Payer Enrollment Specialist

Imagen enables Primary Care providers to become technology-enabled multispecialty practices, powering a successful transition from fee-for-service to value-based care. Imagen’s comprehensive platform includes in-office diagnostic testing, diagnostic interpretations powered by proprietary FDA-cleared machine learning software, and virtual specialist consults. Imagen’s platform empowers Primary Care providers to achieve healthcare’s quadruple aim of increasing quality, lowering costs, and improving the patient and provider experience. 

Imagen’s team includes over 100 clinical, technical and business personnel. Imagen’s software has received first-of-its-kind FDA clearances, and its research has been published in leading peer-reviewed journals. Imagen has raised $135 million in capital from investors such as Google Ventures, Casdin Capital, and Threshold Ventures. Imagen was founded in 2015 and we are a remote-first company.  is based in New York City.

We’re looking for an experienced and detail oriented Payer Enrollment Specialist to perform and oversee all payer enrollment activities for our specialists, including radiologists, cardiologists, and optometrists. You will be responsible for working with our primary care clients to determine the appropriate enrollment pathways for commercial, Medicare, and Medicaid payers and execute enrollment for each of our specialists under the TIN of our customer. Qualified candidates for this role will have 3+ years of payer enrollment experience with a preference for candidates with who have previously worked in the primary care space.

Responsibilities:

• Complete payer enrollment applications on behalf of our primary care group clients for each of our specialists across all payer types: commercial, Medicare, and Medicaid.
• Input, update and maintain CAQH profile for Imagen specialists
• Establish and refine our process of gathering relevant payer and provider information to enable efficient and timely payer enrollment
• Interface with our clients to complete payer enrollment consistent with client needs and processes.
• Interface with carriers to gather pertinent information regarding our services, e.g. site-location and service eligibility, and resolve issues related to provider participation (network closure, specialty criteria, any caveats discovered)
• Provide consistent updates to internal stakeholders regarding the status of payer enrollment and overall project timelines.

Qualifications:

• Minimum of 3 years credentialing/payer enrollment field
• Organized, with a strong attention to detail and ability to work independently
• Ability to prioritize and manage multiple issues effectively and simultaneously

Our headquarters are based in New York, NY and this job is conducted remotely. 

The base salary for the position is between $60,000 - $80,000, plus equity, commission and benefits. Please note that the base salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location.

Imagen Technologies maintains a Substance Abuse and Testing policy. Being under the influence of alcohol or controlled substances while on the job or while conducting business on Imagen’s behalf is prohibited. Imagen reserves the right to test any applicant or employee for alcohol and/or drug use, subject to compliance with any applicable state and/or federal laws.

Imagen is committed to the principle of equal employment opportunity for all employees and applicants for employment and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.  Imagen will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.