Provider Enrollment Analyst

Job Summary

Supporting provider enrollment and revalidation operations for Medicaid healthcare programs, the full-time remote Provider Enrollment Analyst will manage application reviews, ensure compliance with guidelines, and maintain accurate provider records while collaborating with various stakeholders.

Key responsibilities

• Review, process, and verify provider enrollment and revalidation applications for accuracy and compliance
• Research and resolve discrepancies in provider enrollment while identifying potential fraud
• Maintain accurate provider records and perform quality audits to support operational integrity

Required qualifications

• High school diploma or GED with at least 1 year of relevant experience in healthcare operations or provider enrollment
• Familiarity with Medicaid, Medicare, or healthcare compliance preferred
• Basic to intermediate proficiency in Microsoft Office tools, especially Excel and Outlook
• Strong attention to detail and ability to maintain accuracy in a production-driven environment
• Completion of the Harver Assessment as part of the interview process