Senior Provider Network Analyst, Day Shift, Managed Care

Adventist Rehabilitation Hospital of Maryland Inc

Base: $71,932.12 - $107,889.60; bonus/equity: not ...
Hybrid
Proficiency in microsoft office suite
Working knowledge of caqh and eprep systems
Experience with ncqa delegated credentialing standards
Adventist HealthCare is seeking a Senior Provider Enrollment Specialist for their Managed Care Department, responsible for overseeing payer enrollment applications. The ideal candidate should have extensive experience in provider credentialing and compliance, along with strong collaboration and communication skills

Job Summary

  • The role involves overseeing initial and revalidation processes for payer enrollment applications to ensure ongoing compliance with regulations.
  • Employees will serve as the primary contact for payer inquiries, resolve enrollment issues, and collaborate with the Medical Staff Office on provider onboarding.
  • Adventist HealthCare offers a comprehensive benefits package including medical coverage, retirement matching, paid time off, and tuition reimbursement.

Matching Summary

Match Score: 85

Adventist HealthCare is seeking a Senior Provider Enrollment Specialist for their Managed Care Department, responsible for overseeing payer enrollment applications. The ideal candidate should have extensive experience in provider credentialing and compliance, along with strong collaboration and communication skills.

Salary

Base: $71,932.12 - $107,889.60; Bonus/Equity: Not specified; Benefits: Medical, Dental, Vision, Retirement match, PTO, Tuition Reimbursement

Skills & Requirements

Must-have

  • Proficiency in Microsoft Office suite
  • Working knowledge of CAQH and ePREP systems
  • Experience with NCQA delegated credentialing standards
  • Ability to manage multiple payer enrollment deadlines
  • Strong critical thinking and problem-solving skills

Nice-to-have

  • Excellent verbal and written communication skills
  • Openness to organizational changes and feedback
  • Willingness to obtain additional payer association training
  • Collaboration across medical staff and recruitment teams
  • Professional demeanor in customer service interactions

Key Requirements

  • Bachelor's degree in Healthcare or Business Administration preferred
  • 7 to 10 years of experience in provider credentialing and enrollment
  • Must pass nicotine and drug testing prior to employment

Work Rights

Not specified

Tailored Resume

Cover Letter