Market Access Operations Manager
virtual vocationsDenver, CO
Market Access Operations Manager
L7
virtual vocationsDenver, COyesterday
Occupations
Medical and Health Services ManagersGeneral and Operations ManagersProject Management SpecialistsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Miscellaneous Ambulatory Health Care ServicesDirect Health and Medical Insurance CarriersManaging payer credentialing and enrollment activities, the full-time Market Access Operations Manager will oversee operational infrastructure for Market Access execution across diagnostic testing portfolios while collaborating with various internal teams in a remote capacity.
Key responsibilities:
Lead payer credentialing, re-credentialing, enrollment, and network participation activities across various payers and Medicaid programs
Manage state-specific Medicaid enrollment requirements and federal government documentation within required timelines
Develop and maintain standard operating procedures and operational controls related to enrollment and reimbursement operations
Required qualifications:
Bachelor's degree or equivalent combination of education and relevant experience
A minimum of 6 - 7 years of experience in healthcare reimbursement operations or related functions
Demonstrated experience managing payer enrollment across commercial and government payers
Strong project management skills with experience coordinating cross-functional initiatives
Experience developing and maintaining operational documentation and workflows
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Level
ManagerL7
Location
Denver, CO
Occupation
Medical and Health Services Managers
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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