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# Provider Enrollment and Network Mgmt Specialist

- **Company:** Easterseals
- **Location:** Raleigh, NC, United States
- **Experience:** Experienced
- **Salary:** $49,920.0 - $60,008.0
- **Contract:** Permanent contract
- **Skills:** Microsoft Word, Microsoft Excel, Microsoft Outlook, Databases, Microsoft Office, Network Administration, Microsoft SharePoint, Electronic Medical Records
- **Published:** October 29, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=46e7e67764fbdcfc

## About the Role

We're looking for someone who brings the experience, skills, and commitment needed to succeed in this role.

 * Associate's Degree in Healthcare Administration, Business Administration, or related field; or equivalent combination of education and experience.
 * Three (3) 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.
 * Driver's license / insurance / travel / schedule requirement, only if applicable]
 * Ability to maintain confidential and sensitive information

## Description

Do you want work that makes a meaningful difference in your community? Easterseals PORT Health is seeking a Provider Enrollment and Network Management Specialist to join our Contracts and Payer Relations Team in Raleigh, North Carolina.

The Contract & Payer Relations team provides operational support for the administration of the organization's contract portfolio, payer relations activities, contract implementation, reimbursement research, reporting, and contract management systems.

In the role of the Provider Enrollment & Network Management Specialist is responsible for coordinating organizational payer enrollments, site and service additions, network participation, directory maintenance, and payer implementation activities. This position serves as the primary liaison between Easterseals PORT Health and Commercial, Medicare, Medicaid, and Managed Care Organization (MCO) payers to ensure timely implementation and maintenance of organizational sites and services.

What You'll Do

 * 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 required for new site, service, and program implementations.
 * Monitor enrollment status and conduct follow-up with payer representatives to ensure timely processing and implementation.
 * Coordinate site relocations, closures, service modifications, and organizational demographic changes with payers.
 * Assist with 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 regarding 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 status updates to leadership regarding enrollment and implementation activities.
 * Ensure the accuracy and completeness of enrollment records and related documentation.