Ventra Health

Provider Enrollment Specialist

• Identify provider payer enrollment issues or denials with the Provider Enrollment Manager
• Research and resolve payer enrollment issues through proprietary and external tools
• Contact clients, operations personnel, CMS, and other payers by phone, email, or website
• Follow up with market locations to research and resolve payer enrollment issues
• Complete and submit CMS Medicare, State Medicaid, and third-party payer applications
• Track and follow up to establish provider numbers and link them to the appropriate client group entities and software systems
• Maintain documentation and reporting for payer enrollments in process
• Retain records related to completed CMS applications
• Build working relationships with clients, Operations, and Revenue Cycle Management
• Obtain, track, and manage payer revalidation dates; submit and track applications to maintain active enrollment and prevent deactivation
• Maintain provider demographics in applicable enrollment systems
• Add providers to applicable systems and maintain information so claims are held or released based on enrollment status
• Perform special projects and other assigned duties

Customer Success Manager

• Serve as liaison between Ventra Health and clients for communication and information exchange
• Manage all aspects of client accounts to maximize collections, provide contracted management services where applicable, and minimize problems
• Work with patients, doctors, owners, practice managers, administrators, and other stakeholders to resolve escalated issues
• Conduct face-to-face client meetings to review performance and ensure satisfaction
• Serve as primary client contact and collaborate with internal teams to resolve issues and provide timely follow-up
• Facilitate internal and external meetings, compile meeting materials, take minutes, and maintain Client Success documentation
• Review operational workflow data and escalate incomplete or delayed steps
• Prepare and/or review internal and external reports and ad-hoc analyses
• Analyze and monitor Client Success metrics, present client-specific reports, and use the issue escalation matrix to resolve concerns
• Recommend process improvements based on data review
• Collaborate with finance, HR, credentialing, and compliance teams when Practice Administration services are used
• Monitor or manage client payor contract negotiations and renewals with the Managed Care Team or assigned payor contracting resource
• Manage or monitor client quality programs and compliance training with organizational subject matter experts
• Assist with new client implementation
• Provide oversight, mentorship, and growth support for assigned Client Success colleagues
• Ensure compliance with applicable healthcare and security regulations and staff adherence
• Perform special projects and other assigned duties

Manager, Client Success – Anesthesia

Director

• Direct and manage the Provider Enrollment department’s day-to-day operations
• Recruit, select, orient, train, coach, counsel, and discipline staff
• Develop relationships with Provider Enrollment teams and document organizational needs and priorities
• Oversee the provider enrollment lifecycle, including new enrollment, reenrollment, enrollment denials, and client-level special projects
• Monitor client-level metrics and ensure timeliness and accuracy of enrollment activities
• Develop client relationships and provide regular status updates on credentialing deliverables
• Recommend workflow improvements throughout the enrollment cycle
• Develop and recommend policies and guidelines and implement procedures for consistent department-wide adherence
• Hold management meetings to review held claims, client provider enrollment status, and provider enrollment inventory
• Monitor department activities, identify gaps, and implement processes to improve timeliness and effectiveness
• Compile and prepare management reports to analyze trends and make recommendations
• Perform special projects and other assigned duties

Director, Provider Enrollment

• Serve as liaison between Ventra Health and clients for communication and information exchange
• Manage all aspects of client accounts to maximize collections, provide contracted management services where applicable, and minimize problems
• Work with patients, doctors, owners, practice managers, administrators, and other stakeholders to resolve escalated issues
• Conduct face-to-face client meetings to review performance and ensure satisfaction
• Serve as primary client contact and coordinate internally for issue resolution and timely follow-up
• Facilitate internal and external meetings, compile materials, take minutes, and maintain Client Success documentation
• Review operational workflow data and escalate incomplete or delayed steps
• Prepare and review internal and external reports and ad hoc analyses
• Analyze and monitor Client Success metrics, present client-specific reports, and use the issue escalation matrix
• Recommend process improvements based on data review
• Collaborate with finance, HR, credentialing, and compliance teams when Practice Administration services are used
• Monitor or manage client payor contract negotiations and renewals with the Managed Care Team or payor contracting resources
• Manage or monitor clients’ quality programs and compliance training
• Assist with new client implementation
• Oversee, mentor, and support the growth of assigned Client Success colleagues
• Ensure compliance with applicable healthcare and security regulations and staff adherence
• Perform special projects and other assigned duties

• Serve as liaison between Ventra Health and clients for communication and information exchange
• Manage all aspects of client accounts to maximize collections, provide contracted management services where applicable, and minimize problems
• Work with patients, doctors, owners, practice managers, administrators, and other stakeholders to resolve escalated issues
• Conduct face-to-face client meetings to review performance and ensure satisfaction
• Serve as primary client contact and coordinate issue resolution with internal teams
• Facilitate internal and external meetings, compile minutes, and maintain Client Success documentation
• Review operational workflow data and escalate incomplete or delayed steps
• Prepare and review internal and external reports and ad hoc analyses
• Analyze and monitor Client Success metrics, present client-specific reports, and use escalation procedures to resolve concerns
• Recommend process improvements based on data review
• Collaborate with finance, HR, credentialing, and compliance teams when Practice Administration services are used
• Monitor or manage client payor contract negotiations and renewals with the Managed Care Team or payor contracting resources
• Manage or monitor client quality programs and compliance training
• Assist with new client implementation
• Oversee, mentor, and support the growth of assigned Client Success colleagues
• Ensure compliance with healthcare and security regulations and staff adherence
• Perform special projects and other assigned duties

Manager, Client Success – Emergency/Hospital Medicine

• Serve as liaison between Ventra Health and clients for communication and information exchange
• Manage all aspects of client accounts to maximize collections, provide contracted management services where applicable, and minimize problems
• Work with patients, doctors, owners, practice managers, administrators, and other stakeholders to resolve escalated issues
• Conduct face-to-face client meetings to review performance and ensure satisfaction
• Serve as primary client contact and collaborate with internal teams to resolve issues and provide timely follow-up
• Facilitate internal and external meetings, compile meeting materials, take minutes, and maintain Client Success documentation
• Review data and monitor operational workflow completion, escalating issues as needed
• Prepare and/or review internal and external reports and ad-hoc analyses
• Analyze and monitor Client Success metrics, present client-specific reports, and use the issue escalation matrix to resolve concerns
• Recommend process improvements based on data review
• Collaborate with finance, HR, credentialing, and compliance teams when Practice Administration services are used
• Monitor or manage client payor contract negotiations and renewals with the Managed Care Team or payor contracting resources
• Manage or monitor client quality programs and compliance training with internal subject matter experts
• Assist with new client implementation
• Oversee, mentor, and support the growth of assigned Client Success colleagues
• Ensure compliance with applicable healthcare and security regulations and staff adherence
• Perform special projects and other assigned duties

Manager, Client Success – Radiology

Head of Department

• Own delivery performance for the client relationship
• Serve as executive escalation point
• Lead senior/C-level meetings and QBRs
• Manage to and consistently exceed SLA commitments
• Monitor KPI trends to identify emerging issues early and deploy rapid remediation
• Identify and implement industry best practices to improve operational performance
• Work across Operations, Technology, and Client Success to align delivery with broader business objectives
• Coach and mentor senior leaders already in place
• Strengthen performance management and accountability across the organization
• Evaluate and advocate for technology and automation that improves data visibility and operational precision
• Represent the delivery organization with executive presence in client and leadership settings

Provider Enrollment Specialist

Manager, Client Success – Anesthesia

Director, Provider Enrollment

Manager, Client Success – Anesthesia

Manager, Client Success – Emergency/Hospital Medicine

Manager, Client Success – Radiology

Head of Client Delivery