Enrollment Manager

Company Summary: We are a value-based, precision medicine company specializing in solutions for providers, patients, life science and EMS companies. With the emergence of value-based care, Integra Connect’s mission is to help specialty care providers succeed both clinically and financially. We accomplish this through a comprehensive offering of technology and services, unified by our cloud-based platform, combined with unmatched industry expertise. We are looking for like-minded individuals committed to making a difference in healthcare. Come join our growing team!Job Description:

The EMS Enrollment Manager oversees the daily operations and activities of the Integra Connect Enrollment Department for Product Delivery Support in accordance with CMS and local state agency guidelines. This position is responsible for managing people and establishing the direction of the enrollment team, building, and maintaining relationships with the client while evaluating and facilitating their relationship with the health plans for the purposes of enrollment and set up. This position will be responsible for the operational processes involving credentialing, enrollment, and delegated credentialing agreements from the clients.

Project set up and oversight to completion in coordination with the Product Delivery Support Team. Responsibilities: Oversight of all activities of the Integra Connect Provider Enrollment Department and enrollment and credentialing for each health plan to include Medicare/Medicaid, as required for existing clients, new entities, and acquisitions. Support through helpdesk ticketing for credentialing and correspondence related to government and commercial applications and revalidations, approvals, and vendor management. Develop, implement, and manage processes to create, update, and maintain provider files in Sales Force while safeguarding security of protected client information.

Review, research, and define for the clients how to manage updates, assisting and guiding through processes if necessary. Complete ongoing file reviews with the clients on a regular basis to identify changes that need to be made to the system and establish validation for the system. Use data as an opportunity to train and educate. Establish, coordinate, and maintain project production for Product Delivery Support team performance, using payer driven information. Follow and work within the high-performance goals that are established by IT that are measurable and hold the team accountable.

Review and maintain annual strategic planning and goal objectives for the Integra Connect Enrollment Department. Work closely with Revenue cycle managers, auditors, AR Teams, Cash Teams, to minimize delays in claims submission or remittance retrieval, payment set ups due to gaps in enrollment. Troubleshoot with Integra Teams and the clients to identify and structure strategy to correct deficiencies and re-establish data flows, claims and remittance management, as well as payment processes that have been disrupted or require set up because of changes to the vendor at the payer level.

Creates and revises credentialing policies and processes, workflows, and desktop procedures to ensure compliance with all regulatory and contractual credentialing requirements; Advises on the development of critical corporate applications working with IT and coordinating submission for trading partner agreements when required. Train staff, educate on new laws, and new processes regarding government and commercial payers. Responsible for developing workflow charts as requested by Director. Identify and communicate all concerns regarding enrollment and credentialing, including barriers that prevent timely completion. Reports directly to the Director of Product Delivery Support. Qualifications: High School diploma or general education degree (GED) required.

Bachelor’s Degree preferred. 3-years of management experience leading credentialing and enrollment in managed care, work comp, and governmental plans for multiple states including Medicare and Medicaid are required. 3 years of revenue cycle experience required; Current Certified Provider Credentialing Specialist (CPCS) preferred with working knowledge of EMS, billing/credentialing, and of supplier/entity enrollment and credentialing requirements. Must be able to present written and verbal communications to Integra Teams, EMS Leadership, or Client Leadership regarding updates, status, data analysis, audit findings, timelines, and other pertinent information for planning, accountability, and growth purposes.

Ability to plan, assign, supervise, and evaluate the work of others, and to monitor goals, objectives, deadlines, and priorities; Strong analytical, interpersonal, communication, conflict resolution, problem solving, and organizational skills required. Ability to effectively communicate with leadership, health care representatives, credentialing processing centers, and all team members of the EMS service line to ensure optimal success. Stay abreast of industry changes in healthcare, including enrollment and credentialing, with a maintained adherence and understanding of compliance, HIPAA regulations and guidelines. Benefits:

Integra Connect, LLC provides a comprehensive benefits planMedical/Dental/Vision Insurance beginning the 1st of the month following your date of hirePaid Time Off401k with employer matchPaid Holidays and Floating HolidayEqual Opportunity Employer Please note that the deadline for submitting applications is August 31, 2025. All applications must be received by this date to be considered. Important Notice: At Integra Connect, we are committed to providing a safe and secure environment for our job applicants. Unfortunately, scammers may attempt to impersonate our company to deceive individuals seeking employment.

We take this matter seriously and want to ensure your job search with us is free from any fraudulent activity. Integra Connect has become aware of recent, fraudulent recruitment activity being conducted by individuals or groups who claim to be third party recruiters and/or points of contact for our Company. Examples include sending candidates a request for personal information, conducting online interviews or meetings, making offers of employment, demanding money for employment related services and activities, or asking the applicant to purchase a laptop or other work-related equipment for the job.

The aim of the fraud is to obtain personally identifying information (e. g. , identity theft) and/or money. The Company’s name, as well as the names of employees, are used to try to convey authenticity. Here are some tips to help you identify and avoid job scams: 1. Always Check the Source: Ensure that the job listing is on our official website or a reputable job board. Our official domain is https: //www. integraconnect. com/resources/careers/. Be cautious of unsolicited emails, text messages, or social media messages offering job opportunities. 2. Be Wary of Requests for Personal Information:

We will never request sensitive personal information like your Social Security number, bank details, or payment for onboarding/equipment. If you encounter such requests, it's likely a scam. 3. Verify Contact Information: Check that the contact information provided in the job posting, including email addresses and phone numbers, aligns with our official contact information. Scammers often use generic or non-company email addresses. What is the sender’s email address? Is it consistent with other job postings from this company? Email addresses that are slightly different from any business’s primary contact information (Jane. Doe@IntegraConnect. org vs John.

Doe@Integra Connect. com) are a common warning sign. If you are contacted through LinkedIn, be sure to review the entire profile to verify their credentials. If you suspect that a job offer is fraudulent, we recommend that you do not respond to it. If you believe you are the victim of any fraudulent activity, you can report it to the appropriate authorities at https: //www. myfloridalegal. com/consumer-protection/how-to-protect-yourself-job-listing-and-job-search-firms (Florida Department of State) and/or https: //consumer. ftc. gov/articles/job-scams#report (U. S. Federal Trade Commission).

Integra Connect is not responsible for any fraudulent offers and advises prospective candidates to follow the guidance provided above. Thank you for your interest in a career with Integra Connect. We look forward to connecting with genuine, talented individuals like you.