers in a supportive and diverse environment.

Explore Career Opportunities

CommonSpirit Health is actively hiring and offers a variety of positions that cater to different skills and career aspirations. From clinical roles to administrative positions, the company provides a platform for growth and professional development.

Experience a Culture of Care and Innovation

At CommonSpirit Health, the culture is grounded in diversity, leadership, and innovation. The team is committed to fostering an inclusive environment where every member’s contribution is valued. CommonSpirit Health leads with a spirit of compassion and a commitment to excellence in healthcare.

Join a Team That Values Diversity and Leadership

CommonSpirit Health believes in the power of diversity and leadership to drive innovation. The company invests in diversity training and leadership development programs, ensuring that all team members are equipped to lead with integrity and empathy.

Internship and Employment Opportunities

For those starting their career, CommonSpirit Health offers internship programs that provide hands-on experience in the healthcare industry. These internships are designed to develop essential skills and offer insights into various aspects of healthcare operations.

Benefits and Growth

Employees at CommonSpirit Health enjoy a comprehensive benefits package that supports both their professional and personal lives. The company is committed to the career growth of its employees, offering numerous opportunities for advancement and professional development.

Networking and Professional Development

CommonSpirit Health encourages networking and continuous learning. Employees have access to a wide range of professional development courses and are encouraged to connect with peers and leaders within the industry to enhance their career prospects.

Applying for a Position

To apply for a position at CommonSpirit Health, candidates should prepare their resume to highlight relevant experience and skills. The hiring process may include an interview to assess compatibility with the company’s values and culture. Interested candidates can explore job listings and submit applications through the CommonSpirit Health Careers portal.

Stay Connected with CommonSpirit Health Jobs

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Explore CommonSpirit Health Careers

Discover the rewarding career opportunities at CommonSpirit Health. With a commitment to community health, innovation, and compassionate care, CommonSpirit Health is an ideal place to advance a career in healthcare. Search open positions that match skills and interests and join a team that’s making a difference.

SEARCH COMMONSPIRIT HEALTH JOBS

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Learn more about CommonSpirit Health
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10,001 employees
Industry

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