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Medallion

Senior Manager, Payer Enrollment Strategy & Operations

Posted Yesterday
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Remote
Hiring Remotely in USA
120K-160K Annually
Senior level
Remote
Hiring Remotely in USA
120K-160K Annually
Senior level
Manage enrollment outcomes for clients, oversee an on/offshore team, drive operational excellence through metrics and reporting, and improve workflows by collaborating with engineering and product teams.
The summary above was generated by AI
About Medallion:

At Medallion, we believe healthcare teams should focus on what truly matters - delivering exceptional patient care. That’s why we’ve built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.

As one of the fastest-growing healthcare technology companies - ranked #3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the Pacific Region, #5 on LinkedIn's 2024 Top US Startups, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show - Medallion is revolutionizing provider network management. Our CEO, Derek Lo, has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to transform healthcare at scale.

About the role:

This role sits at the intersection of client outcomes, operational excellence, and product-informed automation. You'll run an on/offshore team, own your customers' enrollment results end-to-end, and work cross-functionally with engineering and product to close gaps, eliminate toil, and build compounding operational leverage. 

You will report to the GM of Payer Enrollment. Base compensation for this role may land between $120,000–160,000, plus equity and benefits. Many factors are considered when determining pay including market data, geographic location, skills, qualifications, experience, and level.

Responsibilities:

Run the Business

  • Own end-to-end enrollment outcomes for your customer portfolio – from application through completion – and be accountable for SLA performance, client satisfaction, and team throughput
  • Manage an on/offshore team of enrollment specialists: set clear goals, build capacity plans, run performance rhythms, and develop talent
  • Serve as the primary operational point of contact for your customers; lead recurring and ad hoc client calls, own escalation resolution, and communicate proactively on risks and delays

Drive Operational Excellence

  • Establish and track the metrics that matter – SLA attainment, cycle time, error rates, team utilization – and build the reporting infrastructure to see them clearly
  • Conduct regular SLA and workflow reviews; triage and prioritize work based on urgency, client impact, and business criticality
  • Identify and resolve root causes of client issues by coordinating cross-functional teams; close the loop with clients with speed and professionalism

Build the Flywheel

  • Map your operational workflows to find upstream and downstream leverage points – where handoffs break, where data is re-entered manually, where exceptions burn disproportionate time
  • Partner with engineering and product to scope and ship automation, tooling improvements, and scalable process changes
  • Translate operational patterns into structured recommendations; contribute to the broader playbook that scales across the team

Qualifications: 

  • 5+ years in strategy & operations, bizops, management consulting, or a similarly rigorous operational environment – you know complex, metrics-driven operations are run successfully
  • 2+ years managing teams, including performance management, goal-setting, and team development
  • Demonstrated ability to diagnose operational problems, build structure around ambiguity, and drive cross-functional solutions
  • Strong analytical instincts – comfortable with owning a KPI dashboard, spotting trends, and building the case for process change
  • Excellent written and verbal communication; you can run a client call and write a crisp exec summary with equal confidence
  • Experience working with operational tooling (e.g. Airtable, Google Workspace, or similar); comfort picking up new systems quickly
  • Curiosity and speed-to-competence in a new domain – you don't need to know Payer Enrollment on day 1, but you're confident you will know it by day 90

Nice to haves: 

  • Exposure to healthcare, health tech, or a regulated industry
  • Experience working with offshore or distributed teams
  • Startup or high-growth environment experience

#LI-Remote

We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.

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