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Provider Enrollment Lead - Remote Us
Posted on May 25, 2026
- Nj, United States of America
- 45000.0 - 55000.0 USD (yearly)
- Full Time
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Provider Enrollment Lead - Remote US
Summary
Your role in our mission
- 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.
- 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.
- This is a fully remote position open to candidates located anywhere within the United States.
- Employees must be available to work Monday through Friday during Eastern Time business hours, from 8:00 AM ET to 5:30 PM ET, regardless of their local time zone.
- This role supports provider revalidation and healthcare compliance initiatives tied to evolving federal and state fraud prevention requirements.
- Daily productivity, quality, attendance, and service level expectations will be monitored in this fast-paced operational environment.
- Video cameras must be used during interviews and orientation, and employees must maintain a broadband internet connection with minimum speeds of 24 Mbps download and 8 Mbps upload for remote work effectiveness.
- This posting is intended for pipelining. We will accept applications on an ongoing basis.
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