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Provider Enrollment Manager Jobs (NOW HIRING)

Alpine Solves

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Provider Enrollment Specialist

Tempe, AZ · On-site

$20 - $28/hr

This role is responsible for managing provider enrollment and credentialing activities for government and commercial payers to ensure accurate provider setup and timely reimbursement. The ideal ...

MDVIP LLC

Analyst, Provider Enrollment

Boca Raton, FL · On-site

Manages non-standard provider enrollment workflows, interpreting payer-specific contract requirements and independently navigating complex scenarios that fall outside templated enrollment processes.

MDVIP LLC

Analyst, Provider Enrollment

Boca Raton, FL · On-site

Manages non-standard provider enrollment workflows, interpreting payer-specific contract requirements and independently navigating complex scenarios that fall outside templated enrollment processes.

Ventra Health, Inc.

Manager, Provider Enrollment

The Manager, Provider Enrollment is primarily responsible for overseeing the Provider Enrollment Department. Essential Functions and Tasks * Manages Provider Enrollment Department operations ...

MyMichigan Health

Provider Enrollment Coord

Midland, MI · On-site

Communicates with payers, providers, Practice Managers, Physician Recruitment and Administration on issues and progress of enrollment activities. The timeliness and quality of the enrollment process ...

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Provider Enrollment Manager information

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$35.5K

$86.4K

$117K

How much do provider enrollment manager jobs pay per year?

As of Jun 9, 2026, the average yearly pay for provider enrollment manager in the United States is $86,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $116,500.00 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 cities are hiring for Provider Enrollment Manager jobs? Cities with the most Provider Enrollment Manager job openings:
What are the most commonly searched types of Provider Enrollment jobs? The most popular types of Provider Enrollment jobs are:
What states have the most Provider Enrollment Manager jobs? States with the most job openings for Provider Enrollment Manager jobs include:
Provider Enrollment Manager jobs near you

Provider Enrollment Specialist

AMERICAN ADVANCED MANAGEMENT

Salida, CA

$22 - $26/hr

Other

Posted 13 days ago

Job description

Description

The Provider Enrollment Specialist role involves managing the administrative process of getting healthcare providers credentialed with insurance companies and government payers like Medicare and Medicaid. Key duties include preparing and submitting applications, tracking their status, maintaining accurate provider records, ensuring compliance with regulations, and following up with providers and payers to resolve issues. 


JOB DUTIES

  • Prepare and submit enrollment applications and supporting documents for new and existing providers.
  • Maintain and update provider information in databases and systems, ensuring accuracy of details like licenses, certifications, and addresses. 
  • Verify provider credentials and ensure all paperwork meets the requirements of various health plans and government payers.
  • Act as a liaison by responding to inquiries from providers and payers, and follow up to expedite the enrollment and re-enrollment process.
  • Research and resolve issues that delay enrollment, such as missing information on applications.
  • Organize and maintain files for all provider enrollments and other related documentation. 


Requirements

The Provider Enrollment Specialist will possess a strong understanding of healthcare regulations, payer requirements, and provider enrollment processes, along with familiarity with medical terminology and basic billing practices. Technical proficiency is essential, including experience with provider enrollment software, credentialing databases such as CAQH, and common office applications like Word and Excel. Success in this role requires excellent attention to detail, strong organizational skills, and effective communication to manage complex documentation and coordinate with multiple stakeholders. Prior experience in a healthcare setting with at least three (3) to five (5) years of experience is preferred, particularly in credentialing, managed care, or claims processing.

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