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Provider Enrollment Analyst Remote Jobs in Michigan

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

McQuade Organization

... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...

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Provider Enrollment Analyst Remote information

What is the difference between Provider Enrollment Analyst Remote vs Provider Enrollment Specialist?

AspectProvider Enrollment Analyst RemoteProvider Enrollment Specialist
CredentialsTypically requires a bachelor's degree and familiarity with healthcare regulationsOften requires similar certifications and experience in healthcare provider enrollment
Work EnvironmentRemote, office-based or hybrid settings, primarily administrativeUsually office-based, but increasingly remote, focused on provider registration
Employer & IndustryHealthcare insurance companies, managed care organizations, government agenciesHospitals, clinics, insurance providers, healthcare networks

The Provider Enrollment Analyst Remote and Provider Enrollment Specialist roles share similar credentials and industry usage. The main difference lies in the job focus: analysts often handle data analysis and process improvements remotely, while specialists focus on direct provider registration and onboarding. Both roles are essential in healthcare administration and may overlap in responsibilities depending on the employer.

What does a Provider Enrollment Analyst do in a remote role?

A Provider Enrollment Analyst in a remote position is responsible for processing and managing the enrollment and credentialing of healthcare providers with insurance payers, Medicare, and Medicaid. They ensure that all provider information and documentation are accurate, complete, and compliant with regulatory requirements. Additionally, they monitor application statuses, resolve discrepancies, and communicate with providers or insurance companies to facilitate a smooth enrollment process. Remote analysts utilize secure digital systems to manage sensitive information and often coordinate with other teams within their healthcare organization.

What are some common challenges faced by remote Provider Enrollment Analysts, and how can they be effectively managed?

Remote Provider Enrollment Analysts often encounter challenges such as coordinating with multiple departments, navigating varying payer requirements, and ensuring timely submission of provider applications. Effective communication with credentialing teams, staying organized with digital documentation, and keeping up-to-date with changing regulations can help manage these challenges. Utilizing collaboration tools and maintaining a proactive approach to follow-ups with payers and providers are also key to ensuring a smooth enrollment process.

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

To thrive as a Provider Enrollment Analyst, you generally need a solid understanding of healthcare provider credentialing processes, regulatory compliance, and experience with payer enrollment requirements, often backed by a bachelor’s degree in healthcare administration or a related field. Familiarity with credentialing software, provider databases, and electronic submission systems, as well as knowledge of CMS and commercial payer portals, is typically required. Strong attention to detail, organizational skills, and effective written and verbal communication help distinguish top performers in this role. These competencies ensure accurate and timely provider onboarding, regulatory compliance, and efficient revenue cycle operations for healthcare organizations.
What are popular job titles related to Provider Enrollment Analyst Remote jobs in Michigan? For Provider Enrollment Analyst Remote jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Provider Enrollment Analyst Remote jobs in Michigan look for? The top searched job categories for Provider Enrollment Analyst Remote jobs in Michigan are:
What cities in Michigan are hiring for Provider Enrollment Analyst Remote jobs? Cities in Michigan with the most Provider Enrollment Analyst Remote job openings:
Provider Enrollment Analyst Remote jobs near you
Infographic showing various Provider Enrollment Analyst Remote job openings in Michigan as of July 2026, with employment types broken down into 69% Full Time, 6% Part Time, 24% Contract, and 1% Nights. Highlights an 61% Physical, 5% Hybrid, and 34% Remote job distribution.

Provider Operations Associate Analyst

Corewell Health

Grand Rapids, MI • On-site, Remote

Full-time

Medical, Vision, Retirement

Posted 9 days ago

Corewell Health rating

6.9

Company rating: 6.9 out of 10

Based on 771 frontline employees who took The Breakroom Quiz

455th of 890 rated healthcare providers

Job description

Job Summary
A Provider Operations Associate Analyst is responsible for identifying and solving issues relating to the performance of the provider operations business and is a subject matter expert to the Provider Operations Associate. To do so, vast amounts of data and information must be analyzed and reviewed with the cooperation of the provider network community and internal departments. The operations analyst is responsible for the oversight of the provider enrollment data and issue resolution arising throughout the entire Priory Health eco system. Operation Analyst must possess strong attention to detail along with business acumen fueled by sharp analytical skills.
Essential Functions
  • Discerns, initiates, and maintains the complex provider enrollment information in both Evips and Facets systems accurately and timely to ensure the annual multi-million-dollar claims payout and the annual multi-million-dollar Physician Incentive Program settlement payout to provider's is correct.
  • Performs analytics to determine provider to member primary care affiliation when providers move from locations. This involves, but not limited to, collaboration with physician groups to best relocate members to the appropriate primary care provider, collaboration with Priority Health member enrollment division, and Provider Network Performance division all to ensure that Priority Health members are receiving the right care with the right provider.
  • Performs analysis, and independent evaluation and ongoing monitoring of provider credentials (licensure, malpractice, etc.), as applicable, in order to meet Priority Health criteria, state, accreditation and CMS compliance requirements and high standards. Ensures collection, storage and accuracy of product specific data for CMS service area expansion, network adequacy reporting and Medicaid Provider reporting. Performs gap analysis.
  • Manages and implements organizational operational efficiencies for the entire network of 82,000+ providers, provider groups, facilities, and national network providers, to resolve complex provider issue resolution. Resolves complex issues that results from the entire PH eco system, i.e., medical authorization, provider contract setup, claims payment, finance, etc.
  • Manages the repricing of claims for PH national provider network (Cigna) including overall review of claims, denying claims, determining accurate payment of claims, and ensure annual payment of multi-million dollar access fees are paid accurately and timely to all national networks.
  • Departmental subject matter expert who determines root cause and takes necessary action to resolve. Ensure effective communication of resolution to appropriate next level. Acts as a mentor to Provider Operations Associate Analyst.

Qualifications
Required
  • High School Diploma or equivalent
  • 2 years of relevant experience in healthcare, insurance, managed care and/or comparable industry or related field
  • 1 year of relevant experience in an operations area

Preferred
  • Associate's degree or equivalent
  • Bachelor's degree
  • 1 year of relevant experience with accreditation and/or regulatory bodies like NCQA, CMS, MDCH, TJC, etc., standards related to credentialing and/or billing, and/or quality auditing requirements.
  • 1 year of relevant experience with provider configuration, credentialing, claims and/or comparable systems.
  • 1 year of relevant experience in running reports utilizing Access databases, Business Objects Report Writer, and/or comparable reporting tools.
  • CRT-Provider Credentialing Specialist, Certified (CPCS) - NAMSS National Association Medical Staff Services
  • CRT-Professional Medical Services Management, Certified (CPMSM)

About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status

Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Provider Resolution - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8:00 a.m. - 5:00 p.m.
Days Worked
Monday - Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.

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