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Provider Enrollment Manager Jobs in Raleigh, NC (NOW HIRING)

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Provider Enrollment Manager information

See Raleigh, NC salary details

$34.5K

$84K

$113.7K

How much do provider enrollment manager jobs pay per year?

As of Aug 17, 2026, the average yearly pay for provider enrollment manager in Raleigh, NC is $83,967.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,300.00 and $113,200.00 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 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 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.

What are the most commonly searched types of Provider Enrollment jobs in Raleigh, NC?

The most popular types of Provider Enrollment jobs in Raleigh, NC are:

What are popular job titles related to Provider Enrollment Manager jobs in Raleigh, NC?

For Provider Enrollment Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Provider Enrollment Manager jobs in Raleigh, NC look for?

The top searched job categories for Provider Enrollment Manager jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Provider Enrollment Manager jobs?

Cities near Raleigh, NC with the most Provider Enrollment Manager job openings:

Provider Enrollment Manager jobs near you
Infographic showing various Provider Enrollment Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $83,967 per year, or $40.4 per hour.

Provider Enrollment Specialist (Full Time, Remote, North Carolina Based)

Alliance Health

Morrisville, NC • Hybrid

$23.36 - $29.78/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

The Provider Enrollment Specialist ensures that all providers in the Alliance Health Network are enrolled in NCTracks with an active Medicaid Health Plan and a valid taxonomy for the service requested; reviews Provider Action Database to identify any providers for exclusion from the network.  Specialists will only approve applications for services identified as a network need and/or services mandated by compliance with Parity.

This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.

Responsibilities & Duties

Review, Respond, and Process all Provider Application Requests and Notice of Change Requests

  • Monitor and respond to provider inquiries received via the Enrollment email Inbox and phone queue
  • Review NC Tracks to confirm the following:
    • NPI enrollment
    • Site enrollment
    • Approved Taxonomy for service requested
    • Valid Health Plan enrollment
  • Review Alliance Health Provider Action Database for provider exclusions
  • Notify Contracts of approved additions and/or needed changes to contract 
  • Complete written notice to providers regarding enrollment and contracting decisions per procedures
  • Meet all identified turn around times for provider enrollment responses
  • Verify that all NC Tracks information is reflected accurately in the ACS system based on the Provider Enrollment file
  • Ensure that all departments that are affected by any enrollment changes are notified timely and according to policy and procedure

Track Provider  Applications Requests and Notices of Change

  • Track  all provider requests and outcomes per department procedure

Minimum Requirements

Education & Experience

Required:

High school diploma/GED and six (6) years of experience in an administrative support role in healthcare

Or 

Bachelor’s degree from an accredited College or University and two (2) years of experience in an  administrative support role in healthcare. 

Preferred:

Behavioral Health experience preferred

Experience with NCTracks preferred. 

Two years experience in provider enrollment preferred.

Knowledge, Skills, & Abilities

  • Knowledge of the organization and it’s functions
  • Knowledge of NCTracks system
  • Knowledge of computerized record-keeping techniques
  • Knowledge of and experience with records, reports and file maintenance.
  • Proficient with Microsoft Office suite
  • Proficient with grammar, spelling, punctuation and vocabulary
  • Skilled at organizing work to meet schedules and timelines
  • Ability to communicate effectively both in oral and written form
  • Ability to understand and follow oral and written directions
  • Ability to exercise tact and discretion in working with confidential or sensitive information
  • Ability to work independently with little direction
  • Ability to establish and maintain effective working relationships with others
  • Ability to analyze situations accurately and adopt an effective course of action

 Salary Range 

$23.36 - $29.78/ Hourly 

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity 

 An excellent fringe benefit package accompanies the salary, which includes:   

  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

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