Payer Strategy & Operations Enrollments

Stedi is an APIfirst healthcare clearinghouse. By offering a modern API interface for running eligibility checks, processing claims, and ingesting ERAs, healthcare technology businesses are able to exchange transactions with payers without dealing with the EDI protocol or carrierspecific connectivity.

Transaction enrollment is the process of registering a provider with a payer to to exchange specific healthcare transactions. It involves submitting information about the provider, including their name, tax ID, NPI, billing address, and contact information.

Transaction enrollment is the most toilsome process that revenue cycle businesses and teams have to manage. Thousands of payers, each with their own quirky enrollment experience. Form fills, faxes, PDFs, wet signature, and provider portal all stand in the way of reconciling financials.

What are we looking for?

We are looking for someone to own our transaction enrollment operation. This team is responsible for the systems, automations, communications, and payer interactions that all result in a seamless enrollment experience for our customers and their providers. This is an operationally intensive process, which requires attention to the smallest details, excellent customer communication, and a product mindset to fix the incidental complexities inherent in these enrollment processes.

You will work with customers, internal operations teams, engineering, product, payers, and intermediaries to build and scale a worldclass enrollment operation. The work moves extraordinarily fast and is in the critical path for our customers, our business, and our revenue.

Who you are

• You have experience building operational processes and programs. You’ve seen where systems break down, where bottlenecks emerge, and are excited to come in every day and improve the system. You understand the benefits of compounding small incremental gains.

• You are exceptional at staying on top of many open threads simultaneously. You are hyperresponsive, organized, and thorough. You almost never drop balls.

• You have experience in externally facing roles: You have experience in clientfacing roles; ideally within consulting, support, implementation and onboarding, or program management.

• You have a systems mindset. You go beyond helping with the task at hand. You are able to intuitively understand gaps as you work through implementations and are able to articulate those to the product, payer operations, and engineering team.

• You do what it takes to get the job done. You are resourceful, selfmotivating, selfdisciplined, and don’t wait to be told what to do. You put in the hours.

• You move quickly. We move quickly as an organization. This requires an ability to match our pace and not get lost by responding with urgency (both externally to payers and internally to stakeholders), communicating what you are working on, and proactively asking for help or feedback when you need it.

• What youll do

  • Lead the daytoday operations of our transaction enrollments program.

  • Interface with customers, intermediary clearinghouses, and payers on a daily basis in order to get enrollments approved, improve the systems, and scale the operation.

  • Create and grow a content management system of payerspecifc enrollment steps and feed those steps back into the product and system that you operate.

  • Collaborate with product to define and ship requirements to improve the enrollments product, both the external version and internal tooling that supports.

  • Measure the performance of your system by defining metrics, and driving those metrics to levels not achieved by other clearinghouses.

  • Troubleshoot enrollment issues, solve root causes, and manage customerrelated escalations relating to missing ERAs.

  • At Stedi, were looking for people who are deeply curious and aligned to our ways of working. Youre encouraged to apply even if your experience doesnt perfectly match the job description.