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Director Provider Enrollment Credentialing Jobs

ISHE

Credentialing & Enrollment Specialist

Lansing, MI · On-site

$60 - $80/hr

RESPONSIBILITIES AND DUTIES 1. Works directly with health center staff to ensure efficient and accurate provider insurance credentialing and enrollment. * Manages timely communications with health ...

Quanterix

Payor Enrollment & Credentialing

Provide updates to internal teams on credentialing and enrollment status. BASIC QUALIFICATIONS: * Bachelor's degree required. * 5+ years of experience in payor enrollment, credentialing, revenue ...

MDVIP

Provider Enrollment Manager

Boca Raton, FL · On-site

Position Summary MDVIP is seeking a Provider Enrollment Manager reporting to the Associate Director of Insurance & Credentialing, to lead the insurance provider enrollment process for our MDVIP ...

MDVIP LLC

Provider Enrollment Manager

Boca Raton, FL · On-site

Position Summary MDVIP is seeking a Provider Enrollment Manager reporting to the Associate Director of Insurance & Credentialing, to lead the insurance provider enrollment process for our MDVIP ...

MDVIP

Provider Enrollment Manager

Boca Raton, FL · On-site

Position Summary MDVIP is seeking a Provider Enrollment Manager reporting to the Associate Director of Insurance & Credentialing, to lead the insurance provider enrollment process for our MDVIP ...

Socket.dev

Provider Enrollment Manager

Boca Raton, FL · On-site

$100 - $125/hr

Position Summary MDVIP is seeking a Provider Enrollment Manager reporting to the Associate Director of Insurance & Credentialing, to lead the insurance provider enrollment process for our MDVIP ...

e-MDs

Credentialing Specialist

Hauppauge, NY · On-site

Summary of Job Responsible for preparing provider enrollment applications, demographic updates and ... Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides ...

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How much do director provider enrollment credentialing jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for director provider enrollment credentialing in the United States is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.76 per hour, depending on experience, location, and employer.

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Infographic showing various Director Provider Enrollment Credentialing job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 77% Full Time, 14% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Credentialing & Enrollment Specialist

Lansing, MI • On-site

ISHE
See more jobs at ISHEexternal

$60 - $80/hr

Other

Posted 7 days ago

Key responsibilities

  • Manage provider insurance credentialing and enrollment processes, including communication with health center staff and payers.

  • Support health center engagement in enrollment, credentialing, and related activities through technical assistance, training, and education.

  • Maintain accurate documentation of credentialing activities and troubleshoot issues related to provider enrollment and claim denials.

Job description

The Credentialing & Enrollment Specialist is responsible for supporting the development and implementation of strategies and services which improve efficient and accurate health center revenue cycle operations and contribute to the financial sustainability of health center services. This position will work directly with health center staff and payer contacts, utilizing customer service skills to promote engagement in reaching improved outcomes related to credentialing, enrollment, and related activities.

RESPONSIBILITIES AND DUTIES 1. Works directly with health center staff to ensure efficient and accurate provider insurance credentialing and enrollment.
  • Manages timely communications with health center staff related to insurance credentialing and enrollment requests, changes, additions, and terminations.
  • Follows established processes and protocols to ensure successful and accurate completion and maintenance of provider insurance credentialing and enrollment tasks, which varies by payer.
  • Ensures enrollment requests are processed by payers according to reasonable timeframes and reaches out to payer contacts to troubleshoot, as needed.
  • Responsible for follow-up on notifications received from centers related to claim denials related to provider enrollment, incorrect PCP status of enrolled providers including reported patient inability to select desired PCP, and other related error resolution needs.
  • Maintains accurate and timely documentation of activities, status updates, and other pertinent information.
2. Works directly with health center staff to promote health center engagement in services, trainings, peer learning, and other efforts which support efficient and accurate health center enrollment and credentialing, provider onboarding processes, and related activities that contribute to the financial sustainability of health center services.
  • Supports the continued growth and improvement of enrollment and credentialing related contractual services offered to health centers.
  • Supports the enrollment and credentialing related matters for Health Centers and MPCA staff by providing technical assistance, training, and education and ongoing support to health centers in assigned areas.
  • Provides support to MPCA training events, network gatherings, resource development, webinars, and conference calls to support and strengthen health center enrollment and credentialing activities.
  • Builds and maintains subject matter expertise in assigned areas to stay abreast of relevant changes in practice, policy, and evidence and infuses that knowledge into MPCA offerings.
  • Works collaboratively with stakeholders to gather constructive input to continually improve the support provided by MPCA to health centers.
3. Other duties, as required. Knowledge of:
  • Requires knowledge of healthcare provider onboarding functions, including provider enrollment, credentialing, CAQH and NPI updates, and privileging processes.
  • Knowledge of Michigan’s health coverage landscape including common public and private payers
  • Word processing, spreadsheets, data base software, and electronic communication technology
    Electronic health record and practice management systems
Skill/Ability to:
  • Ability to assess problems, determine solutions and make decisions in a timely manner
  • Ability to engage in relationship building and utilize customer service skills
  • Ability to self motivate and take initiative to further organizational goals
  • Ability to build credibility and trust with members and partners.
  • Ability to develop and maintain productive partner relations.
  • Ability to interpret relevant policies and procedures
  • Works independent and as a team member with minimal supervision
  • Ability to communicate complex and technical information in a clear and concise manner, both verbally and in writing.
Education/Experience:
  • 3 years of professional experience working in revenue cycle, enrollment, credentialing, or other related work area in an outpatient healthcare setting required
  • FQHC enrollment experience preferred; bachelor's degree preferred
  • Must reside in the State of Michigan
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