Director, Provider Enrollment & Enterprise Impact

Boston Children's Hospital; Westwood (MA); On-site; USD 150,000 - 210,000; Full time

Job summary

Boston Children’s Hospital is seeking a Director of Provider Enrollment to lead enrollment across the hospital, Physicians’ Organization, and related foundations. The role oversees Medicaid enrollment, ensures regulatory compliance, and partners with senior leaders to improve efficiency and outcomes.

The position requires extensive experience in provider enrollment, strong leadership and project management skills, and the ability to drive enterprise-wide initiatives.

Qualifications

• Bachelor’s degree required; Master’s degree in Healthcare Administration or related field preferred.
• Minimum of 8 years of related experience, including 5 years of progressive management experience.
• Strong working knowledge of provider enrollment principles, processes, and regulatory requirements.

Responsibilities

• Provides strategic direction and operational oversight for provider and facility enrollment across the enterprise.
• Oversees contracted payer, government, and out-of-state Medicaid enrollment activities, ensuring timely, accurate, and compliant submissions.
• Leads and develops the Provider Enrollment team, including managers and staff; establishes priorities, delegates effectively, develops talent, and fosters accountability and continuous improvement.
• Uses data, analytics, and performance metrics to identify opportunities, evaluate outcomes, and drive process improvements across provider enrollment functions.
• Leads strategic and tactical projects with enterprise-wide impact, managing multiple initiatives, timelines, resources, and stakeholder needs.
• Partners with PO Billing, Patient Financial Services, Government Relations, Payer Relations, Medical Staff Services, and other clinical and administrative leaders to improve enrollment processes and outcomes.
• Identifies opportunities to leverage technology and develop efficient, scalable models for provider enrollment across multiple entities.
• Develops, maintains, and implements policies, procedures, and governance related to provider enrollment.
• Oversees the Provider Enrollment budget and collaborates with leadership on staffing, resources, and strategic priorities.
• Collaborates with the Sr. Director, Medical Staff Services, to identify opportunities for process integration and improvement across related functions.
• Serves as a strategic partner to senior leaders, using sound judgment, analytical expertise, and cross-functional influence to address complex issues and support decision-making.

Skills

Leadership

Project management

Analytics

Communication

Influencing skills

Strategic thinking

Education

Bachelor’s degree

Master’s degree in Healthcare Administration

Job description

Boston Children’s Hospital is seeking a Director of Provider Enrollment to lead enrollment across the hospital, Physicians’ Organization, and related foundations. The role oversees Medicaid enrollment, ensures regulatory compliance, and partners with senior leaders to improve efficiency and outcomes.

The position requires extensive experience in provider enrollment, strong leadership and project management skills, and the ability to drive enterprise-wide initiatives.