(USA) Senior Coordinator, Plan Enrollment

Senior Plan Coordinator, Enrollment Services

The Senior Plan Coordinator, Enrollment Services oversees the timely and accurate submission of provider and facility enrollment applications to payers and government agencies. This role ensures compliance with healthcare regulations, manages enrollment lifecycle activities, tracks key performance indicators (KPIs), and supports process improvements that promote efficiency and accuracy.

You will be part of the Health and Wellness Provider Enrollment Services team, responsible for managing provider and facility enrollment activities across payer networks. The team partners with internal stakeholders and external organizations to maintain compliance, streamline operations, and ensure uninterrupted claims processing.

What you'll do :

• Oversee the submission and monitoring of provider and facility enrollment applications to payers and state / federal agencies.
• Manage enrollment lifecycle activities such as re-enrollment, re-validation, and document submission to ensure uninterrupted claims processing.
• Track and report team KPIs related to performance, capacity, margin, and growth while identifying opportunities for improvement.
• Communicate with payers to resolve enrollment issues and escalate as needed.
• Identify trends and forecast scenarios that may impact enrollment timelines, business continuity, or revenue.
• Support process improvements, tool enhancements, and automation to improve enrollment efficiency and accuracy.
• Contribute to developing training materials, playbooks, and resources for the Payor Enrollment team.

What you'll bring :

Minimum qualifications :

You'll sweep us off our feet if :