Role OverviewThe Provider Enrollment & Network Management Specialist is responsible for coordinating organizational payer enrollments, site and service additions, network participation, directory maintenance, and payer implementation activities.
What You Will Do
Coordinate and manage organizational site and service enrollments with Commercial, Medicare, Medicaid, and Managed Care Organization (MCO) payers, prepare and submit applications and supporting documentation, and monitor enrollment status.
Why It Might Be a Fit
This position requires strong organizational, project management, and problem-solving skills, as well as the ability to manage multiple priorities and deadlines.
Requirements
- Associate's Degree in Healthcare Administration, Business Administration, or related field
- Three (3) years of experience in provider enrollment, managed care operations, credentialing support, healthcare administration, or related functions
- Knowledge of payer enrollment and network participation processes
- Strong organizational, project management, and problem-solving skills
- Ability to manage multiple priorities and deadlines
- Strong attention to detail and follow-through
- Excellent verbal and written communication skills
- Ability to work collaboratively across departments
- Proficiency in Microsoft Office Suite, including Excel, Outlook, Word, SharePoint, and Teams
- Ability to maintain confidential and sensitive information
Benefits
- Competitive salary between $50,000-$60,000
- Generous paid time off and paid holidays
- Full benefits package including Medical, Dental, and Vision benefits
- Life and Disability Insurance (company paid)
- 403(b) Retirement Plan
- Employee Assistance Program and legal services support
- Public Service Loan Forgiveness (PSLF) qualifying employer
]]>