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  • Own end-to-end enrollment outcomes for your customer portfolio and be accountable for SLA performance and client satisfaction.
  • Manage an on/offshore team of enrollment specialists: set goals, build capacity plans and develop talent.
  • Identify and resolve root causes of client issues by coordinating cross-functional teams.

Strategy Operations Management Consulting Analytical Communication

20 jobs similar to New Senior Manager, Payer Enrollment Strategy & Operations

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$150,000–$160,000/yr
US

  • Lead and inspire a team of Patient Support Specialists.
  • Establish and refine team KPIs related to outreach volume and scheduling conversions.
  • Partner with clinical, engagement, and product teams.

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.

  • Enrolls providers new to Privia with all commercial health plans specific to the market.
  • Updates and maintains provider enrollment status in credentialing system, CredentialStream.
  • Performs follow up with health plans according to designated timeline, until Provider is PAR.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Privia Health consists of scalable cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

$90,000–$120,000/yr
US Unlimited PTO

  • Drive consistent achievement of monthly new case enrollment targets.
  • Strengthen collaboration between Marketing, Account Management, and Clinical teams.
  • Improve client satisfaction by supporting seamless onboarding.

Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. They guide individuals and families to top specialists, advanced diagnostics, and personalized care.

US

  • Own member engagement strategy across key channels, including telemarketing and live agent outreach, IVR, SMS, email, and direct mail.
  • Design end-to-end engagement journeys that improve member activation and action across use cases such as opt-in, kit activation and return.
  • Partner with Analytics, ML / AI, and operations teams to build targeting approaches and reporting that help understand what is and is not working.

Everlywell is a digital health company pioneering the next generation of biomarker intelligence, combining AI-powered technology with human insight to deliver personalized, actionable health answers. They transform complex biomarker data into life-changing insights and have delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners.

$150,000–$175,000/yr
US

  • Own and evolve the operating model for Maven’s Client Support function.
  • Lead and develop a team of Client Support Associates.
  • Bring the operational perspective into Product and Engineering conversations.

Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. They provide clinical, emotional, and financial support through a digital platform, trusted by over 2,000 employers and health plans, and they have an award-winning culture.

US

  • Serve as the primary operational lead for assigned studies.
  • Partner with sponsors and CROs as a key point of contact.
  • Proactively identify operational risks, including enrollment challenges and protocol-related issues.

M3 Wake Research is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical, biotechnology, medical device, pharmaceutical and clinical research organizations. With close to 30 owned and managed research sites across the country, M3 Wake Research is one of the largest independent, multi-site clinical research companies in the US.

$165,000–$210,000/yr
US

  • Lead, inspire, and mentor a high-performing team, fostering a culture of excellence and continuous learning.
  • Own commercial outcomes including net revenue retention, growth, and enrollment target achievement.
  • Collaborate cross-functionally to drive quick resolutions that showcase our commitment to member satisfaction.

Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for all. It's a company of over 2,000 employees and is known for its award-winning culture and commitment to innovation and providing equity in benefits programs.

$70,000–$110,000/yr
US

  • Oversee, manage, and continue to iterate on end-to-end delivery of Devoted’s card-based and supplemental benefit offerings to drive a compliant and financially optimal member experience.
  • Set and monitor KPIs for card-based and supplemental benefit administration and delivery.
  • Partner cross-functionally with Devoted Member Experience, Guide, Integration Ops, and tech teams to drive improvement.

Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. Founded in 2017, they've grown fast and now serve members across the United States.

US 4w PTO 12w maternity

  • Drive the creation of payer-specific marketing materials.
  • Serve as the primary owner for a portfolio of payer products and specialized payer projects.
  • Report on product and campaign performance and provide recommendations for product enhancement.

Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

US

  • Own product requirements for Medicare FFS enrollment workflows within HealthRules Payer, including enrollment transaction processing and plan benefit package configuration.
  • Drive accumulator configuration requirements for deductible, out-of-pocket maximum and benefit limit tracking across claim types and benefit periods.
  • Evaluate CMS rulemaking cycles and annual benefit design updates to assess downstream impact on HealthRules Payer configuration and adjudication behavior.

HealthEdge provides an integrated platform of solutions that enables health plans to converge their data and harness insights to improve outcomes. We are a team of visionary, empathetic people who believe technology should remove friction from healthcare and operate with a collaborative culture focused on making a real difference for payers and their members.

$99,000–$138,000/yr
US

  • Partner with client success to design and execute employer and member-facing enrollment and engagement strategies that support client goals.
  • Consult with employer clients to understand workforce demographics, tailoring marketing approaches to maximize relevance and adoption.
  • Lead the development and execution of integrated marketing plans, including open enrollment and launch campaigns.

Headspace aims to provide every person access to lifelong mental health support. They combine evidence-based content, clinical care, and innovative technology to help millions of members worldwide get personalized support. Their values shape their decisions, guide their collaborations, and define their culture.

US 4w PTO 12w maternity

  • Manage complex provider roster creation, submission, and record reconciliation for multiple payers.
  • Oversee resolution of moderate-scope issues by prioritizing tasks and escalating issues with solutions.
  • Proactively identify areas for operational improvement and efficiency enhancement.

Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

Canada 4w PTO

  • Partner daily with BPO leadership to own performance rhythms; manage outcomes by ensuring BPO teams embody and amplify Wealthsimple’s brand, values, and standards.
  • Own daily operational monitoring—tracking service level adherence, quality, CSAT, and handle time; diagnose root causes.
  • Lead and prepare operational reviews with partners; approach problems from first-principles to identify and lead initiatives.

Wealthsimple's mission is to help everyone achieve financial freedom – by making financial services simple, transparent, and low-cost. We're Canada's largest fintech, trusted by over 3 million clients with more than $100 billion in assets. They move fast, own their work, and care deeply about the people using their products.

US

  • Oversee enrollment and billing operations across all Government Programs including Medicare Advantage, Medicare Supplement, CHIP, and ACA products to ensure accuracy and operational performance.
  • Lead Medicare Advantage appeals and grievances operations to ensure timely, compliant resolution and audit readiness in accordance with CMS requirements.
  • Drive process improvement initiatives and cross-functional coordination to enhance regulatory outcomes, member experience, and operational efficiency.

Capital Blue Cross is a health insurance company and independent licensee of the Blue Cross Blue Shield Association that promises to go the extra mile for its team and community. It is consistently voted one of the 'Best Places to Work in PA,' fosters a flexible environment prioritizing health and wellbeing, and invests heavily in employee training and continuing education.

US Unlimited PTO 18w maternity

  • Manage end-to-end delegated credentialing operations across an assigned portfolio of payors.
  • Prepare, coordinate, and execute both pre-delegation and annual credentialing audits.
  • Build and deliver reporting packages for submission to delegated entities & payors.

Grow Therapy is a company that serves as a trusted partner for therapists growing their practice, and patients accessing high-quality care. They are powered by technology as a three-sided marketplace that empowers providers, augments insurance payors, and serves patients with over ten thousand therapists and hundreds of thousands of clients across the country.

US 3w PTO

  • Lead Customer Success Managers and oversee a portfolio of partnerships and scaled segments.
  • Build a unified 'Account Health' framework for every customer.
  • Professionalize CS operations to drive global retention through repeatable, data-driven playbooks.

Steer offers a suite of software tools for today's automotive repair shop, combining software tools needed to run a profitable shop into one platform. The company prides itself on innovation and approximately employs between 51-200 employees.

$160,000–$200,000/yr
US

  • Define and execute implementation playbooks that ensure repeatable, high-quality client launches across all clients.
  • Build a scalable, automation-first implementation model that enables growth without linear headcount increases.
  • Lead the handoff process between Sales (pre-contract) and Client Services (post-launch), ensuring continuity and alignment with multiple internal teams.

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients. Founded by Dr. Tom X. Lee, Galileo is a team of leading innovators from healthcare, technology, and human-centered design.

US

  • Serve as the primary day-to-day point of contact for a Fortune 50 client, building trusted relationships and translating feedback into action.
  • Directly guide operations and marketing teams, diagnosing what's driving or inhibiting recruitment, program completion, user engagement, and job placement.
  • Identify longer-term opportunities and surface them to engineering, product, and learning design teams, translating learnings into scalable operational processes.

Pathstream's career mobility platform helps companies invest in their employees’ growth –a win-win that increases retention, advances DE&I outcomes, and ultimately builds a highly competitive future-ready workforce from within. We’re a tight-knit, hardworking, mission-driven team of ~60 employees who are passionate about transforming access to economic opportunity at scale.

$91,187–$102,153/yr
Canada

  • Translate complex datasets into actionable insights that guide campaign strategy and optimize performance.
  • Function as a trusted consultant for internal and external stakeholders, translating data into meaningful strategic recommendations.
  • Manage campaign reporting, measurement, and insights generation, building compelling client-facing narratives that communicate impact.

Phreesia is dedicated to transforming the healthcare experience and empowering healthcare organizations. They are committed to helping healthcare organizations succeed by digitizing appointment check-ins and offering tools to engage patients. Phreesia values inclusivity, professional development, and growth opportunities.

Mexico

  • Ensure efficient processes and implement best practices.
  • Develop and execute project growth initiatives and lead a high-performing team.
  • Enhance systems to build, maintain, and grow client relationships.

Thrive is a digital marketing agency that supports growth for North American companies. They have built expertise across performance marketing, brand marketing, digital design, and data, managing over $5 billion USD in advertising spend.