Manager, Payor Enrollment

More Than Just Care, It’s Community   Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.   If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You   - Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.  - Thrive: Full benefits, paid holidays, 29 days of PTO, management incentive program, employee discounts, and free individual retirement counseling.  - Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges.  - Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings   The Manager, Payor Enrollment oversees the payer enrollment team, responsible for system-wide enrollment of providers, facilities, pharmacies, DME, and related entities. Collaborates with credentialing, onboarding/provider relations, medical staff services, and operational leadership to ensure efficient and compliant enrollment throughout the credentialing and onboarding process. - Lead and coordinate all payor enrollment activities, ensuring timely submissions, approvals, and maintenance of active provider enrollments. - Serve as the primary escalation point for complex enrollment and credentialing issues, partnering with health plans to resolve challenges and implement solutions. - Monitor enrollment operations, including status updates, team inquiries, audits, KPI reporting, and final review of payer submissions. - Collaborate with credentialing, onboarding, revenue cycle, and operational teams to support provider onboarding, enrollment compliance, and resolution of enrollment-related denials and underpayments - Bachelor’s degree required. - Minimum of five (5) years of experience in physician services, revenue cycle, or another healthcare-related field required. - Three (3) years of management or leadership experience preferred. - Knowledge of payor requirements required; knowledge of NCQA credentialing standards and the ability to interpret data within computerized information systems preferred. Are you Munson Material? Apply today!  Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.