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Provider Enrollment Manager Jobs (NOW HIRING)

Provider Enrollment Specialist

Lawrence, MA ยท On-site

$25.03 - $37.55/hr

... Provider Network, Managed Care, and the Medical Affairs Departments. This role supports daily ... provider enrollment, contracting, and ongoing administrative tasks. Reporting to the Executive ...

Human Capital Education (HCE) enables colleges and universities to grow with purpose by providing ... The Enrollment Manager will lead and develop a team of Enrollment Coaches, coaching them to build ...

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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 Jul 22, 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.
More about Provider Enrollment Manager jobs
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:
Infographic showing various Provider Enrollment Manager job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, 13% Part Time, 1% Temporary, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $86,379 per year, or $41.5 per hour.
Provider Enrollment/Credentialing Specialist

Provider Enrollment/Credentialing Specialist

V2V MANAGEMENT SOLUTIONS INC

Boise, ID โ€ข On-site

$30 - $40/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 2 days ago


Job description

Benefits:
  • 401(k)
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off

Healthcareย 
Provider Enrollment/Credentialing Specialist
Company: V2V Management Solutions
Location: 3597 E Monarch Sky Ln Ste F-240, Meridian, ID 83646
Pay: $30.00 - $40.00 per hour
Job description:
Seeking an experienced Provider Enrollment/Credentialing Specialist to support a busy and dynamic healthcare consulting firm. Our firm specializes in working with medical practices across the United States. We are looking for an experienced individual to join our busy Provider Enrollment team. The ideal candidate not only understands provider enrollment and credentialing but has experienced the full revenue cycle function as well. The candidate must be a highly-motivated professional with great communication skills, ability to multi task, and excellent client relations experience. We are seeking an individual who is extremely detail oriented, can hit the ground running and make a difference! In joining our firm, you will be in an invigorating and challenging environment with high standards for work quality, professionalism, and teamwork. The opportunity exists for this position to participate in various aspects of client engagements depending on the experience the candidate brings to the position. The position can be both office based and/or a remote telecommuting position.
The Provider Enrollment Credentialing Specialist will support clients through administering the provider enrollment and credentialing applications process. The Consultant is responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of enrolling individual physicians and physician groups with payers. The Consultant will also support clients through providing advisory services for organizational level NPI management and provider enrollment challenges. This position supports client organizations with ensuring the provider onboarding process relating to credentialing and enrollment is a seamless and expedited experience thus improving the providers experience in joining an organization. Additionally, for established clients the Consultant will aid the client providers in re-credentialing efforts.
Required Skills:
  • Subject matter expertise in revenue cycle, credentialing & payer enrollment. Extensive knowledge in health insurance third party administrator concepts specifically supporting operational processes for enrollment and eligibility functions.
  • Working knowledge of PECOS, Medicaid, and CAQH systems. Knowledge of health insurance, HMO, PPO, DSNIP and managed care principles including Medicare Advantage regulations.
  • Effective decision-making, problem-solving, conflict resolution, and critical thinking skills.
  • Ability to learn new software programs quickly. Proficiency in Microsoft Office suite. Experience with Echo One App, Verity products, or other credentialing software solutions a plus.
  • Provides exceptional customer service. This includes professional and effective interaction skills with co-workers, clients, providers, and vendors.
  • Advanced verbal and written communication skills.
  • Advanced project management, planning and prioritization skills.
  • Ability to drive and support innovation and best practices.
  • Readily adapts to changing work demands, is flexible and works independently and will take initiative making independent decisions.
  • Serve others with integrity and maintain confidentiality.ย 
Required Experience and Education:
  • 3-5 yearsโ€™ experience working within the insurance agency, hospital or other healthcare setting with responsibilities related to credentialing or provider enrollment.
  • Additional 3-5 yearsโ€™ experience working within the healthcare industry relating specifically to the revenue cycle process.
  • Associate or bachelorโ€™s degree preferred.ย 
Job Type: Full-time / Part-time
Schedule: Monday to Fridayย 
Work Location: Hybrid remote in Meridian, ID 83646

Flexible work from home options available.