Provider Enrollment Specialist Ii

Altais

Base: $21.00 - $25.00ph; bonus/equity: not specifi...
3-5 years healthcare credentialing experience
Payer enrollment and recredentialing management
Ncqa standards and government payer rules compliance
The role supports multiple Altais medical groups by independently managing the full lifecycle of provider credentialing and payer enrollment

Job Summary

  • The role supports multiple Altais medical groups by independently managing the full lifecycle of provider credentialing and payer enrollment.
  • Candidates must ensure compliance with NCQA standards, health plan delegation requirements, and government payer rules while maintaining accurate data across systems.
  • The company offers a competitive compensation package including excellent medical, vision, dental coverage, a 401k match, and flexible time off.

Matching Summary

The role supports multiple Altais medical groups by independently managing the full lifecycle of provider credentialing and payer enrollment.

Salary

Base: $21.00 - $25.00/hr; Bonus/Equity: Not specified; Benefits: Medical, vision, dental, 401k match, flexible time off

Skills & Requirements

Must-have

  • 3-5 years healthcare credentialing experience
  • Payer enrollment and recredentialing management
  • NCQA standards and government payer rules compliance
  • Athena practice management system proficiency
  • CMS PECOS and Medi-Cal PAVE maintenance

Nice-to-have

  • Strong relationship building with external payers
  • Proactive solution-oriented mindset
  • Experience in IPA or physician group settings
  • Ability to draft presentations and communications
  • Collaborative team-based work culture

Key Requirements

  • High school diploma or equivalent
  • 3-5 years of healthcare credentialing experience
  • CPCS certification preferred
  • NAMSS coursework or certification preferred

Work Rights

Not specified

Tailored Resume

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