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 payers .

Posted 10/15/2026full-timeRaleigh • North Carolina • United StatesMid-LevelSenior💰 $50,000 - $60,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Highest-signal resume keywords

Payer Enrollment ProcessesManaged Care OperationsProject ManagementMicrosoft Office SuiteHealthcare Administration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EnrollmentCredentialing SupportEnrollment TrackingData ManagementReport Preparation

Soft Skills

Organizational SkillsProblem-Solving SkillsAttention to DetailVerbal CommunicationWritten Communication

Tools & Technologies

Electronic Health Record (EHR)Microsoft ExcelMicrosoft OutlookMicrosoft WordMicrosoft SharePointMicrosoft Teams

Industry Keywords

MedicareMedicaidCommercial PayersManaged Care OrganizationsBehavioral HealthIntellectual and Developmental DisabilitiesSubstance Use Disorder

About the role

Key responsibilities & impact

Coordinate and manage organizational site and service enrollments with Commercial, Medicare, Medicaid, and Managed Care Organization 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
Assist with implementation of newly executed payer contracts by coordinating site and service participation
Communicate enrollment 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 coordinate resolution of 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
Perform other duties as assigned, including driving as required

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 within a commutable distance to one of the employer's office locations in North Carolina
Ability to perform required driving and intermittent travel
Preferred: Experience working with Medicare, Medicaid, Commercial, and Managed Care Organization payers
Preferred: Experience in Behavioral Health, Intellectual and Developmental Disabilities (I/DD), and Substance Use Disorder (SUD) services
Ability to remain in a stationary position for extended periods and communicate effectively with internal and external clients

Benefits

Comp & perks

Generous paid time off and paid holidays
Medical, Dental, and Vision benefits
Company-paid Life and Disability Insurance
403(b) Retirement Plan
Employee Assistance Program and legal services support
Public Service Loan Forgiveness (PSLF) qualifying employer
Ongoing professional growth and development
Full benefits package for benefits-eligible positions