Provider Enrollment Coordinator III (Eastern United States resident)
Core
Oversees provider enrollment processes, record maintenance, and regulatory compliance for healthcare providers.
Role type
Senior Provider Enrollment Coordinator
Builds
Provider enrollment databases, compliance reports, and network expansion strategies
Domain
Healthcare administration / Regulatory compliance
Deliverable
dashboards & analysis
Required skills
Regulatory compliance, Provider enrollment management, Audit coordination, Policy development, Staff supervision, Data flow management
Preferred skills
Network expansion strategy, Quality metrics evaluation, External stakeholder engagement
Responsibilities
Develop and maintain enrollment function strategy and policies; Supervise enrollment staff including performance assessment and scheduling; Act as primary compliance resource for regulatory and accreditation agencies; Coordinate enrollment data for regulatory audits; Develop enrollment criteria measuring providers against quality and regulatory metrics; Process initial and re-enrollment for providers.
