Payor Enrollment & Credentialing Specialist

Valley Health System (New Jersey); Paramus (NJ); On-site; USD 74,000 - 93,000; Full time

Benefits offered by this job

Medical/Prescription, Dental & Vision

Retirement Plan

Tuition Assistance

Employee Assistance Program

Fitness Center Membership Discount

Job summary

Valley Health System (New Jersey) seeks a Provider Enrollment Specialist to manage payor enrollment and re-credentialing for its medical group providers. You will coordinate enrollment applications, validate credentials, and maintain payer rosters with internal teams and external partners.

The role emphasizes strong Excel-based data analysis, meticulous data integrity, and timely reporting to support department leadership and operational workflows.

Qualifications

• College degree required.
• 3+ years in provider enrollment and/or payer credentialing.
• Strong Excel skills required.

Responsibilities

• Manage and monitor payor enrollment activities for VMG, including initial enrollment and re-credentialing of providers.
• Maintain provider enrollment data integrity across systems and payer portals.
• Provide reporting and information to support oversight of provider enrollment, credentialing and payer-related operations.
• Collaborate with payers, medical staff office and credentialing partners to resolve routine enrollment issues.

Skills

Interpersonal skills

Analytical skills

Data analysis

Written communication

Time management

Attention to detail

Independent work

Problem solving

Stakeholder management

Education

College degree

Tools

Excel

Job description

Valley Health System (New Jersey) seeks a Provider Enrollment Specialist to manage payor enrollment and re-credentialing for its medical group providers. You will coordinate enrollment applications, validate credentials, and maintain payer rosters with internal teams and external partners.

The role emphasizes strong Excel-based data analysis, meticulous data integrity, and timely reporting to support department leadership and operational workflows.