Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. We foster an environment where passion thrives, and success comes through shared purpose. Together, we leverage our strengths and experiences to make a positive impact in our local communities. Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. Even when you are working remotely, you are an important part of the Vituity Community. Monthly wellness events and programs such as yoga, HIIT classes, and more. Trainings to help support and advance your professional growth. Team building activities such as virtual scavenger hunts and holiday celebrations. Flexible work hours. Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
Supervisor, Provider Enrollment
Location
United States
Posted
18 days ago
Salary
$31 - $39 / hour
Seniority
Mid Level
Job Description
Supervisor, Provider Enrollment
MedAmerica
Role Description Participates in the selection, hiring, onboarding, and training of new employees that will positively impact and bring value to Vituity. - Partners with other Provider Enrollment Supervisors, Managers, and Sr. Director to provide ongoing guidance, assistance, and coaching to the team. - Evaluates team performance and discusses career goals with each team member. - Promotes professional growth, development, and education of team members through offering new challenges, developmental assignments, offering timely feedback, regular 1:1 discussions, and mentoring. - Uses outstanding relationship-building, communication, coaching, and development skills to effectively lead a remote team while maintaining a focus on Vituity culture, team connection, and high performance. - Helps support excellent time management and preparedness by assisting the team with scheduling tasks out a minimum of 4 weeks into the future, and sometimes years in advance. - Oversees a team that processes provider enrollment for a specific clinical service, geographic market, or function. - Monitors and audits the preparation, submission, and approval of subteam’s provider enrollment applications, which can easily exceed 10,000 applications per year. - Maintains strong knowledge of payer processes across multiple states and may have a subteam responsible for upwards of 150 payers. - Implements and maintains operational workflows, policies, standard operating procedures, and necessary documentation practices. - Consistently uses department and individual performance reports to ensure that the team is continually performing at optimum levels, and reviews for trends or results that may require intervention or re-direction of department activities or processes. - Using data and analytics, analyzes issues, diagnoses problems, and identifies process improvement opportunities to propose solutions, with input from Provider Enrollment Manager and Sr. Director. - Utilizes and trains subteam on multiple Salesforce functions, including Data Loader, Dynamic Document Package (DDP), dashboards, and reporting. - Uses multiple platforms such as SharePoint, Wrike, Teams, and Outlook as needed. - Project manages new startups and opportunities. - Attends internal startup calls and identifies any areas of concern to discuss with Provider Enrollment Manager and/or Sr. Director. - Researches new payer requirements to help the team implement new provider enrollment processes and workflows. - Maximizes team resources and workflows to increase efficiency and productivity. - Understands revenue cycle process and how provider enrollment greatly impacts Vituity revenue. - Reinforces best practice deadlines that the team strives to reduce A/R aging so that siteline revenue is received quicker. - Develops trending reports to identify areas of opportunity. - Plans, evaluates, and improves the efficiency of business processes to enhance speed, quality, timeliness, and output. - Identifies and researches payer issues proactively and collaborates with RCM Denial Team on any payer or reimbursement issues due to provider enrollment. - Builds partnerships and relationships with payers across the nation to support Vituity’s provider enrollment goals and opportunities. - Collaborates with Vituity Client Service Managers, Payer Contracting team members, site leadership, and other stakeholders to identify trends in payer reimbursement and protect Vituity’s revenue. - Works and communicates cross functionally with other department supervisors to ensure efficiency and promote collaboration. - Plans and leads internal team meetings and records meeting minutes. - Reports difficulties, obstacles, risks, and delays in enrollment to Vituity leadership. - Complies with federal, state, and national regulations and requirements to ensure Vituity is in compliance with all payer regulations and to minimize and control organizational risks. - Analyzes and reviews the language of new payer enrollment requirements, and works with other Provider Enrollment Supervisors, Managers, and Sr. Director to ensure requirements are communicated downstream. - Uses knowledge of Vituity Legal and Finance data to report changes in entity structure or finances to payers on an annual or as needed basis. - Keeps current on provider enrollment trends at the state and national level and attends state and national PE conferences as needed. Qualifications - High school diploma or equivalent required. - 1-2 years of experience leading projects/teams in healthcare required. - 5 years of experience in healthcare with a thorough understanding of payers and provider enrollment process required. - Bachelor’s degree preferred. - Experience and demonstrated ability with Provider Enrollment functions in a healthcare setting preferred. - Working knowledge of Salesforce, Provider Enrollment, Chain, and Ownership System (PECOS); Council for Affordable Quality Healthcare (CAQH); and Provider Application and Validation for Enrollment (PAVE) preferred. - Billing or reimbursement experience preferred. - Ability to interact effectively with practitioners, insurance representatives, internal departments, and team members. - Proficiency with Microsoft Office, with a high degree of speed and accuracy in typing. - Strong attention to detail. - Strong time management and organization required. - Strong interpersonal skills, ability to work as part of a team. - Strong problem resolution skills. - Ability to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders, both in written and verbal communication. - Proficient in Microsoft Office Suite (Teams, Outlook, PowerPoint, Word, Excel, OneNote, OneDrive). - Knowledge of laws and regulations regarding enrollment processing in multiple states. - Knowledge of online Medicare/MediCal/Medicaid enrollment system, Identify & Access system, Counsel For Affordable Quality Healthcare system, Medicare enrollment specialties and National Provider Identifier taxonomies. - Knowledge of Salesforce (including Data Loader, DDP, and reporting). - Ability to accomplish tasks thoroughly and accurately. - Ability to effectively manage time and organize. - Knowledge of Medicaid enrollment process, including revalidations, medical license expirations, deactivations, NPI taxonomy importance, how data flows to Medicaid managed cares, Medicaid billing manual, state administrative codes, border state enrollment process, out of state enrollment process. - Knowledge of billing processes, including timely filing and claims denial reasons. - Demonstrate strong project management skills, including formal usage of project management tools, Utilizing Responsible Accountable Consultant Informed (RACI) and other project management techniques, agendas, action item lists, project checklist, desired outcomes, measures of success. - Utilize strong critical thinking skills to deeply analyze problems and find a timely solution with the best chance of long term success. Benefits - Superior health plan options. - Dental, Vision, HSA/FSA, Life and AD&D coverage, and more. - Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service). - Generous paid time off starting 3-4 weeks’ annually. - Student Loan Refinancing Discounts. - Professional and Career Development Program. - EAP and travel assistance included. - Wellness program. - Purpose-driven culture focused on improving the lives of our patients, communities, and employees.
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Industrial Channel Sales Manager
Spirax GroupSpirax Group, founded in 1888 and headquartered in Cheltenham, UK, is a global leader in thermal energy and fluid technology solutions. Rebranded in 2024, the company operates thre
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Sales Manager, Special Markets
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Digital Sales Consultant - New England Region
Johnson & JohnsonJohnson & Johnson is an award-winning, family-owned-and-operated company that has been providing health and wellness products for more than 120 years. Employing
Title: Digital Sales Consultant - New England Region Location: Raynham United States Job Description: At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: MedTech Sales Job Sub Function: Capital Sales -- MedTech (Commission) Job Category: Professional All Job Posting Locations: Connecticut (Any City), Massachusetts (Any City), New Hampshire (Any City), Raynham, Massachusetts, United States of America, Remote (US), Rhode Island (Any City) Job Description: About Orthopaedics Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments. Are you passionate about improving and expanding the possibilities of Orthopaedics? Ready to join a team that's reimagining how we heal? Our Orthopaedics teams help keep more than 6 million people moving each year while delivering clinical and economic value to surgeons and healthcare systems. Our teams build solutions for joint reconstruction; trauma and craniomaxillofacial; sports, extremities, and elective foot and ankle; spine; and robotics and digital surgery. Your unique talents will help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech We are searching for the best talent to Join our Orthopaedics team as a Digital Sales Consultant supporting the New England region ( Connecticut, Rhode Island, Massachusetts, New Hampshire, And Maine) This is a field-based role available in the United States. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. Purpose: As a Digital Sales Consultant you will be a subject matter expert within the spine based Digital technologies platform, in support of the execution of commercial launch plans, by initially driving sales and adoption of the Teligen digital solution and other Robotics and enabling technologies platforms as assigned. This role reports to the US Clinical Sales Manager- Digital Spine Surgery and is responsible for maintaining a validated customer sales pipeline, meeting quarterly area sales forecast goals, execution of installations through education of internal and external customers, and increasing awareness across their assigned area. You will be responsible for: - Lead prospecting, awareness campaigns, clinical demos, and clinical advocacy efforts in assigned region. - Lead site installation and initial case support with our sales consultant team in assigned region. - Partners with Capital Equipment Selling Managers to grow area pipeline, monitor placement utilization, and meet enabling technologies forecast goals. - Demonstrate strong understanding of clinical & capital selling pathways with Imaging, Navigation, and Minimally Invasive Surgery. - Align and support area business plans and support of strategic goals. - Support area efforts to drive associated spinal implants for full platform adoption. - Partners with Commercial Education, Professional Education and Area Sales Leadership to deliver timely and impactful, field education programs. - Lead targeted regional based tissue labs, product demonstrations, industry meeting interactions and associated surgeon engagements. - Deliver hospital-based onboarding program for surgical team (surgeon, PA, O.R. tech, etc.) - Support field sales organization in execution of our service and repair protocol. - Influence area budgets and ensure strategic results driven use of funding. - Influence internal and external stakeholders, using data to drive decisions - Identify area needs, risks and strategies that lead to successful customer experience and ultimate proliferation of the platform Qualifications / Requirements: Education and Experience: One of the following: - A Bachelor's degree from an accredited university/college OR: - Associate degree, or surgical tech / highly specialized medical training/ certification (e.g., Medical Sales College) plus four (4) years of relevant experience in clinical, hospital, or surgical environments OR: - At least eight (8) years of orthopedic spine sales experience OR: - Recently transitioned from Active-Duty Military Requirements: - A minimum of three years of spinal implant sales or equivalent orthopedic capital robotics professional selling experience. - Successful track record of selling new innovative medical devices and winning with technology. - Ability to operate in a clinical, technical, and professional sales environment with a strong understanding of human anatomy and physiology. - Strong interpersonal communication (verbal/written), negotiation, influencing, strategic thinking, problem solving, presentation and business acumen skills. - Experienced in data analysis and have excellent problem-solving skills - Results orientation/sense of urgency; ability to drive to tight timelines - Ability to work independently and autonomously across matrix and team structures. - Demonstrated ability to understand, interpret, communicate, and work in complex environment with high level of attention to detail. - This position may initially require up to 75% domestic travel, with limited weekend work and frequent overnight stays away, with some tapering after first year. - Majority of time will be spent in surgeon office and hospital setting and includes coverage of cases, facility training, troubleshooting and competitive selling in operating room (OR). Ability to work in a lab/operating room environment. - Must live within the assigned territory/geography assigned. - Valid Driver's license in one of the 50 States. Preferred Qualifications: - Five (5) + years of previous experience in one of the following: healthcare sales experience or hospital/operating room experience, or clinical experience in Medical Devices. - Working experience in Spinal Pathologies and products. - Strong technical product knowledge of surgical instruments, procedures, protocols and solutions. - Experience in Minimally Invasive spine surgery, navigation, or capital enabling technologies equipment preferred. - Johnson & Johnson announced plans to separate our Orthopaedics business to establish a standalone orthopaedics company, operating as DePuy Synthes. The process of the planned separation is anticipated to be completed within 18 to 24 months, subject to legal requirements, including consultation with works councils and other employee representative bodies, as may be required, regulatory approvals and other customary conditions and approvals. - Should you accept this position, it is anticipated that, following conclusion of the transaction, you would be an employee of DePuy Synthes and your employment would be governed by DePuy Synthes employment processes, programs, policies, and benefit plans. In that case, details of any planned changes would be provided to you by DePuy Synthes at an appropriate time and subject to any necessary consultation processes. Johnson & Johnson announced plans to separate our Orthopaedics business to establish a standalone orthopaedics company, operating as DePuy Synthes. The process of the planned separation is anticipated to be completed within 18 to 24 months, subject to legal requirements, including consultation with works councils and other employee representative bodies, as may be required, regulatory approvals and other customary conditions and approvals. Should you accept this position, it is anticipated that, following conclusion of the transaction, you would be an employee of DePuy Synthes and your employment would be governed by DePuy Synthes employment processes, programs, policies, and benefit plans. In that case, details of any planned changes would be provided to you by DePuy Synthes at an appropriate time and subject to any necessary consultation processes. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource. Required Skills: Preferred Skills: Brand Positioning Strategy, Communication, Competitive Landscape Analysis, Compliance Management, Customer Centricity, Customer Experience Management, Incentive Policy, Procedures, and Quotas, Industry Analysis, Market Opportunity Assessment, Problem Solving, Profit and Loss (P&L) Management, Project Management, Sales Prospecting, Strategic Sales Planning, Strategic Thinking, Sustainable Procurement, Vendor Selection The anticipated base pay range for this position is : $96,000.00 - $155,250.00 Additional Description for Pay Transparency: Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado -48 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Bereavement Leave - 240 hours for an immediate family member: 40 hours for an extended family member per calendar year Caregiver Leave - 80 hours in a 52-week rolling period10 days Volunteer Leave - 32 hours per calendar year Military Spouse Time-Off - 80 hours per calendar year For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits


