ZipRecruiter

Log In

1

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

Spring Education Group

Enrollment Director

Raleigh, NC · On-site

$65K/yr

Manage enrollment events from concept to implementation * Provide on-going consultation to prospective students, applicants and families * Deliver effective in-person campus tours along with ...

Gallagher

Enrollment Technician

Holly Springs, NC · On-site +1

$55K/yr

Supporting role for our Data Management Team using programs such as Selerix, Employee Navigator ... Work closely with our Account Executive team to assist and provide technical support related to the ...

UNC-Chapel Hill

Next Step Adviser

Chapel Hill, NC · On-site

Posting Information Department Enrollment Management - 540500 Career Area Student Services ... providing great care to all who come our way. The work of the Enrollment Division is closely ...

next page

Showing results 1-20

All JobsProvider Enrollment JobsProvider Enrollment Manager JobsProvider Enrollment Manager Jobs in Raleigh, NC

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 Jun 9, 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, and why are they important?

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.

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 Raleigh, NC? The most popular types of Provider Enrollment 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 June 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $83,967 per year, or $40.4 per hour.
Enrollment Specialist (Bilingual/Spanish)

Enrollment Specialist (Bilingual/Spanish)

Piedmont Health

Pittsboro, NC • On-site

$22.49 - $30.23/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

What is PACE?
At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.
Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each.
Job Title - Enrollment Specialist
Department - PACE Admin
Reports to - Marketing and Enrollment Manager
Benefits -
  • Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
  • 403(b) Plan
  • Paid Holidays
  • CME (Continuing Medical Education)

About Position: The Enrollment Specialist is responsible for the enrollment of new participants to the program, including all intake activities. Under the supervision of the Marketing and Enrollment Manager, obtains initial information relating to admissions, coordinates intake and enrollment process and provides information and referrals to community agencies as appropriate. Promotes the PACE program to potential participants, community agencies and at other outreach venues as needed.
Work Location: 163 Chatham Business Dr, Pittsboro, NC 27312 (Piedmont Health SeniorCare in Pittsboro)
Schedule: Monday through Friday, 8:00am to 5:00pm
Travel: As Needed
Duties/ Responsibilities -
  • Evaluates potential participants to the program to determine participant needs and eligibility for enrollment.
  • Assessments completed in the homes of the potential participant according to the availability of the participant and family, including evening as weekends as needed.
  • Utilize knowledge and required skills to insure appropriate assessments.
  • Assesses individual patient conditions, utilizing clinical observation, medical record, and verbal information, interaction with patient/family and care team.
  • Coordinates level of care applications with State Medicaid (or designee) and Medicare applications with county Department of Social Service personnel.
  • Participates in IDT, Management Team and other related meeting and activities.
  • Participates in outreach activities in conjunction with the Marketing and Enrollment Manager.
  • Completes appropriate documentation related to participant assessments as required.
  • Maintains statistical data required.
  • Presents Intake reports at the weekly staff meeting and additionally as needed.
  • Travels to client's homes and/or other agencies in the community as needed.
  • Knowledge of NC's nursing facility level of care criteria-FL2.
  • In collaboration with the Nurse Care Manager and Team Director, oversee facilitating execution/signing of Care Plan and Enrollment Agreement.
  • Participates in outreach events and presentations in the community.
  • Provides alternative community resources to applicants who are not accepted into the PACE program.
  • Contacts identified key referral sources regularly to discuss possible program candidates.
  • Maintains ongoing relationship with identified individuals and agencies to ensure a clear understanding of PACE as a vital community resource.

Qualifications -
Education/Experience: 3-year degree from a recognized college or university equivalent combination of experience required. Strong preference for knowledge of community served by Piedmont. Preference for sales experience and demonstrated success in meeting sales benchmarks. One year of experience with the frail or elderly preferred. Bilingual/Spanish speaking candidates are strongly preferred.
Licensure, Registry or Certification Required:Must have a valid NC Driver License. Must be CPR/BLS certified.
Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.
Pay Range: $22.49/Hourly - $30.23/Hourly (commensurate with years of experience)
EEO STATEMENT
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Apply