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Provider Enrollment Manager Jobs in Florida (NOW HIRING)

Zelis

Provider Enrollment Advisor

Saint Petersburg, FL · On-site

Manage inbound sales inquiries as well as outbound leads, offering information about our solutions ... provider enrollment, credentialing, or a related healthcare role. * Proven experience in sales ...

Zelis

Provider Enrollment Advisor

Saint Petersburg, FL · On-site

Manage inbound sales inquiries as well as outbound leads, offering information about our solutions ... provider enrollment, credentialing, or a related healthcare role. * Proven experience in sales ...

Zelis

Provider Enrollment Advisor

Saint Petersburg, FL · Hybrid

Manage inbound sales inquiries as well as outbound leads, offering information about our solutions ... provider enrollment, credentialing, or a related healthcare role. * Proven experience in sales ...

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All JobsProvider Enrollment JobsProvider Enrollment Manager JobsProvider Enrollment Manager Jobs in Florida

Provider Enrollment Manager information

See Florida salary details

$26.5K

$64.5K

$87.4K

How much do provider enrollment manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for provider enrollment manager in Florida is $64,550.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,800.00 and $87,100.00 per year, depending on experience, location, and employer.

What is a provider enrollment manager?

A Provider Enrollment Manager is responsible for overseeing the process by which healthcare providers become authorized to bill insurance companies, Medicare, or Medicaid for their services. They manage applications, verify credentials, and ensure compliance with regulations to maintain active provider statuses. Their role is crucial in minimizing delays in reimbursement and avoiding compliance issues for healthcare organizations. Provider Enrollment Managers typically work in hospitals, healthcare systems, or insurance companies, and they often supervise a team that handles provider credentialing and enrollment tasks.

What are the key skills and qualifications needed to thrive as a provider enrollment manager?

To thrive as a Provider Enrollment Manager, you need expertise in healthcare regulations, credentialing processes, and provider data management, typically supported by a degree in healthcare administration or a related field. Familiarity with enrollment software, credentialing databases, and compliance tracking systems is essential. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These capabilities ensure timely and accurate provider enrollments, regulatory compliance, and efficient healthcare operations.

What is the difference between Provider Enrollment Manager vs Provider Relations Specialist?

AspectProvider Enrollment ManagerProvider Relations Specialist
CredentialsTypically requires healthcare administration, insurance, or related certificationsOften requires customer service, healthcare, or administrative certifications
Work EnvironmentOffice-based, focused on enrollment processes and complianceOffice or hospital-based, focused on communication and relationship building
Employer & Industry UsageHealth insurance companies, healthcare providers, government programsHospitals, clinics, healthcare networks, insurance companies
Search & Comparison IntentUnderstanding enrollment processes, credentialing, and complianceBuilding provider relationships, resolving provider issues

The Provider Enrollment Manager primarily handles provider credentialing, enrollment, and compliance with insurance plans, ensuring providers are properly registered. In contrast, the Provider Relations Specialist focuses on maintaining positive relationships with providers, addressing their concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

How to become a certified provider enrollment manager?

To become a certified provider enrollment manager, individuals typically need relevant experience in healthcare administration or billing, along with knowledge of enrollment processes. Certification programs such as the Certified Provider Enrollment Specialist (CPES) offered by industry organizations can enhance credentials. Gaining familiarity with enrollment systems and maintaining ongoing education are also beneficial for career advancement.

What are some common challenges faced by provider enrollment managers, and how can they be effectively addressed?

Provider Enrollment Managers often encounter challenges such as navigating complex payer requirements, managing high volumes of applications, and ensuring timely credentialing to prevent delays in provider onboarding. Staying organized, maintaining clear communication with payers and internal teams, and utilizing enrollment management software can help mitigate these challenges. Building strong relationships with both providers and insurance representatives also facilitates smoother processes and quicker resolution of issues.
What are the most commonly searched types of Provider Enrollment jobs in Florida? The most popular types of Provider Enrollment jobs in Florida are:
What are popular job titles related to Provider Enrollment Manager jobs in Florida? For Provider Enrollment Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Provider Enrollment Manager jobs in Florida look for? The top searched job categories for Provider Enrollment Manager jobs in Florida are:
What cities in Florida are hiring for Provider Enrollment Manager jobs? Cities in Florida with the most Provider Enrollment Manager job openings:
Provider Enrollment Manager jobs near you
Infographic showing various Provider Enrollment Manager job openings in Florida as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $64,550 per year, or $31 per hour.

Provider Enrollment Specialist

Pinnacle Wound Management

Miami, FL • On-site

$22 - $24/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago

Job description

Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking a detail-oriented Provider Enrollment Specialist to join our team. This role is critical in ensuring our healthcare professionals meet all necessary licensing, certification, and regulatory requirements.

As a Provider Enrollment Specialist, you will be responsible for managing the credentialing and re-credentialing process for all of our physicians and mid-level healthcare providers. You will maintain accurate records, verify professional credentials, and ensure compliance with industry regulations and accreditation standards.

If you are a meticulous and organized professional with a passion for healthcare compliance, we want to hear from you! Apply now to join us in ensuring the highest standards of wound care excellence!

Key Responsibilities:
  • Maintain accurate and up-to-date provider files, ensuring compliance with all credentialing requirements
  • Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations
  • Assist new providers with applications for National Provider Identifier (NPI), Medicare, and Medicaid numbers.Monitor and update provider CAQH profiles in accordance with CMS and Managed Care Organization guidelines
  • Manage termination of payer enrollments for providers leaving the organization
  • Provide updated demographic information and supporting documents to external stakeholders, including commercial payers and billing entities
  • Collaborate with the Director of Operations to ensure timely credentialing and re-credentialing of all providers.
  • Track and ensure the renewal of state DEA licenses, board certifications, and malpractice insurance
  • Identify and resolve potential onboarding issues, offering solutions to streamline the credentialing process
  • Maintain records of all managed care contracts and ensure portal logins remain active. Ensure compliance with relevant accrediting and regulatory agencies
  • Monitor trends and recommend improvements to credentialing workflows



Requirements
  • High school diploma or equivalent; credentialing certificate preferred
  • Minimum of 5 years experience in physician credentialing, revenue cycle management, or related field
  • Knowledge of credentialing standards and healthcare regulations
  • Proficiency in credentialing software and Microsoft Office Suite
  • Strong attention to detail, organizational, and problem-solving skills
  • Excellent written and verbal communication skills
  • Ability to work independently and manage multiple tasks efficiently


Benefits
  • 401k
  • 401k matching
  • Competitive pay
  • Medical, dental, and vision insurance
  • Paid time off
  • Free parking
  • No nights, no weekends
  • Monday - Friday, 8 hour shift