Summary

The Provider Enrollment Supervisor oversees the provider enrollment team and is responsible for ensuring timely and accurate enrollment, maintenance, and renewal activities for the USVI Medicaid program.  This role ensures compliance with regulatory standards, payer requirements, and internal policies while optimizing workflows for efficiency and accuracy.

Your role in our mission

• Supervise daily operations of the provider enrollment team, assigning and monitoring workloads and ensuring productivity goals are met.
• Monitor enrollment timelines to avoid delays that could impact billing and reimbursement.
• Train and mentor enrollment staff; conduct performance evaluations and provide coaching as needed.
• Develop, implement, and refine policies, procedures, and workflows related to enrollment.
• Stay informed of payer and regulatory changes affecting provider enrollment; update internal processes accordingly.

What we're looking for

• Strong knowledge of provider enrollment regulations and payer requirements.
• Proficiency in provider enrollment systems (e.g., PECOS, CAQH) and payer portals.
• Associate or bachelor’s degree in healthcare administration, business, or a related field preferred.
• 3–5 years of experience in provider enrollment, credentialing, or healthcare operations.
• 1–2 years of supervisory or lead experience preferred.

What you should expect in this role

• Prepare and analyze reports on enrollment metrics, backlog status, and issue resolution.
• Serve as a point of contact for escalations and complex provider enrollment issues.
• Oversee and participate in the preparation, submission, and tracking of provider applications for the USVI Medicaid program.
• Excellent leadership, communication, and organizational skills.
• Ability to manage competing priorities in a deadline-driven environment.

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