Senior Provider Enrollment & Credentialing Specialist

St. Jude Children's Research Hospital; Memphis (TN); Hybrid; USD 40,000 - 69,000; Full time

Benefits offered by this job

Benefits package

Job summary

St. Jude Children's Research Hospital is seeking a Senior Managed Care Specialist - Provider Enrollment in Memphis, TN.

The role focuses on enrolling hospital-employed or contracted physicians in all insurance programs, including Medicaid, and ensuring efficient, compliant operations. Two days per week onsite is required, with a focus on coordination across teams, payer communications, and timely resolution of denial issues.

Qualifications

• High school diploma or GED required.
• 4+ years of experience in healthcare, academic or research setting.

Responsibilities

• Execute and manage managed care tasks in provider enrollment and credentialing.
• Coordinate with internal and external teams to clarify information and resolve issues.
• Support payer communications and prepare documentation.
• Manage denial issues related to contracts, enrollment or credentialing in a timely manner.

Skills

Provider enrollment

Credentialing

Claims handling

Payor issues

Interdepartmental coordination

Education

High school diploma/GED

Tools

EPIC

CREDENTIALSTREAM

Job description

St. Jude Children's Research Hospital is seeking a Senior Managed Care Specialist - Provider Enrollment in Memphis, TN.

The role focuses on enrolling hospital-employed or contracted physicians in all insurance programs, including Medicaid, and ensuring efficient, compliant operations. Two days per week onsite is required, with a focus on coordination across teams, payer communications, and timely resolution of denial issues.