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Senior Provider Enrollment Analyst Jobs (NOW HIRING)

When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...

When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...

When payor requirements change, must be able to analyze and compare processes in order to recommend ... Minimum 3 years of Provider Enrollment/Payor Credentialing experience required. Preferred Skills ...

Mgr- Provider Enrollment

Brewer, ME · On-site +1

$35.92 - $55.13/hr

... senior management. * Promotes ongoing education. Other Related Functions * Assures that human ... Certified Provider Enrollment Specialist (CPES) or Provider Enrollment Specialist Certificate (PESC ...

Provider Enrollment Specialist - West Norriton, PA, Monday to Friday, 8:00 AM to 5:00 PM Pay range ... Strong analytical and problem-solving skills * Strong interpersonal skills; ability to work with ...

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Senior Provider Enrollment Analyst information

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$49.5K

$85.8K

$116.5K

How much do senior provider enrollment analyst jobs pay per year?

As of Aug 17, 2026, the average yearly pay for senior provider enrollment analyst in the United States is $85,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What is the difference between Senior Provider Enrollment Analyst vs Provider Enrollment Specialist?

AspectSenior Provider Enrollment AnalystProvider Enrollment Specialist
CredentialsTypically requires experience in healthcare administration, knowledge of payer policies, and sometimes certifications like CPC or CPCOSimilar credentials, often entry to mid-level certifications in healthcare or billing
Work EnvironmentPerforms detailed analysis, audits, and process improvements in healthcare settings or insurance companiesHandles enrollment tasks, data entry, and customer communication in healthcare offices or insurance providers
Employer & IndustryHospitals, insurance companies, healthcare consulting firmsMedical practices, billing companies, insurance providers

The Senior Provider Enrollment Analyst typically has more experience, handles complex enrollment issues, and may oversee team activities. The Provider Enrollment Specialist focuses on processing enrollments and maintaining provider records. Both roles require healthcare industry knowledge, but the senior analyst position involves higher-level analysis and decision-making.

More about Senior Provider Enrollment Analyst jobs

What cities are hiring for Senior Provider Enrollment Analyst jobs?

Cities with the most Senior Provider Enrollment Analyst job openings:

What are the most commonly searched types of Provider Enrollment Analyst jobs?

The most popular types of Provider Enrollment Analyst jobs are:

What states have the most Senior Provider Enrollment Analyst jobs?

States with the most job openings for Senior Provider Enrollment Analyst jobs include:

Infographic showing various Senior Provider Enrollment Analyst job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $85,750 per year, or $41.2 per hour.

Prov Net Ops Data Analyst Sr

AmeriHealth Caritas Health Plan

Southfield, MI • On-site

$78K - $99K/yr

Full-time

Posted 9 days ago


AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

128th of 309 rated insurance


Job description

Role Overview: The Senior Provider Network Operations Senior Data Analyst serves as a subject matter expert and key support resource within Provider Network Operations. This role is responsible for training new hires, keeping the team informed and prepared as process or system changes occur, supporting analysts with complex questions, and ensuring accurate, compliant, and timely processing of provider data, rosters, and provider files.
Work Arrangement:
  • Remote - This position is fully remote for candidates residing in Michigan. Occasional travel for meetings, training, or business needs may be required.

Responsibilities:
  • Serve as a go-to subject matter expert for Provider Network Operations processes, including incoming provider data, provider enrollment file completion, and Facets updates.
  • Train new hires and provide ongoing education to analysts to ensure the team remains knowledgeable, consistent, and prepared as business requirements, systems, reporting needs, or processes change.
  • Process and oversee complex provider data files, large rosters, provider enrollments, and related updates while ensuring information is entered accurately and maintained appropriately in Facets and other applicable systems.
  • Monitor analyst workloads, review processing quality, audit analyst work, identify coaching opportunities, and provide guidance to support accuracy, productivity, and adherence to established procedures.
  • Develop new ideas and recommend process improvements that strengthen data quality, streamline enrollment and roster workflows, and improve team effectiveness.
  • Ensure provider data is accurate, complete, and compliant with internal standards, business rules, and reporting requirements; research and resolve discrepancies in a timely and thorough manner.
  • Maintain strong working relationships with provider groups, internal business partners, and cross-functional teams to support provider enrollment, data integrity, issue resolution, and operational needs.
  • User Acceptance Testing (UAT)/Client Review & audit (fee schedule concentration), reviews requests prior to initial submission to EO, and claims post-production
  • Capitation reconciliations, building queries, and comparing membership
  • Internal business report development; engagement with regulatory reporting
  • BAM/claim reporting submission and analysis, depending on complexity
  • Perform additional duties and special projects as assigned.

Education & Experience:
  • Bachelor's degree or equivalent combination of education and relevant work experience.
  • 3 to 5 years of experience in data analysis, healthcare operations, provider network operations, provider data operations, or a related field.
  • Experience with provider enrollment and changes.
  • Experience developing reports and analyzing complex datasets.
  • Managed care or healthcare experience preferred
  • Knowledge of Facets or similar healthcare administration platforms.

Skills & Abilities:
  • Strong analytical and problem-solving skills with the ability to identify trends, root causes, and actionable insights.
  • Proficiency in Microsoft Office Suite, particularly Excel, Word
  • Ability to prioritize and manage multiple competing priorities and projects simultaneously in a fast-paced environment.
  • Strong attention to detail and commitment to data accuracy.
  • Excellent organizational and communication skills.
  • Patience and professionalism when training new hires, coaching analysts, and supporting team members through process or system changes.
  • Flexible, adaptable, and willing to adjust to changing business needs, priorities, and deadlines.
  • Strong team player with a collaborative approach and willingness to support others to meet team and department goals.
  • Ability to work independently while effectively collaborating with cross-functional teams.
  • Experience supporting regulatory reporting and compliance initiatives preferred.

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