Credentialing – Senior Enrollment Specialist

Caris Life Sciences•Irving, TX

17h•$68,000 - $82,000

About The Position

At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn’t stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare—driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Enrollment Specialist plays a key role in overseeing the end-to-end payor enrollment process. This includes managing applications, ensuring compliance with enrollment requirements, and maintaining accurate records and data. As a Senior Specialist this role serves as a primary contact for enrollment inquires and addresses complex enrollment issues, playing a pivotal role in issue resolution.

Requirements

High school diploma or GED required.
Four to six years of experience in a credentialing office or equivalent related environments.
Knowledge of health plan and governmental payor credentialing process and requirements, such as NCQA/state/federal standards, Medicaid, and Medicare.
Demonstrates proficient communication abilities, both orally and in writing, and strong interpersonal skills.
Exhibits a heightened level of awareness and attention to detail.
Demonstrates outstanding organizational and time management skills.
Demonstrate the ability to work autonomously while effectively contributing to a collaborative team environment.
Ability to maintain confidentiality.
Proficient in Database, MS Excel, Word, Adobe and other software systems.
A team player with multi-tasking capability and strong customer service orientation.

Nice To Haves

Bachelor’s degree preferred.
Current Certified Provider Credentialing Specialist (CPCS) with the National Association of Medical Staff Services preferred.
Database management skills including querying, reporting, and document generation a plus.

Responsibilities

Complete knowledge and full understanding of the payor enrollment process.
Ability to assess unusual and complex circumstances that may occur with enrollment and uses critical thinking and problem-solving techniques to identify and suggest methods for resolution.
Work is done independently and is reviewed at critical points.
Responsible for overseeing, monitoring, and maintaining the processes involved in both initial and revalidation of payor enrollment applications.
Possess a thorough comprehension of payor enrollment requirements and regulations governing enrollment to ensure ongoing compliance.
Responsible for securing timely enrollment by submitting applications ahead of deadlines and maintaining consistent follow-up with payors through completion.
Conduct research and document enrollment processes encompassing, but not limited to, initial enrollment, revalidation, and demographic changes.
Regularly update and manage data in the credentialing database, spreadsheets, and folders, while maintaining data integrity.
Assures compliance with payor requirements as related to the provider enrollment and monitor activities to ensure compliance with all procedures and regulations.
Participate in the development and implementation of credentialing processes and procedures and provide input regarding process improvement.
Serve as primary contact for payor inquires and issue resolution, specifically related to enrollment and credentialing matters.
Assist in the training of colleagues on internal enrollment policies and procedures and provide guidance on navigating payor agencies requirements.
Performs other duties as assigned.