Provider Enrollment and Network Mgmt Specialist

Easterseals PORT • Raleigh, NC

9d • Remote

About The Position

Easterseals PORT Health is seeking a Provider Enrollment and Network Management Specialist to join its Contracts and Payer Relations Team. The team provides operational support for contract portfolio administration, payer relations, contract implementation, reimbursement research, reporting, and contract management systems.

This role coordinates organizational payer enrollments, site and service additions, network participation, directory maintenance, and payer implementation activities. It serves as the primary liaison between Easterseals PORT Health and Commercial, Medicare, Medicaid, and Managed Care Organization (MCO) payers to support timely implementation and maintenance of organizational sites and services.

The position is mostly remote in North Carolina, with intermittent travel to the organization’s offices in the state. The employee must reside within a commutable distance of an office location. The schedule is Monday through Friday, 8 a.m. to 5 p.m. The position is full-time, non-exempt, and eligible for overtime. Pay is $24–$28.85 per hour, based on experience.

Requirements

• Associate’s degree in Healthcare Administration, Business Administration, or a related field, or an equivalent combination of education and experience.
• Three years of experience in provider enrollment, managed care operations, credentialing support, healthcare administration, or related functions.
• Knowledge of payer enrollment and network participation processes.
• Strong organizational, project management, and problem-solving skills.
• Ability to manage multiple priorities and deadlines.
• Strong attention to detail and follow-through.
• Excellent verbal and written communication skills.
• Ability to work collaboratively across departments.
• Proficiency in Microsoft Office Suite, including Excel, Outlook, Word, SharePoint, and Teams.
• Ability to maintain confidential and sensitive information.

Responsibilities

• Coordinate and manage organizational site and service enrollments with Commercial, Medicare, Medicaid, and Managed Care Organization (MCO) payers.
• Prepare, submit, and track applications and supporting documentation for new site, service, and program implementations.
• Monitor enrollment status and follow up with payer representatives to support timely processing and implementation.
• Coordinate site relocations, closures, service modifications, and organizational demographic changes with payers.
• Support implementation of newly executed payer contracts by coordinating site and service participation with applicable payers and communicating updates to internal stakeholders.
• Serve as the primary administrative contact for payer communications related to site and service participation.
• Maintain payer directory accuracy and coordinate resolution of directory discrepancies.
• Collaborate with Operations, Credentialing, Revenue Cycle Management, Quality Management, and program leadership on enrollment and implementation activities.
• Support Electronic Health Record (EHR) improvement initiatives and payer incentive programs.
• Maintain enrollment tracking logs, databases, and supporting documentation.
• Prepare reports and provide regular enrollment and implementation status updates to leadership.
• Ensure enrollment records and related documentation are accurate and complete.

Benefits

• Generous paid time off and holidays
• Medical, dental, and vision coverage
• Flexible spending account (FSA)
• Life and disability insurance
• 403(b) retirement plan
• Employee Assistance Program
• Legal services
• Professional development and training opportunities, including AHEC where applicable
• Public Service Loan Forgiveness (PSLF) eligibility where applicable

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree