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Medicare Provider Enrollment Analyst Jobs (NOW HIRING)

ICONMA

Provider Enrollment Coordinator

Maintain working knowledge of statutory regulations for Medicare, Medicaid, and Commercial ... Research and analyze trends ( i.e. claims, providers, clinics) in order to make recommendations for ...

XIFIN

Provider Enrollment Specialist

Dallas, TX · On-site

$23 - $29/hr

... analytical skills to solving problems. Additionally to be successful in this role, you must have ... Prepare, submit, and track Medicare, Medicaid, and commercial payer enrollment applications for ...

XIFIN

Provider Enrollment Specialist

Charleston, SC · On-site

$23 - $29/hr

... analytical skills to solving problems. Additionally to be successful in this role, you must have ... Prepare, submit, and track Medicare, Medicaid, and commercial payer enrollment applications for ...

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All JobsMedicare Provider Enrollment Analyst Jobs

Medicare Provider Enrollment Analyst information

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How much do medicare provider enrollment analyst jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for medicare provider enrollment analyst in the United States is $23.80, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.20 per hour, depending on experience, location, and employer.

What does a Medicare Provider Enrollment Analyst do?

A Medicare Provider Enrollment Analyst is responsible for reviewing and processing applications from healthcare providers who wish to enroll in the Medicare program. They verify credentials, ensure compliance with federal regulations, and maintain accurate records to support provider participation. Analysts may also communicate with providers to resolve discrepancies or request additional information, and they play a key role in preventing fraud and ensuring only qualified providers are approved. Their work helps maintain the integrity of the Medicare system and ensures beneficiaries receive care from eligible providers.

What are some common challenges Medicare Provider Enrollment Analysts face when processing provider applications?

Medicare Provider Enrollment Analysts often encounter challenges such as navigating complex federal regulations, verifying incomplete or inconsistent provider documentation, and staying updated with frequent policy changes. These analysts must be detail-oriented to ensure all required information is accurate and compliant, as errors can delay provider approval and patient care. Collaboration with providers, internal teams, and regulatory agencies is essential to resolve issues quickly and efficiently.

What are the key skills and qualifications needed to thrive as a Medicare Provider Enrollment Analyst, and why are they important?

To thrive as a Medicare Provider Enrollment Analyst, you need a solid understanding of healthcare regulations, provider credentialing, and Medicare enrollment processes, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with Medicare's Provider Enrollment, Chain, and Ownership System (PECOS), as well as document management and compliance tracking tools, is typically required. Strong attention to detail, analytical thinking, and effective communication skills help analysts navigate complex regulations and ensure accurate provider data. These skills are critical for ensuring timely provider enrollment, maintaining regulatory compliance, and minimizing disruptions in healthcare services.

What is the difference between Medicare Provider Enrollment Analyst vs Medicare Claims Specialist?

AspectMedicare Provider Enrollment AnalystMedicare Claims Specialist
Required CredentialsTypically requires healthcare or administrative certifications, knowledge of Medicare policiesOften requires claims processing certifications, familiarity with billing systems
Work EnvironmentOffice setting, government or healthcare organizationHealthcare provider offices, billing departments
Employer & Industry UsageUsed by Medicare administrative contractors, healthcare organizationsUsed by hospitals, clinics, insurance companies
Search & Comparison IntentUnderstanding roles related to Medicare enrollment processesUnderstanding claims processing and billing procedures

The Medicare Provider Enrollment Analyst primarily focuses on enrolling providers into Medicare, ensuring compliance with policies. In contrast, the Medicare Claims Specialist handles claims processing, billing, and reimbursement. Both roles require healthcare knowledge but serve different functions within the Medicare ecosystem.

How to become a Medicare Provider Enrollment Analyst?

To become a Medicare Provider Enrollment Analyst, candidates typically need a bachelor's degree in healthcare administration, health information management, or a related field. Relevant experience in healthcare compliance, knowledge of Medicare policies, and proficiency with enrollment systems like PECOS are also important; certifications such as the Certified Provider Enrollment Specialist (CPES) can enhance prospects.
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The most popular types of Medicare Provider Enrollment Analyst jobs are:

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The top searched job categories for Medicare Provider Enrollment Analyst jobs are:

Medicare Provider Enrollment Analyst jobs near you
Infographic showing various Medicare Provider Enrollment Analyst job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $49,501 per year, or $23.8 per hour.

Medicare & Medicaid Enrollment Analyst

AllyAlign Health

Remote

Other

Posted 4 days ago

Job description

Curana Health Mission

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we've grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place—and we look forward to working with you.

Medicare & Medicaid Enrollment Analyst

The Medicare & Medicaid Enrollment Analyst is responsible for overseeing and managing all Medicare and Medicaid enrollment revalidations for both individual providers and provider groups. This role serves as the organization's subject matter expert on government payer enrollment processes, ensuring timely revalidation, maintenance, and compliance with federal and state regulations.

The coordinator manages the full revalidations for physicians, nurse practitioners, physician assistants, and organizational entities to ensure uninterrupted billing, reimbursement, and regulatory compliance. The position works collaboratively with Credentialing, Revenue Cycle, Compliance, Billing, and Operations teams to support organizational growth and provider onboarding initiatives.

Essential Duties & Responsibilities

Medicare Provider & Group Enrollment

  • Prepare, submit, and monitor individual and group Medicare revalidations through PECOS.
  • Manage Medicare revalidations and enrollment maintenance requests.
  • Track PTAN assignments, effective dates, and approval statuses.
  • Coordinate electronic signatures and supporting documentation required for Medicare revalidations.
  • Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements.

Medicaid Provider & Group Enrollment

  • Submit revalidation Medicaid applications for both individual providers and provider organizations.
  • Coordinate state-specific Medicaid enrollment requirements and supporting documentation.
  • Monitor application status and resolve deficiencies with state Medicaid agencies.

Enrollment Lifecycle Management

  • Develop and maintain tracking systems for all Medicare and Medicaid revalidation activities.
  • Monitor revalidation due dates, enrollment expirations, and regulatory deadlines.
  • Conduct routine follow-up with Medicare contractors and state Medicaid agencies.
  • Ensure all enrollment milestones are documented and reported accurately.
  • Escalate delayed or high-risk applications to leadership as appropriate.

Compliance & Regulatory Oversight

  • Ensure all activities comply with CMS, Medicare, Medicaid, and organizational requirements.
  • Maintain complete and audit-ready enrollment files and supporting documentation.
  • Assist with internal audits, accreditation reviews, and regulatory requests.
  • Monitor changes in Medicare and Medicaid enrollment policies and communicate impacts to stakeholders.
  • Implement process improvements to enhance enrollment efficiency and accuracy.

Cross-Functional Collaboration

  • Serve as the primary resource for Medicare and Medicaid revalidation guidance.
  • Collaborate with Billing, Revenue Cycle, Credentialing, Compliance, and Operations teams.
  • Research and resolve enrollment-related billing delays, claim denials, and reimbursement issues.
  • Provide status updates and reporting to leadership and operational stakeholders.
Qualifications

Required

  • High School Diploma or equivalent required.
  • Minimum of three years of Medicare and Medicaid experience.
  • Experience managing both provider and organizational/group enrollments.
  • Strong knowledge of CMS enrollment regulations, PECOS, Medicare revalidation requirements, and state Medicaid enrollment processes.
  • Experience working with enrollment tracking systems and provider management platforms.
  • Strong organizational, analytical, and problem-solving skills.

Preferred

  • Multi-state Medicare and Medicaid experience.
  • Experience with CredentialStream, CAQH, and provider enrollment software platforms.
  • Experience supporting physician groups, skilled nursing facility practices, long-term care organizations, or multi-state healthcare organizations.

Core Competencies

  • Medicare Expertise
  • Medicaid Expertise
  • Group & Organizational Enrollment Management
  • Regulatory Compliance
  • CMS & State Agency Relations
  • Revenue Cycle Awareness
  • Process Improvement
  • Critical Thinking
  • Project Management
  • Data Tracking & Reporting
  • Provider Relations
  • Cross-Functional Collaboration

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