Manager, Provider Enrollment

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members at more than 1,300 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.

As a reflection of our current needs and planned growth we are seeking an individual to join our organization as a Manager, Provider Enrollment. The Manager of Provider Enrollment plays a vital role within our Payor Strategy Team. The successful candidate will report to the Head of Payor Strategy Operations.

Essential Functions:

• Lead team of 14 Enrollment Specialists that oversee all Provider Enrollment for Aspen Dental.
• Organizes and leads the weekly Enrollment Team Meeting.
• Ensure that all new providers, re-credentialed providers and entity ownership changes are submitted to plans timely for all providers.
• Supervises, plans, directs, coordinates, and evaluates the work product of team members including their performance against established metrics.
• Establishes policies, procedures, toolkits, and best practices necessary for successful provider enrollment, including clear expectations for turnaround timeframes, required documentation, and tracking checklists.
• Ensures all facility/practitioner directory data is accurate and in good standing with plan partners.
• Ensures that all processing and reporting deadlines are consistently achieved.
• Responds to requests from management/staff/providers/outside entities related to enrollment of practitioners.
• Investigates escalations from field operations teams as received and follows through to resolution.
• Other duties as assigned.

Experience:

• Bachelor's degree (or equivalent experience) required.
• PESC, CPCS or CPMSM certified strongly preferred.
• 5-7 years of progressively responsible management or supervisory level payor enrollment experience in a health care setting with at least three (3) of these years' experience in a medium to large health system.
• Excellent verbal & written communications
• Excellent time management, prioritization, and organizational skills a must.
• Detail oriented with a strong level of analytical, and problem-solving skills.
• Proficient use of Microsoft Office Suite.
• Ability to work independently and proactively in a fast-paced, dynamic environment.
• Highly self-motivated, directed and proactive.
• Flexible and adaptable in regard to learning and understanding new technologies.
• Able to communicate effectively within department and with members of interdisciplinary teams.
• Demonstrates ability to lead, manage and motivate teams.
• In depth knowledge of credentialing, enrollment, CMS NCQA Standards
• Proven analytical and problem-solving abilities.
• Experience with credentialing/payor enrollment software preferred.

Annual Pay Range: $82-100k with bonus opportunity

A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match

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Salary : $82,000 - $100,000