Provider Enrollment Analyst - Credentialing & Contracts Lead

MDVIP; Boca Raton (FL); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) retirement plan

Professional development

Great Place to Work recognition

Job summary

MDVIP in Boca Raton, FL seeks a Provider Enrollment Analyst to manage credentialing and contracting for affiliated physicians. You will coordinate with Insurance Services, carriers, and state/federal regulators to ensure enrollment readiness and compliance.

The role requires independent judgment, data reconciliation across systems, and training providers and staff on enrollment processes. You’ll drive operational quality and timely resolutions in a fast-paced, mission-driven environment.

Qualifications

• Associate’s degree and at least two (2) years related business experience
• Four (4) years of related work experience.
• Familiarity with EMR and credentialing software.
• Proficient in Microsoft Office applications.

Responsibilities

• Manages non-standard provider enrollment workflows, interpreting payer-specific contract requirements and independently navigating complex scenarios that fall outside templated enrollment processes.
• Accountable for end - to - end provider enrollment and contracting coordination through completion, delivering responsive, high - quality service while proactively educating physicians on timelines, managing expectations, and maintaining strong partnerships as operational challenges arise.
• Serves as the primary liaison and subject - matter expert for provider enrollment, collaborating across physicians, internal stakeholders, and external partners to drive alignment, quality, operational readiness, and a consistently high standard of service across credentialing and contracting workflows.
• Complete statewide credentialing applications to establish new groups and add providers to commercial payers and Medicare
• Serves as the authoritative steward of provider enrollment data. Conducts detailed analysis and reconciliation of provider enrollment information across multiple systems, proactively identifying discrepancies, downstream risks, and potential impacts to revenue, access, or compliance.
• Maintain provider enrollment system processes, policy and procedures, ensuring adherence to all requirements and taking corrective steps as needed.
• Exercises independent judgment to resolve enrollment obstacles and exceptions, escalating only high-risk, systemic, or time-sensitive issues with clearly defined solution options and impact assessments.
• Maintains operational and regulatory integrity of provider enrollment data by independently managing, validating, and reconciling complex provider records across high-volume, payer-specific enrollment workflows.
• Provide training and guidance to affiliates, physician staff or respective billing companies related to MDVIP, when requested, on preventive billing protocols and/or provider enrollment needs

Skills

Credentialing

Contracting

Data analysis

Stakeholder collaboration

Education

Associate’s degree

Tools

EMR

Credentialing software

Job description

MDVIP in Boca Raton, FL seeks a Provider Enrollment Analyst to manage credentialing and contracting for affiliated physicians. You will coordinate with Insurance Services, carriers, and state/federal regulators to ensure enrollment readiness and compliance.

The role requires independent judgment, data reconciliation across systems, and training providers and staff on enrollment processes. You’ll drive operational quality and timely resolutions in a fast-paced, mission-driven environment.