About Medallion

Healthcare is going through an unprecedented transformation towards digital care. Medallion provides the critical administrative infrastructure to make that change possible. Our platform enables organizations to license their providers in new states, verify existing credentials, and get in-network with health plans. In just over three years, our platform has become an industry standard powering hundreds of healthcare companies to reduce administrative burden for tens of thousands of providers across the country. To date, Medallion has saved over 500,000 administrative hours for our customers!

Founded in 2020, Medallion has raised $85M from world-class investors like Sequoia Capital, Google Ventures, Spark Capital, Optum Ventures, and Salesforce Ventures.

About the Role:

As Medallion’s Payer Enrollment Associate Director, you will play a crucial role in the leadership of our Payer Enrollment team. Our PE Team is core to our business and is responsible for making sure payer enrollments run smoothly. You are succeeding in this role when the PE team is: scaling efficiently, making high quality, data-driven decisions, and embracing a culture of continuous process improvement. 

We’re looking for someone who has the ability to act tactically as well as strategically, possesses extensive work experience related to task-based workflows and quality metrics (KPI’s), as well as a demonstrated ability to drive results across a variety of work streams. The ideal candidate is extremely comfortable conducting ongoing performance analysis and is able to identify meaningful opportunities with both internal and external stakeholders and define and implement subsequent action plans.

The role will report directly to the Director of Payer Enrollment and base compensation for this role may land between $115,000 - $150,000. In addition to base salary, Medallion offers equity and benefits as part of the total compensation package. Many factors are considered when determining pay including: market data, geographic location, skills, qualifications, experience, and level.

What you’ll do:

• Develop and manage Payer Enrollment leaders at various levels of professional tenure. Help your direct reports grow their skills via mentorship, 1:1s, and reviews

• Support measuring and planning for the team’s performance, capacity, and growth targets

• Implement new, as well as optimize existing, tools, processes, systems, and products that streamline the Payor Enrollment team’s work and increase their efficiency/accuracy (i.e standardized playbooks, communication templates, training materials, resource guides, automation features, advanced tooling, etc.)

• Works with both internal and external stakeholders to resolve complex provider enrollment issues as they arise

• Owning, measuring, and providing insights on renewal forecasts, customer health, customer surveys, and product usage.

• Serve as the primary point of contact for customer-facing issues related to overall performance and/or quality to effectively resolve escalations.

• Manage and improve the systems that help support the team’s processes. Current systems include Medallion proprietary and public ones (e.g. Front, GSheets, Salesforce)

• Design and conduct training regarding provider enrollment process and systems/process improvement initiatives

• Constantly learn about industry best practices and bring new ideas to the organization about how to drive efficiency, growth and customer outcomes

• Direct ownership over Medallion’s PE function to consistently drive operational excellence and cost efficiency

Qualifications:

• Experience:

  • 10+ years of experience in payer enrollment, with a focus on enrolling providers with multiple payers, including commercial, Medicaid, and Medicare.

  • Proven ability to manage high-volume enrollments (5,000+ enrollments monthly) across multiple payers.

  • Experience in working with healthcare providers and understanding of credentialing processes.

• Leadership Skills: 

  • Minimum of 5 years in a leadership role, managing payer enrollment teams or related operational functions.

  • Strong ability to lead, motivate, and manage a team in a fast-paced, dynamic environment.

• Technical Skills:

  • Proficiency with enrollment and credentialing software tools (e.g., CAQH, PECOS, Availity, or other payer portals).

  • Familiarity with workflow automation tools and software to streamline payer enrollment processes.

  • Strong data analysis skills to assess enrollment trends and performance metrics.

  • Knowledge:

• Knowledge:

  • Thorough understanding of payer enrollment processes, payer contracts, regulatory requirements, and compliance in the healthcare industry.

  • In-depth knowledge of healthcare payer systems, including Medicaid, Medicare, commercial insurance plans, and third-party administrators.

• Desired Skills & Competencies:

  • Strong problem-solving and decision-making skills, especially when dealing with complex payer enrollment challenges.

  • Excellent communication skills, with the ability to liaise between providers, internal teams, and external payers effectively.

  • Ability to multitask, prioritize, and manage large-scale projects with tight deadlines.

  • Strong organizational and project management skills to handle high-volume enrollments.

  • Detail-oriented and committed to maintaining compliance with regulatory standards and payer requirements.