Provider Enrollment Specialist

State of Arizona; Arizona; Remote; USD 21,000 - 30,000; Full time

Benefits offered by this job

Medical, dental, and life insurance

ASRS retirement plan

10 paid holidays

Paid parental leave (pilot)

Tuition reimbursement

Flexible schedules

Professional development

Job summary

AHCCCS in Arizona is hiring a Provider Enrollment Specialist to review provider applications, determine eligibility, and ensure compliance with program requirements.

You will assist providers, conduct remote and onsite reviews, document findings, and maintain accurate case records while navigating regulatory guidelines.

This role offers remote options within Arizona and opportunities to impact healthcare access for Arizona residents.

Qualifications

• Valid Arizona Driver License.
• Ability to travel to provider locations.
• Pass a Fingerprint Background Screening.
• Complete E-Verify employment eligibility.

Responsibilities

• Review provider applications and documentation to determine eligibility and participation in healthcare programs.
• Assist providers by answering questions, resolving issues, and providing excellent customer service.
• Conduct virtual and onsite reviews to verify providers meet program and regulatory requirements.
• Document findings and maintain accurate case records.
• Research and assess information to identify risks, discrepancies, or enrollment concerns.

Skills

Decision making

Research skills

Customer service

Communication

Attention to detail

Adaptability

Job description

AHCCCS

Arizona Health Care Cost Containment System

We’re Hiring!

Provider Enrollment Specialist

Arizona Health Care Cost Containment System

Division of Member and Provider Services

150 North 18th Avenue Phoenix, Arizona 85007

https://www.ahcccs.gov

Salary: $18.5095 Hourly

Flexible Work Options: Remote within Arizona

Requisition Closing Date: October 27, 2026

Make An Impact With AHCCCS AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona’s citizens, ensuring access to quality healthcare for vulnerable populations.

Why AHCCCS?

• Supportive Culture: High employee engagement, strong leadership, and flexible work options including remote roles.
• Diverse Career Paths: Whether you're an experienced professional, a recent graduate, or exploring internships, AHCCCS offers meaningful roles in a competitive industry.
• Innovation in Public Service: Join a team that values performance, creativity, and continuous improvement in delivering healthcare solutions.

What You’ll Do

• Review provider applications and documentation to determine eligibility and participation in healthcare programs.
• Assist providers by answering questions, resolving issues, and providing excellent customer service.
• Conduct virtual and onsite reviews to verify providers meet program and regulatory requirements.
• Document findings and maintain accurate case records.
• Research and assess information to identify risks, discrepancies, or enrollment concerns.

Your Competencies and Skills

• Evaluate information and make decisions using established guidelines.
• Research issues, gather information, and resolve problems.
• Provide excellent customer service while handling complex inquiries.
• Communicate clearly with providers, customers, and team members.
• Maintain accurate records and pay close attention to detail.
• Adapt to changing priorities and learn new processes and requirements.

What We Need From You

Required Qualifications:

• Valid Arizona Driver License.
• Ability to travel to provider locations.
• Pass a Fingerprint Background Screening.
• Complete E-Verify employment eligibility.

What Sets You Apart

Preferred Qualifications:

• Knowledge of Medicaid, Medicare, AHCCCS, CMS, or provider enrollment programs.
• Experience working in healthcare, compliance, or regulatory environments.
• Training or coursework related to healthcare administration, auditing, or compliance.
• Experience supporting projects, process improvements, or team initiatives.

The Perks

Join us, and you’ll enjoy:

• Comprehensive medical, dental, and life insurance options
• Supportive retirement plan through Arizona State Retirement System (ASRS)
• 10 paid holidays and generous vacation/sick leave
• Up to 12 weeks of paid parental leave (pilot program)
• Tuition reimbursement, wellness plans, and professional development
• Flexible schedules to support work-life balance
• Visit the State of Arizona benefits page for more

Are You Ready to Make a Difference?

Take the next step in your career and join a team that’s transforming lives across Arizona. For questions, contact AHCCCS Careers at 602‑417‑4000 or [e-mail]

Additional Details

• Travel within Arizona may be required for this role.