Sys Manager Governmental Payor Enrollments

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

This system-level role is responsible for the management and oversight of facility payor enrollments, including governmental (e.g., Medicare, Medicaid) health plans. Responsibilities include the review, analysis, coordination, and submission of enrollment data required for all CommonSpirit Health providers and facilities.

While enrollment requirements vary across payors, this role ensures standardized, accurate, and timely enrollment processes across government entities.

This position focuses primarily on facility-level enrollments; however, it may support individual provider enrollments when necessary to ensure operational continuity and revenue integrity.

• Provide oversight and execution of facility payor enrollments across governmental payor, including Medicare, Medicaid, and managed care/health plans.
• Coordinate and complete end-to-end enrollment processes, including data collection, application completion, submission (manual and electronic), and follow-up for both government payors.
• Partner with facility leadership, operational teams, third-party vendors, and payor representatives to collect, validate, and confirm accuracy of enrollment information to meet submission timelines and requirements.
• Submit completed applications to designated Authorized/Delegated Officials for review and approval in accordance with internal governance and payor requirements.
• Collaborate with governmental contractors to resolve enrollment requirements, deficiencies, and requests for additional information.
• Gain and maintain proficiency in government enrollment systems (e.g., PECOS, PAVE) and credentialing platforms to manage enrollment workflows.

Required

• Bachelors Other Bachelor Admin degree in Finance, Accounting or Finance concentration preferred but not required
• (Four to Six) 4-6 years Minimum of five (5) years of current progressive experience in a healthcare environment, with government enrollments background.