Organization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News & World Report. We employ 3,400+ team members and serve the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Physician-Hospital Organization Mission

Health Partners is a membership-driven physician-hospital organization (PHO) that exists to deliver contract management and other advocacy services for healthcare professionals.

Position Summary

The Provider Enrollment Manager reports directly to the Executive Director of Health Partners. The Provider Enrollment Manager oversees the full lifecycle of provider payer enrollment, credentialing coordination, and contract administration to ensure healthcare providers are accurately enrolled, contracted, and maintained with all contracted insurance payers. This role plays a critical operational and compliance function by supporting network participation, timely reimbursement, and regulatory adherence, while partnering closely with providers, payers, internal leadership, and revenue cycle teams.

Essential Position Responsibilities

• Provider Enrollment: Lead and oversee provider enrollment


• Enrollment Process Management: Identify, analyze and implement workflow improvements to reduce enrollment delays, improve data accuracy, identify enrollment gaps and enhance provider onboarding efficiency across payers and networks. Track enrollment and contracting metrics, provider effective dates, payer participation status, and turnaround timelines; provide reports and insights to leadership to support operational planning and process improvement.


• Provider Service and Retention: Act as a point of escalation for provider enrollment and contracting issues impacting network status or provider satisfaction. Resolve any claims disputes resulting from provider enrollment and loading issues.


• Administrative Duties: Ensure data accuracy across PHO systems, payer portals, and provider directories to support proper network representation. Provide general administrative support to the PHO office and work closely with PHO staff. Assist with other duties, as assigned, including but not limited to credentialing and database management functions.


• Managerial: Mentor and develop a high-performing team of enrollment specialist(s), fostering a culture of continuous improvement and excellence.

Qualifications

• Education: Bachelor’s degree in healthcare administration or 2-5 years of applicable experience in provider relations or healthcare administration.


• Licensure and Certifications: Competency in Microsoft office


• Experience: Must possess excellent organizational, interpersonal, and verbal/written communication skills

Work Environment: This position will spend a majority of time working in a standard office environment where 80% of time is sitting or standing, performing office/clerical work and 20% of time walking. This position may lift up to 50 lbs.

Notice: This job description is designed to provide an overview of the essential and principal duties and responsibilities of the position. The job description is not designed or intended to cover or set forth a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Washington Regional reserves the right in its absolute discretion to change duties, responsibilities or activities or assign new duties, responsibilities, or activities at any time with or without notice. Employees may be directed to perform job-related tasks other than those specifically presented in this description.