Enrollment Strategy & Operations - Team Lead

We're building a new healthcare clearinghouse

In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers.

Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked as Ramp’s #3 fastest-growing SaaS vendor.

Stedi has lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $92 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital.

What is transaction enrollment?

Stedi is an API-first 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 carrier-specific 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 and processing transactions.

What are we looking for?

We are looking for someone to lead 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 world-class enrollment operation. You will also be responsible for managing the current team and bringing on exceptional talent. 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 a leader. You know what it takes to hire and develop the best. You know that the strongest leaders are also high-performing individual contributors. You are not afraid to do the work and lead by example.

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

• You have experience in externally facing roles: You have experience in client-facing 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, self-motivating, self-disciplined, 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 you'll do

• Lead the day-to-day operations of our transaction enrollments program.

• Manage the team and hire exceptional talent as we scale.

• 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 payer-specifc 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 customer-related escalations relating to missing ERAs.

We’ve been made aware of individuals impersonating the Stedi recruiting team. Please note:

• All official communication about roles at Stedi will only come from an @stedi.com email address.

• If you’re unsure whether a message is legitimate or have any concerns, feel free to contact us directly at [email protected].

We appreciate your attention to this and your interest in joining Stedi.

At Stedi, we're looking for people who are deeply curious and aligned to our ways of working. You're encouraged to apply even if your experience doesn't perfectly match the job description.