Provider Enrollment Specialist - Health Systems

Indian Health Service; Phoenix (AZ); On-site; USD 54,000 - 66,000; Full time

Job summary

Indian Health Service is seeking a Provider Enrollment Specialist at the Phoenix area to initiate enrollment applications for CMS and multiple state Medicaid programs, ensuring compliance and timely processing.

The role requires specialized health care administration experience, with demonstrated ability to liaise with providers and regulatory agencies. A graduate degree in health care management is preferred.

Qualifications

• One year of specialized experience at GS-07 level in federal service related to enrollment and liaison with providers and agencies.
• Experience reviewing and completing CMS, state Medicaid, and managed care applications.
• Experience assisting medical staff with Medicaid attestations and enrollment processes.
• Analytical experience evaluating program operations and outcomes.
• Possess a combination of education and experience that meets the minimum qualifications.

Responsibilities

• Initiate provider and facility enrollment applications for CMS, AHCCCS, and other Medicaid programs.
• Serve as liaison with providers, state agencies, and business office personnel.
• Assist medical staff with Medicaid attestation and enrollment processes.
• Analyze program operations to evaluate effectiveness and compliance.

Skills

Specialized health care administration

CMS and Medicaid enrollment liaison

Provider enrollment coordination

Analytical / data evaluation

Interagency coordination

Education

Master's degree in hospital/public health administration or related field

Graduate coursework in health care administration

Job description

Indian Health Service is seeking a Provider Enrollment Specialist at the Phoenix area to initiate enrollment applications for CMS and multiple state Medicaid programs, ensuring compliance and timely processing.

The role requires specialized health care administration experience, with demonstrated ability to liaise with providers and regulatory agencies. A graduate degree in health care management is preferred.