Provider Enrollment and Network Management Specialist

Easterseals PORT Health

. Coordinate and manage organizational site and service enrollments with Commercial, Medicare, Medicaid, and Managed Care Organization (MCO) payers .

Posted 10/31/2026full-timeRaleigh • North Carolina • United StatesMid-LevelSenior💰 $24 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider enrollment processes, managed care operations, and healthcare administration, with strong organizational and project management skills. Proficient in maintaining accurate enrollment records and collaborating effectively across departments to support payer communications and program implementations.

Highest-signal resume keywords

Provider Enrollment ExperienceManaged Care OperationsProject Management SkillsPayer CommunicationMicrosoft Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentManaged Care OperationsCredentialing SupportHealthcare AdministrationEnrollment TrackingPayer Network ParticipationReport PreparationDatabase ManagementEHR Improvement InitiativesApplication Submission

Soft Skills

Organizational SkillsProblem-Solving SkillsAttention to DetailVerbal CommunicationWritten Communication

Tools & Technologies

Microsoft ExcelMicrosoft OutlookMicrosoft WordMicrosoft SharePointMicrosoft Teams

Industry Keywords

Healthcare AdministrationPayer EnrollmentManaged Care OrganizationsMedicareMedicaid

About the role

Key responsibilities & impact

Coordinate and manage organizational site and service enrollments with Commercial, Medicare, Medicaid, and Managed Care Organization (MCO) payers
Prepare, submit, and track applications and supporting documentation for new site, service, and program implementations
Monitor enrollment status and follow up with payer representatives to ensure timely processing and implementation
Coordinate site relocations, closures, service modifications, and organizational demographic changes with payers
Coordinate site and service participation for newly executed payer contracts
Communicate payer and implementation updates to internal stakeholders
Serve as the primary administrative contact for payer communications related to site and service participation
Maintain payer directory accuracy and resolve directory discrepancies
Collaborate with Operations, Credentialing, Revenue Cycle Management, Quality Management, and program leadership
Support Electronic Health Record (EHR) improvement initiatives and payer incentive programs
Maintain enrollment tracking logs, databases, and supporting documentation
Prepare reports and provide regular status updates to leadership
Ensure the accuracy and completeness of enrollment records and related documentation

Requirements

What you’ll need

Associate’s Degree in Healthcare Administration, Business Administration, or related field; or equivalent combination of education and experience
Three (3) years of experience in provider enrollment, managed care operations, credentialing support, healthcare administration, or related functions
Knowledge of payer enrollment and network participation processes
Strong organizational, project management, and problem-solving skills
Ability to manage multiple priorities and deadlines
Strong attention to detail and follow-through
Excellent verbal and written communication skills
Ability to work collaboratively across departments
Proficiency in Microsoft Office Suite, including Excel, Outlook, Word, SharePoint, and Teams
Ability to maintain confidential and sensitive information
Must reside in North Carolina within a commutable distance to one of the organization’s office locations
Ability to travel intermittently to offices in North Carolina
Valid driver’s license and insurance, if applicable

Benefits

Comp & perks

Generous paid time off and holidays
Medical, dental, and vision coverage
Flexible Spending Account (FSA)
Life and disability insurance
403(b) retirement plan
Employee Assistance Program and legal services
Professional development and training opportunities, including AHEC where applicable
Public Service Loan Forgiveness (PSLF) eligibility where applicable
Overtime eligibility
Mostly remote work in North Carolina