Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Michigan Payer Enrollment Operations Manager, Remote

Full-time

Aledade

Join a leadership team where your work directly shapes how Aledade’s physician practices succeed in value-based care. As Michigan Payer Enrollment Operations Manager (internally: Operations Manager, IPA), you’ll partner with IPA leadership to oversee the administrative engine behind our contracts, including payer contracts, contract membership, payment distribution, and client services delivery. You’ll collaborate across internal departments to help clients get the most out of pay-for-performance programs, risk sharing arrangements, and value-based contracts, and you’ll lead a team that may include an Operations Specialist and Membership Associates. Location Note: This is a remote role, with a strong preference for candidates based in Michigan due to the importance of understanding the state’s payer landscape and programs. Candidates located anywhere within the US will be considered. Primary Duties - Builds respectful, trusting, and productive relationships with Aledade internal departments, payers, and client practices - Partners with the Market Manager and IPA Operations Director to develop strategic initiatives and operational tracking in key areas such as payer contracting and payments, provider recruiting and membership, population health management, physician alignment, care management oversight, and health information technology - Monitors payer enrollments, reports, and payments - Leads payment distribution, payment reporting, and tracking - Develops, monitors, and reports on Key Performance Indicators related to IPA operations - Provides care management program oversight, including oversight of the third-party care management function to ensure performance and metric achievement - Mentors, coaches, and manages direct reports, including overseeing the Operations Specialist and assisting in developing and coordinating meeting communications and notifications - Oversees the Membership team to ensure complete, accurate, and efficient membership processes - Responds to queries from customers and potential customers regarding membership, health plan contracts, incentive programs, and IPA information - Coordinates and runs meetings with payers for contract administration, updates, and issues, and works with payers to resolve issues - Conducts internal team meetings to develop and communicate overall client strategy, including contract deliverables, progress reports, and implementation plans - Oversees delivery of client communication and education materials - Works with the growth department and IPA Operations Director to support recruitment efforts - Performs other duties as assigned Minimum Qualifications: - Bachelor’s degree in Business, Healthcare Administration, or related field or equivalent combination of education and experience - 8+ years of experience with a health plan, physician organization, physician office or similar employer in progressively more responsible positions - Strong communication (written and verbal) - Excellent interpersonal skills with ability to interact effectively and credibly at all levels of an organization. - Ability to lead, persuade, influence, particularly as it relates to customer relationship development.

- Ability to interact effectively with customers and possess a professional business manner. Must exhibit tact and diplomacy in developing and maintaining positive working relationships. - Ability to work and interact with a wide range of associates and leaders internal and external to the organization. - Impeccable service ethic characterized by high energy, a positive attitude and the desire to go “the extra mile” for both clients and teammates. - A strong analytical and consultative thought process that is effectively utilized to solve customer problems and generate new business opportunities. - Project management skills with the ability to prioritize multiple projects. Must be able to manage and meet multiple deadlines.

Vacancy posted 13 days ago
Similar jobs that could be interesting for youBased on the Michigan Payer Enrollment Operations Manager, Remote in Remote vacancy
  • $90k - $110k

     ...s physician practices succeed in value-based care. As Michigan Payer Enrollment Operations Manager (internally: Operations Manager, IPA), you’ll partner...  ...Specialist and Membership Associates. Location Note: This is a remote role, with a strong preference for candidates based in... 
    Remote work
    Full time
    Contract work
    Work at office
    Flexible hours

    Aledade

    Detroit, MI
    1 day ago
  • $90k - $110k

     ...administrative engine for payer contracts, membership, payment...  ...with the Market Manager and IPA Operations Director to optimize value-...  ...practices. Monitor payer enrollments, reports, and payments, ensuring...  ....S., with a collaborative, remote-first culture. #J-18808-Ljbffr
    Remote work

    Aledade PBC

    United States
    5 days ago
  • $55k - $65k

     ...enthusiastic and process-driven Payer Operations Specialist to serve as a...  .... Location: Fully remote within the U.S Your Impact...  ...SOPs for payer contracting, enrollment, and credentialing workflows...  ...escalating within payer networks), manage your own queue without... 
    Remote work
    Temporary work
    Local area
    Work from home
    Flexible hours

    Health Data Innovations Inc

    United States
    2 days ago
  •  ...benefit corporation, seeks a Michigan-based leader for the IPA Operations Manager role (internally:...  ...Operations Manager, IPA). This remote-first position partners...  ...leadership to oversee payer contracts, membership,...  ...across departments, monitor enrollments and payments, develop... 
    Remote work

    Aledade PBC

    United States
    2 days ago
  •  ...To support a growing enterprise client, the remote Director of Payer Enrollment Operations will lead the operational implementation, manage a dedicated team, and ensure compliance with SLAs while driving efficiency and quality improvements in payer enrollment processes... 
    Remote work

    Virtual Vocations Inc

    United States
    2 days ago
  • $175k - $215k

     ...ve built a leading provider operations platform to eliminate the administrative...  ...licensing, credentialing, payer enrollment, and compliance monitoring,...  ...provider network management. Our CEO, Derek Lo, has been...  ...co email addresses. #LI-Remote ----- Medallion is an equal... 
    Remote work
    Full time
    Local area
    Shift work

    Medallion

    Remote
    19 days ago
  •  ...provider offering expert, longitudinal care across life stages. We are seeking a Payer Operations Specialist to own payer expansion, credentialing, and enrollment processes on a national, fully remote team in the United States. You will investigate stalled applications,... 
    Remote work

    Allara

    Tallahassee, FL
    5 days ago
  • Austin Benefits Group in Michigan is seeking a Client Benefits Coordinator to be the operational heartbeat of our client service model. You’ll process enrollments, manage eligibility changes, conduct audits, and ensure every client and employee receives timely, accurate... 
    Remote job

    Austin Benefits Group

    Bloomfield Hills, MI
    3 days ago
  •  ...Spring Health is seeking a Senior Program Manager to join our Payer Success team within Operations. In this role, you’ll be the central quarterback for our payer partnerships across the end-to-end RCM lifecycle, from credentialing to claims adjudication, ensuring nothing... 
    Remote work

    Spring Health

    New York, NY
    9 hours ago
  •  ...Independent Practice Management Services Organization is seeking a Credentialing...  ...Specialist for a fully remote, full-time role. You will...  ...ensuring compliance with payer and regulatory standards....  ...Responsibilities include Medicare enrollment support, maintaining credentialing... 
    Remote work
    Full time

    Independent Practice MSO LLC

    United States
    3 days ago
  •  ...Aledade PBC is hiring for a Data Quality & Program Manager to triage payer data feeds, coordinate audits, and resolve ingestion issues. You will...  ...internal teams and payers to drive data reliability in a remote-first environment. You will communicate complex data findings... 
    Remote work

    Aledade PBC

    United States
    2 days ago
  •  ...Enrollment Operations SpecialistThe University of Miami, Division of Enrollment Management, has an exciting opportunity for a full time Enrollment Operations Specialist to work remote.Under the supervision of the Director, the Enrollment Operations Specialist is responsible... 
    Remote work
    Full time
    Work experience placement

    University of Miami

    Miami, FL
    1 day ago
  • ## Enrollment Operations SpecialistApply: Remote - United States: Full time: Posted 2 Days Ago: JR4762**About Stride** Stride helps independent workers...  ...recurring issues and communicate trends or process gaps to management ● Support the Enrollment Operations team during... 
    Remote work
    Hourly pay
    Full time
    Seasonal work
    Monday to Friday

    Integrity Windows

    New York, NY
    3 days ago
  •  ...Aledade PBC is seeking a Payer Data Operations Analyst to ensure data quality, accuracy, and reliability across payer...  ...role emphasizes cross-functional collaboration, program management, and proactive data stewardship in a remote-friendly environment. #J-18808-Ljbffr... 
    Remote work

    Aledade PBC

    New York, NY
    2 days ago
  •  ...UnitedHealth Group is seeking a credentialing enrollment specialist to enroll providers with payers, manage CAQH and NPI accounts, and coordinate with clinic and...  ...using MDStaff and MarketWare software. The role offers a remote, nationwide work setup. #J-18808-Ljbffr... 
    Remote work

    UnitedHealth Group

    Owensboro, KY
    2 days ago
  • $18 per hour

     ...Job Description Job Description ENROLLMENT OPERATIONS ASSOCIATE Since 1877, The Fresh Air...  ...the Director of Enrollment and Outreach Manager. Enrollment Operations Associates will...  ...and in the field, with occasional remote work. Hours per Week: 20-25 hours per... 
    Remote work
    Part time
    Summer work
    Casual work
    Work at office
    Local area
    Monday to Friday
    Weekend work
    Afternoon shift

    The Fresh Air Fund

    New York, NY
    12 days ago
  •  ...Zotec Partners is seeking a remote Provider Enrollment Specialist to join our healthcare enrollment team...  ...The role involves completing complex payer enrollment applications, updating client...  ...credentialing issues with managers and providers. A minimum of 2 years in... 
    Remote work

    Zotec Partners

    Carmel, IN
    4 days ago
  •  ...Guidehouse is seeking a Payer Enrollment Specialist to ensure timely enrollment of healthcare providers with major insurance vendors. This remote, full-time role collaborates with credentialing and payer teams to resolve enrollment issues and maintain accurate provider... 
    Remote work
    Full time
    Work at office

    Guidehouse

    New York, NY
    2 days ago
  •  ...Palmetto Infusion is seeking a Credentialing Coordinator to manage provider credentialing and enrollment, ensuring compliant, timely applications across government and commercial payers. The role is remote with a schedule of Monday–Friday, 8:00 AM–5:00 PM and occasional... 
    Remote work
    Monday to Friday

    Palmetto Infusion

    United States
    10 hours ago
  •  ...Ensuring timely and accurate enrollment of healthcare providers...  ...vendors, the full-time Payer Enrollment Specialist will manage payer enrollment functions...  ...enrollment issues in a remote capacity. Key responsibilities...  ...in office, business, operations, customer service, or healthcare... 
    Remote work
    Full time
    Work at office

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...Manager I BPM - Claims Operations (FACETS) Lead Location: Bellevue WA Hybrid Manager...  ...- Seattle, Washington (No Remote) Employment Type: Full-...  ...10+ Years in Healthcare Payer Operations, BPM Operations...  ...functional teams including Enrollment, Provider Operations, Configuration... 
    Remote work
    Full time

    Sophus IT Solutions

    Bellevue, WA
    14 hours ago
  •  ...tools, coaching, therapy, medication management, and specialty care. With outcomes...  ...Senior Program Manager to join our Payer Success team within Operations. In this role, you'll be the...  ...portfolio. This is a full‑time, fully remote position on our team. Occasional travel... 
    Remote work
    Full time
    Work from home
    Worldwide
    Home office
    Flexible hours

    Rainfall Ventures

    New York, NY
    9 hours ago
  •  ...Intermountain Healthcare Inc. seeks a Payer Contracting Manager for the Transplant Program to lead strategic payer relationships, manage contracts...  ...services. This exempt, full-time role can be performed remotely with business travel; travel frequently to negotiate with... 
    Remote work
    Full time
    Relocation package

    Intermountain Healthcare

    Clancy, MT
    5 days ago
  • Remote The Credentialing & Payer Enrollment Specialist is responsible for coordinating and maintaining timely and accurate provider credentialing, recredentialing...  ...documentation. Coordinate with Human Resources and operational leadership regarding incoming and departing providers... 
    Remote work
    Contract work

    CMU Health

    New York, NY
    2 days ago
  •  ...Overview Payer Enrollment Specialist, Business Office Remote Position: Southeast U.S. (Eligible states: TN, KY, NC, GA, AL, VA, MS, AR, MO) Full Time, 8...  ...: This position is responsible for prioritizing and managing tasks in the Knoxville Business Office Services (KBOS... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Day shift

    Covenant Health (Tennessee)

    Knoxville, TN
    1 day ago
  •  ...please review this tip sheet.The University of Miami, Division of Enrollment Management, has an exciting opportunity for a full time Executive Director, Enrollment Operations Systems & Technology to work remote.The Executive Director, Enrollment Operations Systems &... 
    Remote work
    Full time
    Contract work
    Temporary work
    Work experience placement

    University of Miami

    Miami, FL
    5 days ago
  •  ...Intermountain Healthcare Inc. is seeking a Payer Contracting Manager for the Transplant Program. The role focuses on strategic management of payer...  ...payer agreements, serving as the primary contracting lead. Remote work is possible with business travel as needed. #J-18808-... 
    Remote work
    Contract work

    Intermountain Healthcare

    Denver, CO
    5 days ago
  •  ...NOW HIRING: BILLING OPERATIONS TEAM LEADER (MANAGER) FULL-TIME | 100% REMOTE WITHIN MINNESOTA | 65,000-70,000 ANNUALLY Ready...  ...Medical Assistance, third-party payer requirements, medical...  ...HSA contributions based on plan enrollment, a 403(b) retirement plan with employer... 
    Remote work
    Full time
    Work at office
    Immediate start
    Monday to Friday

    AgUpdate

    Saint Paul, MN
    1 day ago
  •  ...Babylist is seeking an Associate Director, Payer and Clinical Operations to lead payer onboarding, licensing,...  ...across multi-state plans in a remote-first U.S. environment. You will own...  ...teams to scale Babylist Health. You will manage a small team and set the pace for how... 
    Remote work

    Babylist

    New York, NY
    5 days ago
  •  ...VaxCare LLC is seeking a Sr. Director of Payer Operations to build and scale the contract abstraction, enrollment, and reimbursement functions. You will set the operating model, governance and controls to ensure accurate translation of contracts into systems and workflows... 
    Contract work

    VaxCare

    Orlando, FL
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Michigan Payer Enrollment Operations Manager, Remote. Be the first to apply!