Provider Enrollment Lead - Hybrid

Who We Are

At HHS Tech Group (HTG), our work matters, and each of us makes a difference in the lives of people every day.

HTG is a leader in the development and delivery of innovative, purpose-built modular software and technology solutions to clients in the commercial and government sectors.

What We Do

HHS Tech Group creates innovative, purpose-built technology products and solutions, resulting in value and positive, quantifiable impact for our clients and the people they serve.

Our people bring our software to life through collaborative relationships with our clients, working as a team, helping to solve complex problems that create positive personal and community impact for the people our clients serve.

Each day, our software products and our people are making a difference.

Our People Matter Most

Improving the lives of others and making an impact daily is no simple task. We are dedicated to our team’s professional and personal growth and well-being. Some key rewards and benefits include:

• Generously sponsored Medical Insurance
• Fully paid premiums on dental, vision, life and disability insurance.
• Generous 401k matching program (100% match up to 6%)
• Tuition and Certification reimbursement
• Open PTO policy
  
  

Join us!

WHO WE ARE HIRING: Provider Enrollment Lead

Who We Need

The Provider Enrollment Lead will be responsible for Provider Enrollment team activities, staff supervision and support, including reporting and optimizing metrics; focus is on healthcare providers Medicaid enrollment activities.

What You Will Do

The Provider Enrollment Lead will possess demonstrated ability to perform well under pressure, meet or exceed deadlines, be a team player and be willing to solve difficult problems. You must have excellent decision-making and critical-thinking skills. Your ability to evaluate and analyze complex information is second to none, and you have a natural desire to help people understand things that are hard to understand.

In addition to the responsibilities of a people leader, the Provider Enrollment Lead will lead the team to the desired outcomes ensuring the team meets all Federal, State and Agency guidelines and service level agreements.

Responsibilities

• Manage Provider Enrollment team resources and workflow to reach maximum efficiency and productivity levels, while maintaining high quality standards while providing solutions on how to improve in this area.
• Develop workload forecasts and create and execute plan to cover the inventory and meet service level agreements. Monitor the overall performance of the enrollment team on a daily, weekly, monthly basis.
• Track the enrollment application process to promote compliance and process enhancements.
• Report all identified enrollment trends and issues to the Operations Executive and help create policies & procedures that will help resolve the issues proactively.
• Work with other departments to minimize and/or resolve ongoing procedural problems affecting providers/client satisfaction/quality standards.
• Hire, train, coach, lead and evaluate Provider Enrollment Analysts/Specialists as required to meet all productivity, quality, and customer service expectations. Take corrective action as needed.
• Conduct reviews with staff members to review quality, production, attendance, and behavior status.
• Lead, manage, and guide Analysts/Specialists to exercise initiative and judgment in applying established principles and practices to new and unusual issues and problems.
• Make client aware of potential derogatory issues identified during the enrollment process and work in collaboration with the Agency and provider to resolve.
• Plan, evaluate, and improve the efficiency of business processes and procedures to enhance speed, quality, timeliness, efficiency, and output.
• Prepares periodic reports for management, as necessary or requested, to track strategic goal accomplishment.
• Maintain availability during client business hours, regardless of time zone differences, to ensure seamless support and service delivery.
• Complete special projects and other duties as assigned.
• Meet or exceed all outlined and required expectations for role and performance.
  
  

Minimum Requirements

• A bachelor's degree and three years of direct related experience in call center operations, provider services or an agency program area or an equivalent combination of education and experience.
• Two (2) years of experience managing in a provider call center, provider enrollment or other provider services teams in Medicaid or other major public or private health care programs.
• Three (3) or more years of leadership/supervisory experience.
• Working knowledge of HIPAA requirements.
• Two (2) years minimum experience with Medicaid provider functions.
• Two (2) years minimum experience Medicaid or Medicare guidelines
• Two (2) years minimum experience with provider enrollment processes and requirements for CMS Federal and State Guidelines related to enrollment and re-enrollment policies.
• Two (2) years minimum experience with a Microsoft Windows environment including intermediate or better Microsoft Excel skills.
• Ability to work in our onsite office/remote hours in Tallahassee, FL.
  
  

Desired Skills

• Ability to work independently and make sound and timely decisions.
• Advanced interpersonal communication skills to effectively train, support, and collaborate productively with key stakeholders at all levels.
• Ability to apply advanced problem-resolution skills to highly complex issues, quickly diagnose problems, and develop, test, and implement appropriate and practical solutions on time.
• Effective documentation, written and verbal communications skills to convey complex information in a specific, clear, and concise manner.
• Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Self-starter and solutions oriented.
• Outstanding relationship-building and employee coaching and development skills.
• Comfortable working with a remote team.