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Manager, Enrollment Services - Healthcare

Manager, Enrollment Services - Healthcare

WalmartBentonville, AR, US
13 days ago
Job type
  • Full-time
Job description

Manager, Health and Wellness Enrollment Services

The Manager, Health and Wellness 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, monitors enrollment lifecycle activities, manages performance metrics, and leads a team focused on operational excellence and provider satisfaction.

You will be part of the Health and Wellness Provider Enrollment Services team, responsible for supporting provider and facility enrollment activities across various payer networks. The team ensures regulatory compliance, maintains operational efficiency, and fosters collaboration across internal and external stakeholders to ensure successful enrollment outcomes.

What You'll Do :

  • Lead a team of analysts to execute large-scale enrollment projects, oversee system updates, conduct root cause analyses, and manage reporting on key metrics such as productivity and quality across the team.
  • 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 on team KPIs related to performance, capacity, and growth, while identifying improvement opportunities.
  • Communicate with payers to resolve enrollment issues and escalate as needed.
  • Collaborate with cross-functional teams to implement process improvements and enhance enrollment systems, tools, and playbooks.
  • Develop and maintain training materials, process documentation, and operational playbooks for team effectiveness.

What You'll Bring :

  • Strong knowledge of healthcare provider enrollment regulations and payer processes.
  • Proven leadership skills with experience managing teams and driving performance improvement.
  • Excellent analytical, problem-solving, and project management capabilities.
  • Effective communication and relationship-building skills with both internal and external stakeholders.
  • Commitment to Walmart's values of integrity, respect, service, and excellence.
  • Minimum Qualifications :

  • Bachelor's degree in Business, Health Administration, or a related field.
  • 5+ years of experience in provider enrollment, healthcare compliance, or payer relations.
  • 2+ years of supervisory or management experience.
  • Knowledge of federal and state payer enrollment and billing regulations.
  • You'll Sweep Us Off Our Feet If :

  • You have experience leading large-scale provider enrollment operations.
  • You've implemented automation or digital transformation initiatives to improve enrollment efficiency.
  • You can forecast trends, identify process gaps, and proactively mitigate risks to maintain business continuity.
  • You have advanced proficiency in reporting and analytical tools such as Power BI, Tableau, Excel, PowerPoint, and BigQuery, with the ability to translate data insights into actionable business strategies.
  • You foster a culture of continuous improvement, belonging, and accountability within your team.
  • At Walmart Health and Wellness, we are committed to improving access to affordable, high-quality healthcare for our communities. Our Enrollment Services team ensures that our providers and facilities are properly credentialed and connected to payer networks, supporting seamless operations and patient care. We uphold Walmart's mission of helping people save money and live better by ensuring compliance, accuracy, and excellence in every enrollment process.

    At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and / or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.

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    Enrollment Manager • Bentonville, AR, US

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