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Medicare Provider Enrollment Analyst Jobs (NOW HIRING)

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 ...

FDIHB

PROVIDER ENROLLMENT SPECIALIST

Fort Defiance, AZ · On-site

$23.52 - $28.69/hr

Maintains and recognizes effective processes for monitoring provider enrollment status for all commercial, Medicare and State Medicaid health plans. Reviews and submits accurate enrollment ...

FDIHB

PROVIDER ENROLLMENT SPECIALIST

Fort Defiance, AZ · Remote

$23.52 - $28.69/hr

Maintains and recognizes effective processes for monitoring provider enrollment status for all commercial, Medicare and State Medicaid health plans. Reviews and submits accurate enrollment ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

Ventra Health, Inc.

Provider Enrollment Specialist

Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone ... Strong analytical skills * Strong decision-making skills * Strong problem-solving skills * Strong ...

SCP Health

Provider Enrollment Specialist

Lafayette, LA · On-site

Process and maintain provider applications for enrollment and re-enrollment for Medicare, Medicaid ... When payor requirements change, must be able to analyze and compare processes in order to recommend ...

SCP Health

Provider Enrollment Specialist

Lafayette, LA · On-site

Process and maintain provider applications for enrollment and re-enrollment for Medicare, Medicaid ... When payor requirements change, must be able to analyze and compare processes in order to recommend ...

SCP Health

Provider Enrollment Specialist

Lafayette, LA · On-site

Process and maintain provider applications for enrollment and re-enrollment for Medicare, Medicaid ... When payor requirements change, must be able to analyze and compare processes in order to recommend ...

ASSURED

Provider Enrollment Specialist

Facilitate the payer enrollment and contracting process for healthcare providers across Commercial, Medicare, and Medicaid, with a particular focus on behavioral health providers. * Act as the ...

Denver Health

Provider Enrollment Specialist I

Denver, CO · On-site

$24.33 - $34.06/hr

... Medicare, Medicaid and Dental Plans enrollments for the Medical Staff and Advanced Practice ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...

Denver Health

Provider Enrollment Specialist I

$24.33 - $34.06/hr

... Medicare, Medicaid and Dental Plans enrollments for the Medical Staff and Advanced Practice ... interpreting, analyzing, and researching data (5%) * Proactively obtains updated provider ...

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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 Aug 6, 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.

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.

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.

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 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.
More about Medicare Provider Enrollment Analyst jobs
What are the most commonly searched types of Medicare Provider Enrollment Analyst jobs? The most popular types of Medicare Provider Enrollment Analyst jobs are:
What job categories do people searching Medicare Provider Enrollment Analyst jobs look for? 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 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 $49,501 per year, or $23.8 per hour.

Provider Enrollment Specialist

Charles Evans Center, Inc.

Bethpage, NY • On-site

$25 - $30/hr

Other

Posted 26 days ago

Job description

Provider Enrollment Specialist (Part-Time)

Location: Bethpage, NY (with occasional travel to Glen Cove and Seaford clinic locations)

Organization: CEC Healthcare

Job Type: Part-Time – 20 hours

Schedule: Flexible part-time hours (day shift)

Compensation: $25.00–$30.00 per hour, commensurate with experience and qualifications.

About Us

CEC Healthcare, a not-for-profit Federally Qualified Health Center (FQHC), is dedicated to providing high-quality, compassionate, and accessible healthcare services to the communities we serve. Our mission-driven team supports patients across multiple locations while promoting health equity and improving community wellness.

We are seeking a detail-oriented and organized Provider Enrollment Specialist to join our team. This position plays a critical role in ensuring that healthcare providers are properly credentialed, enrolled, and maintained within Medicare, Medicaid, and commercial payer systems to support uninterrupted patient care and reimbursement processes. Based on the needs of the organization, occasional travel between our Bethpage, Glen Cove, and Seaford locations is required.

Position Summary

The Provider Enrollment Specialist supports provider credentialing, enrollment, affiliation, and provider data management processes. This role ensures compliance with federal and state regulations, payer requirements, and FQHC standards while supporting provider onboarding, credentialing maintenance, and reimbursement readiness.

Key Responsibilities

  • Assist with initial credentialing, recredentialing, enrollment, and revalidation applications for Medicare, Medicaid (including NY eMedNY), and commercial insurance plans.

  • Maintain accurate provider information within credentialing systems such as CAQH, PECOS, and NPPES.

  • Track application status and proactively follow up with payers to ensure timely approvals.

  • Verify and maintain provider licensure, board certifications, DEA registrations, malpractice coverage, education credentials, and other required documentation.

  • Ensure timely provider revalidations in accordance with CMS and New York State Department of Health requirements.

  • Maintain credentialing files in compliance with HRSA, FQHC, and audit standards.

  • Collaborate with Human Resources, Compliance, and Clinical Leadership on provider onboarding and termination processes.

  • Monitor provider enrollment status to minimize disruptions in billing and reimbursement.

  • Support payer roster updates and enrollment changes.

  • Stay informed of Medicare, Medicaid, and commercial payer regulatory updates.

  • Respond to credentialing and enrollment inquiries from internal and external stakeholders.

  • Maintain compliance with HIPAA privacy and security standards.

  • Assist with departmental reporting, audits, and special projects as needed.

Qualifications

Required

  • High School Diploma or equivalent.

  • Strong organizational skills and attention to detail.

  • Proficiency with Microsoft Office Suite, including Excel, Word, and Outlook.

  • Excellent written and verbal communication skills.

Preferred

  • Associate degree.

  • At least one year of experience in provider enrollment, credentialing, medical staff services, healthcare administration, or a related field.

  • Experience with Medicare and Medicaid enrollment processes, particularly New York State Medicaid/eMedNY.

  • Familiarity with CAQH, PECOS, NPPES, and healthcare credentialing platforms.

  • Knowledge of CMS, HRSA, and FQHC operational guidelines.

Skills & Competencies

  • Ability to manage multiple priorities and meet deadlines.

  • Strong analytical and problem-solving abilities.

  • Ability to maintain confidentiality and handle sensitive information with discretion.

  • Self-motivated with the ability to work independently and collaboratively.

Why Join CEC Healthcare?

  • Opportunity to make a meaningful impact within a mission-driven, community-focused organization.

  • Collaborative and supportive work environment.

  • Work with dedicated healthcare professionals committed to improving community health.

  • Contribute to the success of a respected not-for-profit Federally Qualified Health Center.

Work Location

Primary work location is Bethpage, NY, with occasional travel to Glen Cove and Seaford clinic locations.

Apply Today

If you are a detail-oriented healthcare professional who thrives in a compliance-focused environment and enjoys supporting provider operations, we encourage you to apply and become part of the CEC Healthcare team.

CEC Healthcare is an Equal Opportunity Employer and values diversity in its workforce.

Apply