Executive Director, Payer Enrollment & Strategy

Assured Health; New York (NY); On-site; USD 180,000 - 260,000; Full time

Job summary

Assured Health seeks a Director of Payer Enrollment to lead commercial, government enrollment, and contracting efforts in New York. You will own enrollment metrics, drive cycle time reduction, and partner with Operations, Sales, and Product teams to optimize payer relationships and compliance.

You will manage a cross-functional team, oversee contracting and enrollment tooling (Availity, CAQH, PECOS, CMS I&A, NPPES), and set quality standards and KPIs for performance and customer satisfaction.

Qualifications

• Experience scaling payer enrollment or operations at a large provider organization.
• Experience leading managers and multi-function teams.
• Executive-facing customer experience.
• Deep understanding of provider enrollment processes and regulations.
• Familiarity with CAQH, PECOS, NPPES, and commercial payer systems.
• Strong project management, analytical, and problem-solving skills.
• Excellent verbal and written communication.
• Ability to manage multiple priorities and deadlines.
• Proficiency in healthcare software systems and Microsoft Office Suite.
• Customer escalation handling and executive presence.
• A clear management philosophy and approach to team organization.
• Building and refining SOPs and quality bars.
• Customer enrollment strategy.
• Metrics-driven management using data or BI tools.

Responsibilities

• Own turnaround, quality, and rework across the full payer enrollment team (commercial, government, and contracting).
• Oversee the Contracting team, ensuring timely implementation and communication with customers.
• Develop and implement strategies to reduce enrollment cycle time and reimburse delays.
• Establish and maintain relationships with commercial and government payers.
• Ensure compliance with regulations, accreditation standards, and payer requirements.
• Track KPIs for turnaround, quality, rework, denial rates, and provider participation.
• Collaborate with Credentialing, Licensing, Sales, Customer Success, and Product Development.
• Own payer enrollment tooling and systems strategy (Availity, CAQH, PECOS, CMS I&A, NPPES).
• Set SOP templates and quality bars, prioritize customer SOPs, and define a North Star enrollment strategy.
• Build a unified QA and SLA view across customers.
• Identify areas for process improvement and lead optimization initiatives.
• Prepare and present reports to executive leadership on enrollment status and trends.
• Lead pre-contract discovery and executive customer strategy for strategic customers.
• Build the payer enrollment team structure, roles, training, and SME team.

Skills

Payer enrollment leadership

Multi-functional team leadership

Executive-facing communication

Project management

Analytical problem-solving

Verbal and written communication

Prioritization & deadline management

Customer escalation handling

Data/BI driven decision making

SOPs and quality governance

Enrollment strategy

MS Office proficiency

Tools

CAQH

PECOS

NPPES

CMS I&A

Availity

Job description

Assured Health seeks a Director of Payer Enrollment to lead commercial, government enrollment, and contracting efforts in New York. You will own enrollment metrics, drive cycle time reduction, and partner with Operations, Sales, and Product teams to optimize payer relationships and compliance.

You will manage a cross-functional team, oversee contracting and enrollment tooling (Availity, CAQH, PECOS, CMS I&A, NPPES), and set quality standards and KPIs for performance and customer satisfaction.