Provider Enrollment Lead - Remote US

Support provider enrollment and revalidation operations for the New Jersey Medicaid program, assisting with workflow coordination, issue resolution, and team support in a high-volume healthcare environment.

Location: Remote (US)

Salary: $45,000 - $55,000 per year

Responsibilities

• Support provider enrollment, provider revalidation, maintenance, and renewal activities for the New Jersey Medicaid program while ensuring compliance with CMS, ACA, state, and federal regulatory requirements.
• Monitor inventory, workflow, production metrics, and service level agreements (SLAs) to support operational efficiency and timely processing of provider enrollment activities.
• Serve as a resource for Provider Enrollment Analysts by assisting with training, mentoring, escalated issue resolution, process guidance, and day-to-day operational support.
• Review enrollment applications, provider documentation, audits, and administrative reports to identify deficiencies, inconsistencies, compliance concerns, or opportunities for process improvement.
• Perform both routine and complex provider enrollment tasks with minimal supervision while maintaining productivity, accuracy, quality standards, and confidentiality requirements in a remote production-based environment.

Requirements

• High school diploma or GED required; associate degree or additional post-secondary education in healthcare administration, business, or a related field preferred.
• 3+ years of experience in provider enrollment, provider revalidation, provider credentialing, healthcare operations, claims processing, healthcare administration, or healthcare compliance support.
• Prior experience serving as a team lead, mentor, trainer, or subject matter expert in a healthcare operations or production environment preferred.
• Strong written and verbal communication skills, organizational skills, analytical thinking, and problem-solving abilities with attention to detail.
• Experience working with Medicaid, Medicare, healthcare enrollment systems, provider data management, Microsoft Office applications, and operational reporting tools preferred.

Benefits

• $45,000 - $55,000 per year salary range, varies by region and experience.
• Flexible, full-time, salaried position.
• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• Opportunities for leadership and technical development.

Additional Information

• This is a fully remote position open to candidates across the United States.
• Candidates must be available to work Eastern Time business hours, 8:00 AM to 5:30 PM ET.
• Employees must use video cameras during interviews and orientation.
• Minimum broadband internet speeds of 24 Mbps download and 8 Mbps upload required.
• This posting is for pipelining; applications accepted on an ongoing basis.