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Provider Enrollment Analyst Jobs (NOW HIRING)

Ourhrconnect

Sr Provider Enrollment Analyst

Columbia, SC · On-site

$66K - $87K/yr

Summary Acts as a Team Lead by providing guidance, direction, and training to Provider Enrollment Analysts and/or other Provider Enrollment area staff. Responsible for the processing of difficult ...

Broadway Ventures

OR · On-site

Broadway Ventures is seeking experienced and detail-oriented Provider Enrollment Analysts to support the enrollment process by reviewing, researching, analyzing, and processing provider applications.

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 ...

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 ...

SCP Health

Provider Enrollment Specialist

Lafayette, LA · On-site

When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...

SCP Health

Provider Enrollment Specialist

Lafayette, LA · On-site

When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...

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 ...

XIFIN

Provider Enrollment Specialist

Charleston, SC · On-site

$23 - $29/hr

Provider Enrollment Specialist Are you interested in harnessing technology and AI to transform ... analytical skills to solving problems. Additionally to be successful in this role, you must have ...

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Provider Enrollment Analyst information

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How much do provider enrollment analyst jobs pay per hour?

As of Jul 6, 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.

Is SOC an entry level job?

A Provider Enrollment Analyst is typically an entry-level to mid-level position that involves verifying provider credentials and managing enrollment processes. It often requires attention to detail, familiarity with healthcare regulations, and proficiency with databases or enrollment systems, but usually does not require extensive prior experience or advanced certifications.

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 does a provider enrollment analyst do?

A provider enrollment analyst is responsible for processing and managing the enrollment of healthcare providers with insurance plans and government programs. They verify provider credentials, ensure compliance with regulations, and maintain accurate enrollment records, often using specialized software. This role requires attention to detail and knowledge of healthcare policies and billing procedures.

How to become a certified provider enrollment specialist?

To become a certified provider enrollment specialist, individuals typically complete relevant training programs or courses in healthcare administration and provider enrollment processes. Gaining experience with enrollment systems such as PECOS and understanding Medicare and Medicaid policies is also important; some certifications are offered by industry organizations or professional associations. Certification requirements vary by employer and region but often include demonstrating knowledge of enrollment procedures and passing a certification exam.

What healthcare jobs pay over $100k per year?

Healthcare jobs that typically pay over $100,000 annually include roles such as healthcare administrators, nurse anesthetists, physicians, and specialized surgeons. These positions often require advanced degrees, certifications, and significant experience, and may involve leadership responsibilities or specialized skills. The salary range can vary based on location, employer, and individual qualifications.

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:
What are the most commonly searched types of Provider Enrollment Analyst jobs? The most popular types of Provider Enrollment Analyst jobs are:
What states have the most Provider Enrollment Analyst jobs? States with the most job openings for Provider Enrollment Analyst jobs include:
What job categories do people searching Provider Enrollment Analyst jobs look for? The top searched job categories for Provider Enrollment Analyst jobs are:
Provider Enrollment Analyst jobs near you
Infographic showing various Provider Enrollment Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $49,501 per year, or $23.8 per hour.

Sr Provider Enrollment Analyst

Ourhrconnect

Columbia, SC • On-site

$66K - $87K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description


Summary
 Acts as a Team Lead by providing guidance, direction, and training to Provider Enrollment Analysts and/or other Provider Enrollment area staff. Responsible for the processing of difficult enrollment applications and/or complex inquiries.
Description
 

Logistics: Palmetto GBA- one of BlueCross BlueShield's South Carolina subsidiary companies.

Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located onsite at 17 Technology Circle, Columbia, SC, 29203.

Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.

SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment.

What You'll Do:

  • Functions as Team Leader/senior-level Enrollment Analyst.
  • Provides leadership/guidance/direction/training to staff.
  • Distributes work and is available to answer questions from staff.
  • Acts as a resource for staff regarding any escalating issues.
  • Keeps manager informed of any problems/issues that need resolving.
  • Conducts quality reviews of completed work.
  • Ensures that all audits are completed, verified, and closed.
  • Performs analysis of audits to determine areas for training, development, and education.
  • Ensures that quality work instructions/forms/documents are developed/revised as needed.
  • Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone).
  • Obtains information from internal departments, providers, government and/or private agencies, etc. to resolve discrepancies/problems.
  • Interprets various guidelines and provides input to required procedures.
  • Generates and analyzes various provider reports to management.
  • Participates in testing system changes related to provider files.
  • Contributes/participates/completes special projects as assigned.

To Qualify for This Position, You'll Need the Following:

  • Required Education: Bachelor's degree equivalency: 4 years job-related work experience or associate's and 2 years job related work experience.
  • Required Work Experience: 2 years of provider network enrollment/certification experience.
  • Required Skills and Abilities: Working knowledge of word processing, spreadsheet, and database software. Working knowledge of provider certification process and claims processing operations/systems. Good judgment skills required. Effective customer service, organizational, and presentation skills required. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Basic business math proficiency required. Analytical or critical thinking skills required. Ability to handle confidential or sensitive information with discretion. In-depth knowledge of pricing methodology and discount programs. In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues.
  • Required Software and Tools: Microsoft Office.

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation.

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