Nevada Provider Enrollment Advisor

Job Summary

Supporting the Provider Enrollment Manager, the remote Nevada Provider Enrollment Advisor will serve as a subject matter expert on provider enrollment requirements, analyze data for compliance, and recommend process improvements while managing project activities and stakeholder relationships.

Key responsibilities

• Ensure compliance with regulatory and business standards for provider enrollment
• Analyze business needs and recommend system improvements to support operational goals
• Manage project timelines and deliverables while utilizing data analysis to identify trends and compliance risks

Required qualifications

• Bachelor's degree in a related field or equivalent combination of education and experience
• Five or more years of experience in healthcare operations, including provider credentialing and enrollment
• Knowledge of CMS Federal and State Guidelines related to enrollment and reenrollment policies
• Preferred Six Sigma Lean Green or Black Belt certification
• Familiarity with NV Medicaid Guidelines is preferred