Payor Enrollment Data Specialist, Financial Admin, Full Time, Day

About the role

This position manages and monitors the payor enrollment activities for VMG, including the initial enrollment and re‑credentialing of all medical‑group providers into governmental and managed‑care plans. The role serves as a subject‑matter resource for provider enrollment processes and payer requirements, ensuring data integrity and supporting the Department Manager’s oversight of enrollment, credentialing, and payer‑related operations.

Responsibilities

• Initiate enrollment applications for providers.
• Conduct provider re‑validation and maintain payer rosters.
• Provide payer credentialing support and coordinate provider data activities with providers, payers, the medical staff office, and delegated credentialing partners.
• Audit and maintain provider/payer roster data integrity across applicable systems and payer portals.
• Identify and resolve routine enrollment, roster, and data issues.
• Generate reports and information to support departmental oversight of enrollment, credentialing, and payer‑related operational activities.

Requirements

• College degree required.
• Three or more years of experience in provider enrollment and/or payer credentialing.
• Strong Excel skills.

Skills

• Strong interpersonal skills for building effective relationships with physicians, payers, administrators, and multidisciplinary teams.
• Advanced analytical and data‑analysis abilities to evaluate complex information, identify trends, and support decision‑making.
• Excellent written and verbal communication skills.
• Exceptional organizational and time‑management skills with keen attention to detail.
• Ability to manage multiple priorities and meet competing deadlines in a fast‑paced environment.
• Self‑confidence, initiative, and the ability to work independently while collaborating within a team.
• Proven problem‑solving and critical‑thinking skills focused on accuracy and results.
• Sound judgment and professionalism when interacting with stakeholders at all levels.

Location: Kraft Center, Day shift (United States of America)

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full‑time/Part‑time employees)
• Group Term Life Insurance and AD&D (Full‑time employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits (e.g., Short‑term and Long‑term Disability, Whole Life Insurance, Legal Support, etc.)
• Six paid holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
• Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day‑care discounts for various facilities

Pay

Pay Range: $74,214.40 – $92,768.00 (full‑time equivalent, 1.0 FTE). Salary varies based on role, experience, education, and licensure; the listed range does not include other forms of compensation or benefits.