Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Sr Manager, Payer Enrollment to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

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  We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few.

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  As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.

Essential Functions:

PRIMARY

• Leads the day-to-day functions of the Payer Enrollment team, which consist of reviews, design, & implements processes surrounding the success of the payer enrollment lifecycle by monitoring metrics, as well as ensuring timeliness of and accuracy of payer enrollment activities related to the department.
• Develops and makes recommendations on policies, guidelines, and implements procedures to ensure consistent department-wide implementation and adherence. Makes recommendations on work-flow processes throughout the payer enrollment cycle to assist in achieving consistency and success.
• Creates and maintain KPIs and goals for the payer enrollment team. Then maintains timeliness and effectiveness of department KPIs and goals and implements processes to identify gaps.
• Develops relationships with internal and external departments and provides regular status updates on the payer enrollment team related deliverables and organizational priorities.
• Oversees the payer enrollments of all physicians and mid-level practitioners according to health plan specifications.
• Monitor and track onsite physician office visits, and analyze and report findings as appropriate
• Holds monthly (or as warranted) meetings with all levels of management to review held claims, status of all current and pending payer enrollments as related to the department.
• Compiles and prepares a variety of reports for management to analyze trends and make recommendations
• Develops and maintains data integrity to specific company standards through audits and reports while ensuring adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals.
• Motivates self and overall team and supports supervisors within team to create a positive, productive, and efficient work environment supportive of our values while meeting and exceeding our company goals.
• Leads by example, within team and as a result overall staff in attitude and work performance that represents our values.
• Interviews candidates for positions that report to the Sr Manager, Payer Enrollment as necessary and assists other Managers/Supervisors with interviews as needed.
• Responsible for overseeing training for positions that report to the Sr Manager, Payer Enrollment and supporting training and coaching for those that report within the respective teams.
• Responsible for overseeing performance and any related counseling of positions that report to the Sr Manager, Payer Enrollment, up to and including recommendation for termination of employment.
• Recognizes strong individual and team performance in support of our values and company goals.
• Responsible for employees adhering to Standards of Operation, Core Values, and all other company policies.
• Responsible for overseeing annual review process for positions that report to the Sr Manager, Payer Enrollment.
• The ability to provide training to positions that report to the Sr Manager, Payer Enrollment on Company Standards of Operations, and supporting training and coaching within their respective teams.
• The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
• The ability to build and maintain confidence and credibility with all clients, vendors, and employees.
• The ability to maintain friendly, cordial relations with all clients, vendors, and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
• Ability to comply with Company Standards of Operations.
• Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness.

SECONDARY

• Analyze labor and work volume to determine staff level and coordinates with functional area managers/supervisors to meet work volume demands.
• Creates, prepares, and presents reports to management daily, weekly, monthly and upon request.