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

Gentiva

Medical Director

Fuquay Varina, NC · On-site

$250/hr

... management. * Monitor pharmacy utilization, ensuring appropriate medication prescribing and ... Current Medicare Provider Enrollment (PECOS) and Medicaid certification if required. * Ability to ...

IQVIA

Site Enrollment and Engagement Lead

Durham, NC

$62K - $237K/yr

The Site Enrollment and Engagement Leadwill provide in-service presentations with the goal to increase patient enrollment. The Site Enrollment and Engagement Leadworks in partnership with CRAs and ...

Vishay Precision Group

Payroll & Benefits Manager

Wendell, NC · On-site

$61K - $84K/yr

Serve as the primary contact for payroll service providers, managing payroll controls, tax filings ... S. and Canada health and welfare benefits programs, including annual renewals and open enrollment

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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 Sep 12, 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 September 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 50% In-person, and 50% Hybrid job distribution, with an average salary of $83,967 per year, or $40.4 per hour.

Medical Director

Fuquay Varina, NC • On-site

Gentiva
Health Care and Social Assistance • 10K+ employees
Learn more about Gentivaexternal

$250/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Gentiva Health Services rating

7.0

Company rating: 7.0 out of 10

Based on 143 frontline employees who took The Breakroom Quiz

Job description

Overview

Expand Access. Build Partnerships. Transform Care through Compassionate Hospice Leadership.

In this critical role as a Hospice Physician, you will ensure the delivery of compassionate, goal‑directed care to hospice patients while upholding the highest standards of medical practice. You will collaborate with interdisciplinary teams, oversee regulatory compliance, and guide quality improvement efforts to enhance patient outcomes.

****This is a job notification only. The Hospice Physician will not be employed by Gentiva. The Hospice Physician will invoice Gentiva for services rendered****

Key Responsibilities:

  • Certify and recertify hospice eligibility, ensuring timely compliance with Medicare and other regulations.
  • Conduct and supervise face‑to‑face patient visits, including home consultations for complex cases.
  • Provide 24/7/365 on‑call physician coverage coordination with hospice physicians.
  • Maintain accurate, timely medical documentation and support regulatory reviews.
  • Participate actively in interdisciplinary group (IDG) meetings to coordinate patient care and medication management.
  • Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration.
  • Collaborate with hospice leadership on policy development, compliance, and quality assessment and performance improvement (QAPI) initiatives.
  • Serve as a community liaison, enhancing hospice visibility and partnerships with healthcare providers.
  • Support educational programs for staff, physicians, and community partners.
About You

Qualifications:

  • Doctorate degree in allopathic or osteopathic medicine from an accredited medical school.
  • Board certification in a specialty recognized by ABMS or AOA‑BOS, preferably primary care.
  • Current and unrestricted medical license in the practicing state.
  • Valid National Provider Identifier (NPI) and DEA registration for controlled substances.
  • Hospice and Palliative Medicine board certification and/or Hospice Medical Director Certification board certification preferred.
  • Current Medicare Provider Enrollment (PECOS) and Medicaid certification if required.
  • Ability to travel 15‑25% based on program needs.
  • CPR and TB clearance required.

Specialized Knowledge and Skills:

  • Extensive knowledge of hospice and palliative care principles, regulations, and best practices.
  • Leadership and mentorship skills to inspire interdisciplinary teams and improve patient care.
  • Strong organizational skills to manage multiple priorities and regulatory requirements.
  • Compassionate communication and empathy toward patients and families facing end‑of‑life situations.
  • Proficiency in navigating healthcare compliance, quality improvement, and ethical considerations.
  • Ability to collaborate effectively with attending physicians, staff, and community healthcare providers.
  • Excellent verbal and written communication skills.

Personal Traits:

  • Passion for providing exceptional palliative care and advocacy for hospice patients.
  • Positive reputation in the medical community with a commitment to collaborative practice.
  • Flexibility and adaptability to dynamic healthcare environments.
  • Commitment to maintaining professional standards and compliance with hospice regulations.
We Offer

Benefits for All Associates (Full‑Time, Part‑Time & Per Diem):

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund

Additional Full‑Time Benefits:

  • Medical, Dental, Vision Insurance
  • Mileage Reimbursement or Fleet Vehicle Program
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
  • Free Continuing Education Units (CEUs)
  • Company‑paid Life & Long‑Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese
  • This is a safety‑sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug‑free workplace
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