Senior Managed Care Specialist-(PROVIDER ENROLLMENT)
LocationMemphis, TN
Work modehybrid
Typefull-time
SenioritySenior
Company size5,001–10,000 people
First seenOct 6, 2026 · 5d ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
Must have4
Independently execute and manage managed care tasks within own area of responsibility (e.g., provider enrollment and credentialing, claims, payor issues)
Work closely with internal and external teams (e.g., clients, customers) to coordinate, clarify information, and resolve issues
Support payer communications efforts (e.g., new publications, guidelines) and other supportive documentation
Manage denial issues related to contractual, enrollment or credentialing issues in a timely manner; monitor own delivery for compliance with overall guidelines, policies & procedures
Eligibility2
Perform other duties as assigned to meet the goals and objectives of the department and institution
Maintains regular and predictable attendance
About the role
The Senior Managed Care Specialist - PROVIDER ENROLLMENT is responsible for managing provider enrollment duties and tasks, implementing and maintaining all data and activities related to the enrollment of hospital employed or contracted physicians into all contracted insurance programs, including State Medicaid programs.
Their primary goal is to ensure efficient and cost-effective healthcare delivery while maintaining high-quality standards.
This position requires minimum of 2 days/week onsite
Job Responsibilities:
•
Independently execute and manage managed care tasks within own area of responsibility (e.g., provider enrollment and credentialing, claims, payor issues).
•
Work closely with internal and external teams (e.g., clients, customers) to coordinate, clarify information, and resolve issues.
•
Support payer communications efforts (e.g., new publications, guidelines) and other supportive documentation.
•
Manage denial issues related to contractual, enrollment or credentialing issues in a timely manner; monitor own delivery for compliance with overall guidelines, policies & procedures.
•
Perform other duties as assigned to meet the goals and objectives of the department and institution.