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Provider Enrollment Analyst Jobs (NOW HIRING)

Pediatrix

Provider Enrollment Specialist

Overview We have a Provider Enrollment Specialist career opportunity for an experienced ... Ability to read, analyze, and interpret common and technical journals, financial reports, and legal ...

Aspen Dental

Provider Enrollment Specialist

New York, NY · On-site +1

$24 - $26/hr

The Provider Enrollment Specialist plays a vital role within our Payor Strategy team. This position ... Detail oriented, with strong level of analytical and problem-solving skills. Preferred Skills:

Aspen Dental

Provider Enrollment Specialist

NY · On-site +1

$24 - $26/hr

The Provider Enrollment Specialist plays a vital role within our Payor Strategy team. This position ... Detail oriented, with strong level of analytical and problem-solving skills. Preferred Skills:

Brownhealth

RCM Enrollment Analyst

Providence, RI · On-site +1

$48K - $79K/yr

The RCM Enrollment Analyst - Epic Workqueues & EDI is responsible for executing and monitoring provider and payer enrollment activities that support clean claim submission, accurate reimbursement ...

DOCS, LLC

Provider Enrollment Specialist

Blue Ash, OH · On-site

Perform detailed analyses of application and primary source verification information. * Identify discrepancies with credentialing documentation or history and notify the * Provider Enrollment Manager ...

CAMP

Enrollment Analyst

Wichita, KS

The role of an Enrollment Analyst involves a combination of technical and client-facing ... to providing access, equal opportunity, and reasonable accommodation for individuals with ...

NOCD

Provider Enrollment Specialist

Chicago, IL · On-site

About The Role Provider Enrollment Specialist The Provider Enrollment Specialist is responsible for ... Strong analytical, organizational and problem solving skills. * Excellent written and verbal ...

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How much do provider enrollment analyst jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for 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 is a Provider Enrollment Analyst job?

A Provider Enrollment Analyst is responsible for managing the enrollment and credentialing process for healthcare providers with insurance networks, Medicare, and Medicaid. They ensure that providers meet all regulatory and compliance requirements to be reimbursed for services. Their duties include completing applications, verifying credentials, maintaining accurate records, and addressing enrollment issues. This role requires strong attention to detail, knowledge of healthcare regulations, and excellent communication skills to coordinate with providers and payers.

What are the key skills and qualifications needed to thrive in the Provider Enrollment Analyst position, and why are they important?

To thrive as a Provider Enrollment Analyst, you need strong analytical skills, attention to detail, and a thorough understanding of healthcare regulations, payer requirements, and credentialing processes, often supported by a relevant degree or experience. Familiarity with provider enrollment software, credentialing databases, and proficiency in Microsoft Office Suite are commonly required, while certifications like CPCS or CPMSM are advantageous. Exceptional communication, organizational skills, and the ability to navigate shifting priorities help set top candidates apart. These competencies ensure accurate and timely provider onboarding, regulatory compliance, and effective collaboration with payers, providers, and internal teams.

What are some common daily responsibilities for a Provider Enrollment Analyst?

As a Provider Enrollment Analyst, your typical day involves reviewing and processing provider applications, verifying credentials, monitoring compliance requirements, and ensuring timely submission of enrollment documents to payers or government agencies. You’ll frequently collaborate with healthcare providers, billing teams, and insurance companies to resolve any discrepancies and maintain up-to-date records. Additionally, you may assist with responding to audits and handling complex enrollment issues as they arise. This role offers a dynamic workload and plays a crucial part in ensuring providers are authorized to deliver services and receive reimbursement.

More about Provider Enrollment Analyst jobs
What cities are hiring for Provider Enrollment Analyst jobs? Cities with the most Provider Enrollment Analyst job openings:
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Provider Enrollment Analyst jobs near you
Infographic showing various Provider Enrollment Analyst job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $49,501 per year, or $23.8 per hour.
Provider Enrollment Specialist

Provider Enrollment Specialist

Pediatrix

Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 29 days ago

Pediatrix rating

6.5

Company rating: 6.5 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

592nd of 870 rated healthcare providers

Job description

Overview
We have a Provider Enrollment Specialist career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation's largest providers of prenatal, neonatal and pediatric services.
Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team.
Responsibilities
The Provider Enrollment Specialist is responsible for timely and effectively enrolling practitioners in health plans. The Provider Enrollment Specialist will monitor progress, ensure timeliness of enrollment completion, and provide updates as needed to the appropriate RCM central business offices. The Provider Enrollment Specialist II will assist Management in maintaining provider enrollment goals for all divisions.
  • Validates up-to-date plan enrollment forms, completes applications, submits them to plans and follows up until enrollment is complete. Verifies accuracy and coordinates entry of new and revised provider information into IntelliCred and Master Database.
  • Mapping forms in IntelliCred and prioritizing work, reviewing and researching Health Plan Enrollment requirements at Corporate Business Office.
  • Documents assignments in the Credentialing/Provider Enrollment tracking system per the department's standard operating procedures.
  • Contacts health plans to determine enrollment requirements periodically and verify health plan requirements based on the specialty and confirm the most up to date enrollment application forms are readily available in Provider Enrollment Tracking Software (IntelliCred).
  • Prepares/reviews group applications based on information provided during acquisitions, Tax ID mergers, and Organic Growth Initiatives (OGI).
  • Communicates with Business Development, Business Integration and Credentialing to acquire prospective new provider group's required documents and/or signatures as needed.
  • Knowledgeable in reporting system functionality, mapping forms utilizing Provider Enrollment tracking software and IC system Q/A delegate.
  • Maintain provider's profile in PE Tracking system (IC) with up to date with information on active or pending providers by completing all data fields in the Demographics, Appointments and Applications screen for the provider and group practice.
  • Maintain provider's profile in CAQH with up to date with information on active or pending providers by completing all data fields pertaining to demographics, service locations, group entity information, required documents and expirables.
  • Monitors all assigned delegated agreement health plan enrollments reports utilized to provide oversight to ensure enrollments currently assigned are being processed timely. i.e.: To Do List in IC, IntelliReports, IC Weekly aging, and IC End of Month.
  • Validates status of on boarding provider's enrollments to ensure Target Start Date is met. Escalates to Provider Enrollment management when necessary in order to meet desired Target Start Date.
  • Performs other job-related duties within the job scope as requested by Provider Enrollment Management.

Qualifications
Education/Experience:
  • Associate's degree (A. A.) or equivalent from two-year college or technical school.
  • Three (3) or more years related experience or equivalent combination of education and experience.

Knowledge/Skills:
  • Knowledgeable with Group Entity health plan enrollments, state regulations and appeal processes.
  • Knowledgeable in Provider Enrollment policies and procedures and ensuring they are being followed and keeping the loss of revenue from delayed enrollments at a minimum
  • Ability to read, analyze, and interpret common and technical journals, financial reports, and legal documents.
  • Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format.
  • Ability to effectively present information to top management, public groups, and/or boards of directors.
  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
  • Ability to understand medical terminology and protocols

Software:
  • Experience in Excel, Word, Adobe Professional, Pediatrix Master Database, OnBase, WorkView, hCue (Entity database software)
  • CAQH, and Credentialing/Provider Enrollment Tracking Software (IntelliCred).

Benefits and Compensation
Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that's not only our motto at work each day; it's also how we view our employees and their families. We know that our greatest asset is YOU.
We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
About Us
Pediatrix Medical Group is one of the nation's leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group's high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.
#LI-Remote
Pediatrix is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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