(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.

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.

Strong understanding of healthcare provider enrollment processes and payer requirements.

Excellent organizational and analytical skills with attention to detail.

Effective communication and problem-solving abilities.

Ability to manage multiple priorities in a fast-paced environment.

Commitment to Walmart's values of integrity, respect, service, and excellence.

Bachelor's degree in Business, Health Administration, or a related field.

1+ years of experience in provider enrollment, healthcare operations, or payer relations.

Knowledge of healthcare enrollment regulations and performance metrics.

You have experience in provider or facility enrollment within a large healthcare organization.

You've implemented process improvements or automation to enhance enrollment accuracy and speed.

You proactively identify operational risks and implement solutions that improve performance.

You foster teamwork, collaboration, and continuous learning within your department.

Advanced knowledge and experience using Microsoft Office tools, particularly Excel, Word, Adobe Acrobat, and PowerPoint.

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.