Payer Enrollment Specialist - Full Time
Big HealthSalary not specified
Full Time
Junior (1 to 2 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, RetailIndustries
Requirements
- Bachelor’s degree in Business, Health Administration, or a related field
- 1+ years of experience in provider enrollment, healthcare operations, or payer relations
- Knowledge of healthcare enrollment regulations and performance metrics
- Strong understanding of healthcare provider enrollment processes and payer requirements
- Excellent organizational and analytical skills with attention to detail
- Effective communication and problem-solving abilities
- Ability to manage multiple priorities in a fast-paced environment
- Commitment to Walmart’s values of integrity, respect, service, and excellence
Responsibilities
- Oversee the submission and monitoring of provider and facility enrollment applications to payers and state/federal agencies
- Manage enrollment lifecycle activities such as re-enrollment, re-validation, and document submission to ensure uninterrupted claims processing
- Track and report team KPIs related to performance, capacity, margin, and growth while identifying opportunities for improvement
- Communicate with payers to resolve enrollment issues and escalate as needed
- Identify trends and forecast scenarios that may impact enrollment timelines, business continuity, or revenue
- Support process improvements, tool enhancements, and automation to improve enrollment efficiency and accuracy
- Contribute to developing training materials, playbooks, and resources for the Payor Enrollment team
Skills
provider enrollment
payer enrollment
healthcare regulations
enrollment lifecycle management
KPI tracking
process improvement
payer communication
analytical skills
compliance management
claims processing
Walmart
Global retail chain offering affordable products
About Walmart
Walmart operates a chain of hypermarkets, discount department stores, and grocery stores, providing a wide variety of products at low prices to everyday consumers, families, and communities. The company combines physical retail locations with an e-commerce platform, allowing customers to shop for groceries, apparel, electronics, and household items both in-store and online. Walmart's efficient supply chain management and large-scale purchasing enable it to maintain affordability, setting it apart from competitors. The company also offers financial services and health and wellness services, including pharmacies and vision centers. Walmart's goal is to save people money and support communities, as demonstrated by its efforts during the COVID-19 pandemic and its commitment to social responsibility, including programs for veterans and military families.
Bentonville, ArkansasHeadquarters
1962Year Founded
$5,515MTotal Funding
IPOCompany Stage
Financial Services, Consumer GoodsIndustries
10,001+Employees
Benefits
PTO: Paid vacation, sick time, personal time and holiday time
10% discount on regularly priced general merchandise and fresh fruits and vegetables
6% 401(k) match to all employees, including hourly workers, after one year
Roth IRA available
Associate Stock Purchase Plan
maximum and eligible preventive care covered at 100%
Health reimbursement plans
Risks
Rising U.S. labor costs could pressure profit margins.
Amazon's grocery delivery expansion threatens Walmart's market share.
Fintech investments expose Walmart to financial regulatory risks.
Differentiation
Walmart's omnichannel strategy integrates physical and online retail seamlessly.
The company offers a wide range of products at consistently low prices.
Walmart's commitment to community support enhances its brand reputation.
Upsides
Walmart's investment in fintech expands its financial services offerings.
Robotics integration in distribution centers boosts operational efficiency.
Culturally themed product lines attract diverse customer segments.
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