Provider Enrollment & Credentialing Lead

County of Ventura; Santa Paula (CA); On-site; USD 75,000 - 110,000; Full time

Job summary

County of Ventura seeks a Provider Enrollment Manager to oversee third-party payor enrollments for the Health Care Agency. You will supervise enrollment operations, coordinate with credentialing teams, manage vendor activities, and maintain enrollment records in MDStaff—ensuring accurate roster changes and timely communications.

The role requires 4 years of administrative experience in provider enrollment, strong Word/Excel skills, and effective written and oral communication.

Qualifications

• Four (4) years of experience with administrative functions, including experience with the life cycle of provider enrollment and/or provider credentialing.
• Intermediate skills with Microsoft Word and Excel.
• Effective communication as demonstrated by application and supplemental question responses.

Responsibilities

• Manages/oversees the provider enrollment operations with private and government payors.
• Oversees the efficiency and accuracy of the provider enrollment vendor activities and billing processes.
• Oversees the monthly health plan rosters and timely communication of roster changes.
• Manages and maintain database provider enrollment records in MDStaff.
• Collaborate with the Hospital Medical Staff credentialing team regarding provider data necessary for timely payor enrollments.
• Monitors and investigates payor denials related to enrollments and roster discrepancies.
• Develops/manages department enrollment policies & procedures.
• Manages distribution and attestation process of health plan specific orientation/training requirements.
• Maintains documents related to enrollments and the provider enrollment applications.
• Manages the annual provider certificates of insurance in collaboration with the Agency’s malpractice carrier.
• Drafts database enrollment related reports to support the enrollment process.
• Creates accounts related to Practitioner Cerner HNAuser and Bedrock.
• Supervise and trains administrative support staff.
• Performs other related duties as required.

Skills

Microsoft Word

Microsoft Excel

Communication

Tools

MDStaff

PAVE (Medi-Cal)

PECOS (Medicare)

Job description

County of Ventura seeks a Provider Enrollment Manager to oversee third-party payor enrollments for the Health Care Agency. You will supervise enrollment operations, coordinate with credentialing teams, manage vendor activities, and maintain enrollment records in MDStaff—ensuring accurate roster changes and timely communications.

The role requires 4 years of administrative experience in provider enrollment, strong Word/Excel skills, and effective written and oral communication.