Radpartners www.radpartners.com

POSITION

Job Title:                Mgr, Provider Group Enrollment                                     

Department:         Revenue Cycle     

Reports to:            Provider Enrollment Leadership

FLSA Status:          Exempt

UKG Job Code:     MGRPVGPE                           

Location:               Remote 

practice OVERVIEW

Radiology Partners is the largest and fastest growing on-site radiology practice in the US.   We are an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients.  With our state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, Radiology Partners reliably exceeds the expectations of our clients, patients, and partners.  We serve our clients with an operational focus, and, above all, a commitment to quality patient care.  Our mission is To Transform Radiology.

POSITION SUMMARY

Radiology Partners is seeking a knowledgeable and proactive Manager of Provider Enrollment to lead our radiology-focused provider enrollment operations across multiple locations. This role is responsible for managing the full lifecycle of provider enrollment with Medicare and state Medicaid programs, with a strong emphasis on group enrollment, multi-state compliance, and CMS/state regulatory oversight. The ideal candidate will bring deep expertise in radiology provider structures, federal and state enrollment requirements, and cross-functional coordination.

DUTIES AND RESPONSIBILITIES

·         Leads and manages the provider enrollment team supporting radiologists and imaging centers across multiple states.

·         Oversees all aspects of Medicare and Medicaid group practice enrollment, including initial applications, revalidations, and updates.

·         Manages and coordinates Changes of Ownership (CHOW) and Changes of Information (COI) for Medicare and Medicaid, ensuring timely and accurate submission of required documentation and forms (e.g., CMS-855 forms, PEOCS).

·         Maintains up-to-date knowledge of federal and state regulatory changes affecting radiology provider enrollment.

·         Serves as the subject matter expert on radiology-specific enrollment nuances, including diagnostic imaging group structures, supervising physician requirements, and site-specific enrollment.

·         Collaborates with credentialing, compliance, revenue cycle, and IT teams to ensure accurate and timely provider data across systems.

·         Develops and implements standardized processes and documentation to support efficient multi-state enrollment operations.

·         Responds to audits, corrective actions, and payer inquiries related to enrollment and compliance.

·         Develops relationships with government payer representatives to resolve issues and expedite enrollments.

·         Performs other duties as assigned.

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

·         Bachelor’s degree in healthcare administration, Business, or related field.

·         7+ years of experience in provider enrollment, with at least 3 years in a leadership role.

·         Prior experience working for CMS, preferred.

·         Demonstrated experience with Medicare and Medicaid enrollment for radiology providers across multiple states.

·         Strong understanding of CMS 855 forms, PECOS, state Medicaid portals, and enrollment systems.

·         Proven experience managing CHOW and COI processes for Medicare and Medicaid, including coordination with legal, compliance, and operational teams.

·         Familiarity with radiology-specific operational models, including teleradiology, imaging centers, and supervising/ordering provider requirements.

·         Excellent organizational, analytical, and communication skills.

·         Ability to manage multiple priorities and teams in a fast-paced, multi-location environment.

·         Experience in a radiology group practice, imaging center network, or teleradiology organization.

·         Project management experience or certification (e.g., PMP).

·         Experience with provider data management platforms and workflow automation tools.

Radiology Partners is an equal opportunity employer. We believe in creating and celebrating a culture of belonging and are committed to creating an inclusive environment for all teammates.

The salary range for this position is $110,000 - $120,000 with performance-based, discretionary bonus potential. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-Verify.

I have reviewed this job description, and I understand all my job duties and responsibilities. I can perform the essential functions as outlined. If I have any questions about job duties not specified on this description that I am asked to perform, I should discuss them with my manager or a member of the Human Resources team.

I acknowledge that the job has been explained to me both verbally and in written format.

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