Provider Enrollment Manager - Department Promotion

We need to output HTML fragment with sections only where there is real content. Remove boilerplate, navigation, EEO, etc. Keep substantive info: description, ideal candidate, educational/bilingual incentive, payroll title, agency/department, tentative schedule opening/closing dates, examples of duties, typical qualifications (including department/agency service note, education/training/experience, necessary special requirements, desired, knowledge, ability, skill). Also maybe recruitment process details? The instruction says remove application instructions, cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we should exclude recruitment process details like "Your application must be received..." etc. Also exclude "LATERAL TRANSFER OPTION", "Note to Applicants", "SUPPLEMENTAL QUESTIONNAIRE", "APPLICATION EVALUATION", "TRAINING and EXPERIENCE EVALUATION", "ORAL EXAMINATION", "BACKGROUND INVESTIGATION", "EQUAL EMPLOYMENT OPPORTUNITY", contact info, etc. We need to preserve all substantive information. So we keep description paragraph, ideal candidate paragraph, educational/bilingual incentive paragraph, payroll title paragraph, agency/department paragraph, tentative schedule opening/closing dates paragraph, examples of duties list, typical qualifications section with subparts? We can break into subsections: Department/Agency Service note, Education/Training/Experience, Necessary Special Requirements, Desired, Knowledge, Ability, Skill. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. But we need to map content to these headings. The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we should use those exact headings? It says e.g., meaning examples. We should create headings that match content. Likely we need sections: About the role (description), Responsibilities (duties), Requirements (qualifications), Qualifications (maybe educational?), Skills, Benefits, Pay, Schedule. But we must only include sections when posting has real specific content. The posting includes Pay? It mentions PAYROLL TITLE: Program Administrator II, but not actual pay amount. It says "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." That's about classification, not pay amount. There's no explicit pay amount. Should we include Pay section? The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state schedule opening/closing dates (TENTATIVE SCHEDULE OPENING DATE: 9/28/2026 CLOSING DATE: 10/9/2026). So we can include Schedule section with those dates. Benefits? It mentions educational incentive, bilingual incentive, benefits at MB4 level. That's benefits info. So we can include Benefits section with educational incentive, bilingual incentive, benefits at MB4 level. Pay? No explicit pay amount or range. So we should not include Pay section. Also maybe we can include About the role (description). Responsibilities (duties). Requirements (maybe typical qualifications). Qualifications (maybe education/training/experience). Skills (knowledge/ability/skill). But we need to avoid duplication. Let's think: The posting has sections: Description, Ideal Candidate, Educational/Bilingual Incentive, Payroll Title, Agency/Department, Tentative Schedule, Examples Of Duties, Typical Qualifications (with subparts). We need to map to headings. We could do:

About the role

Description paragraph...

Ideal candidate

Ideal candidate paragraph...

Educational and bilingual incentives

...

But the instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. It doesn't forbid other headings? It says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Likely they expect us to use those headings only. So we should map content to those headings. Let's try: - About the role: description paragraph (general direction etc.) - Responsibilities: Examples Of Duties list. - Requirements: Typical Qualifications? Or maybe Requirements includes department/agency service note, education/training/experience, necessary special requirements. - Qualifications: maybe Ideal Candidate? Or Educational/Bilingual Incentive? Hmm. - Skills: Knowledge, Ability, Skill bullet list. - Benefits: Educational/bilingual incentive, benefits at MB4 level. - Pay: Not present, so omit. - Schedule: Tentative schedule opening/closing dates. We also have Agency/Department and Payroll Title; maybe those fit under About the role or Requirements? Could include in About the role as extra detail. We must not repeat job title as heading. So fine. We need to preserve all substantive information. Let's extract. Description paragraph: "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 paragraph: "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: "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: "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: "AGENCY/DEPARTMENT: Health Care Agency – Ventura County Medical Center/Santa Paula Hospital" Tentative Schedule: "TENTATIVE SCHEDULE OPENING DATE: 9/28/2026 CLOSING DATE: 10/9/2026" Examples Of Duties: list items separated by semicolons. We need to convert to

• . Let's parse: - 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. We need to keep each as
• . Typical Qualifications: includes several parts. First: "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." Second: "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: Four (4) years of experience with administrative functions, including experience with the life cycle of provider enrollment and/or provider credentialing." Third: "Necessary Special Requirements Intermediate skills with Microsoft Word and ExcelEffective communication as demonstrated by application and supplemental question responses" Note: there is missing punctuation; we keep as is. Fourth: "DESIRED Experience with provider enrollment and/or provider credentialing within a public health care system, such as hospitals, clinics, or other health care organizations.Experience using online provider enrollment and credentialing databases and portal systems, such as MD-Staff, PAVE (Medi-Cal), and PECOS (Medicare).Experience in preparing professional reports and documentation.National Association of Medical Staff Services (NAMSS) certification in one of the following:Certified Provider Credentialing Specialist (CPCS)Certified Provider Enrollment Specialist (CPES)Provider Enrollment Specialist Certificate (PESC)Willingness to obtain a relevant professional certification within two (2) years of becoming eligible to sit for the examination." Fifth: "Knowledge of: medical staff organization and health plan provider enrollment functions." Sixth: "Ability to: interpret and implement health plan accreditation and contract requirements; research and implement current best practices; utilize credentialing software programs; plan, organize, and supervise the work of others; build and maintain effective professional relationships with others; and communicate effectively in an oral and written manner." Seventh: "Skill in: Microsoft Word, Excel, and online portal database systems." We need to output sections. Let's map: About the role: combine Description, Ideal Candidate? Might be too much. But we can keep Description as About the role, and Ideal Candidate as maybe Qualifications? However Qualifications heading is for qualifications. Let's decide: - About the role: Description paragraph + Agency/Department + Payroll Title? Could be. - Responsibilities: Examples Of Duties list. - Requirements: Typical Qualifications (including Department/Agency Service, Education/Training/Experience, Necessary Special Requirements, Desired). Might be too much but okay. - Qualifications: maybe Ideal Candidate? Or Educational/Bilingual Incentive? Actually Qualifications could be Ideal Candidate (desired traits). But we already used Requirements for qualifications. Let's think: The instruction list includes both Requirements and Qualifications as separate possible headings. We can use Requirements for mandatory qualifications (education, experience, etc.) and Qualifications for preferred/ideal candidate traits. Benefits for incentives. Skills for knowledge/ability/skill. Thus:

  About the role

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

  But we need to preserve all info; we included agency/department and payroll title.

  Responsibilities

  ...

  Requirements

  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)