Director, Provider Client Enrollment Liaison

Ventra Health; United States; Remote; USD 100,000 - 125,000; Full time

Job summary

An established industry player is seeking a Director, Provider Client Enrollment Liaison to enhance client relationships and optimize provider enrollment performance. This pivotal role involves analyzing data trends, presenting insights, and ensuring adherence to performance standards. The ideal candidate will possess strong analytical skills and a client-centric mindset, working closely with internal teams to drive efficiency and satisfaction. If you are passionate about improving healthcare operations and enjoy working in a dynamic environment, this opportunity is perfect for you.

Qualifications

• 5-7 years of experience in provider enrollment or healthcare operations.
• Strong understanding of provider enrollment and payer requirements.

Responsibilities

• Manage client relationships and monitor provider enrollment performance.
• Analyze data trends and present insights to clients and stakeholders.
• Collaborate with internal teams to improve enrollment processes.

Skills

Data Analysis

Client Relationship Management

Communication Skills

Problem-solving

Performance Metrics Management

Proficiency in Microsoft Excel

Knowledge of Revenue Cycle

Education

Bachelor's degree in healthcare administration

Experience in provider enrollment

Tools

Enrollment Software

Data Visualization Platforms (e.g., Power BI)

Job description

About Us

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Job Summary

• The Director, Provider Client Enrollment Liaison plays a critical role in managing client relationships and ensuring optimal performance outcomes related to provider enrollment functions. This client-facing position is responsible for monitoring data, analyzing performance trends, and presenting reporting insights to both internal stakeholders and external clients. The liaison will work closely with internal teams to drive adherence to PE performance SLAs and improve overall client satisfaction. Additionally, this role requires attending client onsite meetings and coordinating client requests for operational prioritization efforts. The Director, Provider Client Enrollment Liaison reports to the Vice President, Provider Enrollment.

Essential Functions and Tasks

• Serve as the primary point of contact for clients regarding provider enrollment performance.
• Build and maintain strong relationships with clients to ensure satisfaction and service excellence.
• Monitor enrollment data, track key performance indicators (KPIs), and proactively identify trends impacting performance.
• Analyze and interpret enrollment and credentialing reports to provide actionable insights to clients and internal stakeholders.
• Present data findings, performance outcomes, and strategic recommendations in client meetings and business reviews, including Quarterly Business Reviews and weekly/monthly touch bases with key stakeholders.
• Collaborate with internal teams, including operations, compliance, and revenue cycle management, to address performance gaps and improve efficiency.
• Ensure adherence to contractual SLAs and performance standards, working proactively to mitigate risks and resolve issues.
• Facilitate communication between internal teams and external clients to ensure seamless coordination in enrollment processes.
• Identify opportunities for process improvements and contribute to the development of best practices for provider enrollment.
• Stay updated on regulatory changes, payer requirements, and industry trends affecting provider enrollment.
• Attend client onsite meetings to foster strong relationships and address concerns in real time.
• Coordinate client requests for operational prioritization efforts to align with business objectives.

Education and Experience Requirements

• Bachelor's degree in healthcare administration, business, or a related field preferred.

• Minimum of 5-7 years of experience in provider enrollment, credentialing, or healthcare operations.

• Experience in a client-facing role with a focus on data-driven performance management.

• Familiarity with enrollment software and credentialing platforms is a plus.

Knowledge, Skills, and Abilities

• Strong understanding of provider enrollment, credentialing, and payer requirements in the healthcare industry.
• Strong understanding of overall Revenue Cycle.
• Ability to analyze and interpret large datasets to identify trends and performance insights.
• Proficiency in reporting tools, Microsoft Excel, and data visualization platforms (e.g., Power BI).
• Excellent verbal and written communication skills, with the ability to present complex data to clients in a clear and actionable manner.
• Strong relationship management skills with a client-centric mindset.
• Proven ability to manage multiple priorities and deadlines in a fast-paced environment.
• Experience working with SLAs, performance metrics, and process improvement initiatives.
• Problem-solving skills with a proactive approach to resolving client and operational challenges.
• Collaborative mindset with the ability to work cross-functionally with internal teams.
• Knowledge of regulatory requirements and compliance standards related to provider enrollment.

Travel

• Up to 25% of the time