Provider Enrollment Manager - Department Promotion

Under general direction of and in cooperation with the Director of Heath Care Agency (HCA) Medical Staff Administration, the Provider Enrollment Manager will oversee the systems for third party plan payor enrollments throughout the HCA.

IDEAL CANDIDATE The ideal candidate will be an effective manager who maintains a professional, pleasant, and respectful demeanor with all levels of staff in a fast-paced environment. This person will have strong communication, interpersonal, and administrative/office skills, as well as substantial experience with third party payor enrollments and interpreting practitioner and payor contracts.

EDUCATIONAL/BILINGUAL INCENTIVE: Possible educational incentive of 2.5%, 3.5%, or 5% based on completion of Associate's, Bachelor's, or Master's degree. Incumbents may also be eligible for bilingual incentives depending upon operational need and certification of skill.

PAYROLL TITLE: Program Administrator II 
 
Program Administrator II is a management classification and is not eligible for overtime compensation. Incumbents in these classifications are eligible for benefits at the MB4 level.

AGENCY/DEPARTMENT: Health Care Agency – Ventura County Medical Center/Santa Paula Hospital 

The eligible list established from this recruitment may be used to fill current and future Regular, Temporary, Fixed-term, Intermittent, or Extra Help vacancies for this position only. There is currently one (1) Full-time Regular vacancy.

TENTATIVE SCHEDULE
 OPENING DATE: 9/28/2026
 CLOSING DATE: 10/9/2026

Duties may include but are not limited to the following:

• Manages/oversees the provider enrollment operations with private and government payors;
• Oversees the efficiency and accuracy of the provider enrollment vendor activities and billing processes;
• Oversees the monthly health plan rosters and timely communication of roster changes;
• Manages and maintain database provider enrollment records in MDStaff;
• Collaborate with the Hospital Medical Staff credentialing team regarding provider data necessary for timely payor enrollments;
• Monitors and investigates payor denials related to enrollments and roster discrepancies;
• Develops/manages department enrollment policies & procedures;
• Manages distribution and attestation process of health plan specific orientation/training requirements;
• Maintains documents related to enrollments and the provider enrollment applications;
• Manages the annual provider certificates of insurance in collaboration with the Agency’s malpractice carrier;
• Drafts database enrollment related reports to support the enrollment process;
• Creates accounts related to Practitioner Cerner HNAuser and Bedrock; 
• Supervise and trains administrative support staff;
• Performs other related duties as required.

These are entrance requirements to the examination process and ensure neither continuance in the process nor placement on an eligible list.

DEPARTMENT/AGENCY SERVICE: Currently working as a Regular employee for the County of Ventura Health Care Agency.

NOTE: A Regular employee is an employee who holds an allocated full-time or part-time position in the County budget excluding (but not limited to) extra help or intermittent employees, provisional appointees, enrollees in training programs, and/or independent contractors.

EDUCATION, TRAINING, and EXPERIENCE

Considerable administrative skills coupled with some experience in provider enrollment which demonstrate possession of and competency in the required knowledge, skills and abilities.

An example of the qualifying experience can be obtained by:

NECESSARY SPECIAL REQUIREMENTS

• Intermediate skills with Microsoft Word and Excel
• Effective communication as demonstrated by application and supplemental question responses

• Certified Provider Credentialing Specialist (CPCS)
• Certified Provider Enrollment Specialist (CPES)

Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on Friday, October 2, 2026.

To apply on-line, please refer to our web site at www.venturacounty.gov/jobs. If you prefer to fill out a paper application form, please call (805) 677-5184 for application materials and submit them to County of Ventura Human Resources – Health Care Agency, 646 County Square Dr., Ventura, CA 93003.

LATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

SUPPLEMENTAL QUESTIONNAIRE – qualifying: All applicants are required to complete and submit the questionnaire for this examination at the time of filing. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire will result in the application being removed from consideration.

APPLICATION EVALUATION – qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

TRAINING and EXPERIENCE EVALUATION: A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to the supplemental questionnaire. The T&E is NOT a determination of whether the candidate meets the stated requirements; rather, the T&E is one method for determining who are the better qualified among those who have shown that they meet the stated requirements. In a T&E, applications are either scored or rank ordered according to criteria that most closely meet the business needs of the department. Candidates are typically scored/ranked in relation to one another; consequently, when the pool of candidates is exceptionally strong, many qualified candidates may receive a score or rank which is moderate or even low resulting in them not being advanced in the process.

ORAL EXAMINATION - 100%: A job-related oral examination may be conducted to evaluate and compare participating candidates' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Candidates must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

NOTE: The selection process will likely consist of an Oral Exam, which may be preceded or replaced with the score from a Training and Experience Evaluation (T&E), contingent upon the size and quality of the candidate pool. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. If the T&E replaces the oral exam candidates must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

If there are three (3) or fewer qualified applicants, an oral examination may not be conducted. Instead, a score of 70% is assigned to each application, and each applicant is placed on the eligible list.

BACKGROUND INVESTIGATION: A thorough post offer, pre-employment background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.

EQUAL EMPLOYMENT OPPORTUNITY

The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

To apply visit: www.venturacounty.gov/jobs or for further information about this recruitment, please contact Rhiannon Flores by telephone at (805) 677-5318 or via e-mail at [email protected].