Manager Provider Enrollment

UNC Health; North Carolina; Hybrid; USD 90,000 - 120,000; Full time

Job summary

UNC Health is seeking a Provider Enrollment Manager to oversee the Provider Enrollment Department. The role provides strategic oversight, staff leadership, and process improvement with strong reliance on performance metrics to drive enrollment turnaround times.

The manager will be responsible for day-to-day enrollment activities, directing operations, and measuring service levels to ensure high-quality provider enrollment services across the organization.

Qualifications

• Requires five (5) years of experience in provider enrollment.
• Bachelor’s degree in relevant field.
• No licensure or certification required.

Responsibilities

• Provider Enrollment Activities- Designs and maintains workflow to ensure that all new hires, and/or new groups, are enrolled in the appropriate designation. Provides development, training and implementation of credentialing process and procedures. Manages credentialing staff performance making sure they adhere to the guidelines and standards set. Recognizes, maintains, and complies with legal regulatory, accrediting and procedural requirements related to provider enrollment.
• Results Driven- Exceeds organizational goals and customer expectations. Makes decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Delivers high-quality services and is committed to continuous improvement. Fosters a culture of safe and compassionate patient care. Makes well-informed, timely decisions, even when data are limited or solutions produce unfavorable results. Positions the organization for success by identifying new opportunities and builds the organization by developing and improving services.Leads the budgeting process. Uses cost-benefit thinking to set priorities, monitors expenditures in support of programs and policies, and identifies cost-effective approaches.
• Leading People- Leads people toward meeting the organization's vision, mission, and goals. Ensures that division goals match those of the organization and that resources are allocated to meet priorities. Establishes an environment that creates incentives for, and eliminates barriers to, a team environment. Articulates common goals and communicates how individual roles contribute to team success.
• Leading Change- Acts as a catalyst for organizational change. Influences others to translate vision into action. Brings about strategic change, both within and outside the organization, to meet organizational goals. Establishes an organizational vision and implements it in a continuously changing environment. Is open to change and new information and rapidly adapts to new information, changing conditions, or unexpected obstacles. Deals effectively with pressure and remains optimistic and persistent, even under adversity. Recovers quickly from setbacks. Formulates objectives and priorities, and implements plans consistent with the long-term interests of the organization. Capitalizes on opportunities and manages risks. Takes a long-term view and builds a shared vision with others.

Skills

Results Driven

Leading People

Leading Change

Provider Enrollment Activities

Education

Bachelor’s degree

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary

The HCS- Provider Enrollment Manager is responsible for the overall performance of the Provider Enrollment Department. Strategic oversight of the enrollment process, staff leadership, and process improvement. Relying heavily on performance driven metrics to produce standard work and turnaround times on enrollment. The manager is responsible and accountable for all day-to-day provider enrollment activities and operations, as well as direction, decision making and measurement of service levels to ensure high quality service.

Responsibilities

• Provider Enrollment Activities- Designs and maintains workflow to ensure that all new hires, and/or new groups, are enrolled in the appropriate designation. Provides development, training and implementation of credentialing process and procedures. Manages credentialing staff performance making sure they adhere to the guidelines and standards set. Recognizes, maintains, and complies with legal regulatory, accrediting and procedural requirements related to provider enrollment.
• Results Driven- Exceeds organizational goals and customer expectations. Makes decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. Holds self and others accountable for measurable high-quality, timely, and cost-effective results. Delivers high-quality services and is committed to continuous improvement. Fosters a culture of safe and compassionate patient care. Makes well-informed, timely decisions, even when data are limited or solutions produce unfavorable results. Positions the organization for success by identifying new opportunities and builds the organization by developing and improving services.Leads the budgeting process. Uses cost-benefit thinking to set priorities, monitors expenditures in support of programs and policies, and identifies cost-effective approaches.
• Leading People- Leads people toward meeting the organization's vision, mission, and goals. Ensures that division goals match those of the organization and that resources are allocated to meet priorities. Establishes an environment that creates incentives for, and eliminates barriers to, a team environment. Articulates common goals and communicates how individual roles contribute to team success.
• Leading Change- Acts as a catalyst for organizational change. Influences others to translate vision into action. Brings about strategic change, both within and outside the organization, to meet organizational goals. Establishes an organizational vision and implements it in a continuously changing environment. Is open to change and new information and rapidly adapts to new information, changing conditions, or unexpected obstacles. Deals effectively with pressure and remains optimistic and persistent, even under adversity. Recovers quickly from setbacks. Formulates objectives and priorities, and implements plans consistent with the long-term interests of the organization. Capitalizes on opportunities and manages risks. Takes a long-term view and builds a shared vision with others.

Other Information

Other information:

Education Requirements

• Bachelor’s degree in relevant field

Licensure/Certification Requirements

• No licensure or certification required.

Professional Experience Requirements

• Requires five (5) years of experience in provider enrollment. If Associate’s degree, requires nine (9) years of experience in provider enrollment. If High School diploma, requires thirteen (13) years of experience in provider enrollment.

Job Details

Legal Employer: NC Health
Entity: Shared Services
Organization Unit: Managed Care
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.