Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. Through our highly personalized, digital platform, we guide our 2.2 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money.

Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment will help us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases.

At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment:

Measured: We make data-driven, truth-seeking decisions.

Impactful: We are fueled by achieving our mission and vision.

Collaborative: We help each other be better and create a positive environment.

Hungry: We maintain a healthy growth mindset, seeking to overcome challenges with courage.

Joyful: We take joy in each other, our work, and the privilege of doing this work.

About the role:

As the Senior Enrollment Specialist, you will play a crucial role in ensuring the seamless enrollment of registered dietitians. Leveraging your extensive experience in healthcare enrollment and deep understanding of Medicaid and Medicare requirements, you will lead the charge in maintaining regulatory compliance and upholding the highest standards of professional practice. Collaborating closely with the Clinical Operations department and medical staff, you will be instrumental in driving efficiency and excellence in the enrollment process, with a primary focus on optimizing the onboarding of healthcare providers.

You will:

Evaluate and process applications for registered dietitians and other healthcare providers and verify credentials to ensure compliance with regulatory standards
Maintain accurate and up-to-date records of provider information
Assess and verify provider eligibility for various insurance programs
Liaise with providers, state Medicaid agencies, and Medicare Administrative Contractors (MACs) to resolve discrepancies or issues.
Collect, review, and enter data related to provider applications and credentials
Provide detailed information and training to providers regarding enrollment requirements, processes, and policies
Monitor and ensure compliance with relevant healthcare regulations and standards
Participate in quality improvement initiatives to enhance enrollment processes
Coordinate with other departments to streamline the enrollment process and ensure efficient data handling and system integration

You are:

Proactive: You anticipate potential issues and take initiative to resolve them, ensuring smooth and efficient enrollment processes.
Detail-Oriented: You take pride in maintaining accuracy and ensuring compliance with every application you handle.
Adaptable: You embrace change and quickly adapt to new regulations, technologies, and processes in the healthcare enrollment landscape.
A Subject Matter Expert: You maintain strong knowledge of Medicaid and Medicare enrollment processes and regulations.

You have:

Bachelor's Degree or 4 years of equivalent experience
At least 5 years of experience in healthcare provider enrollment or a related field
Strong knowledge of Medicaid and Medicare enrollment processes and regulations
Demonstrated ability to manage complex projects and meet deadlines
Excellent organizational and time management skills
Exceptional verbal and written communication skills
Proficiency in data entry and management software
Ability to work independently and as part of a team
High level of accuracy and attention to detail

About our benefits and perks:

Remote-First Company

Unlimited PTO

Flexible & remote location (Bay Area preferred)

Healthcare Coverage (Medical, Dental, Vision)

401k, bonus, & stock options

Commuter benefit

Gym reimbursement

Foodsmart is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected class.

•

Last updated on Aug 30, 2024