Provider Enrollment Specialist

We are seeking a Provider Enrollment Specialist II to support provider enrollment operations for a healthcare program. This role is responsible for conducting operational audits, reviewing provider enrollment applications, and ensuring compliance with state regulations and established business requirements. The ideal candidate will have experience in healthcare administration, provider enrollment, credentialing, or related healthcare operations. Responsibilities Process provider enrollment applications to ensure compliance with applicable state regulations and program requirements.Validate qualifications of licensed professionals, organizational members, and healthcare organizations.Determine whether providers meet established qualifications, requirements, and standards to deliver services.Conduct and review background screenings using designated verification systems and resources.Verify licensure, certifications, endorsements, and accreditations through appropriate licensing boards and verification sources.Deny or escalate applications that do not meet eligibility requirements.Maintain established quality and productivity standards.Accurately document findings and enrollment decisions. Qualifications Minimum of 2 years of administrative experience.Knowledge of healthcare operations, provider enrollment, or credentialing processes.Experience working with healthcare-related systems and databases.Understanding of provider enrollment requirements and compliance standards.Proficiency with Microsoft Office Suite.Strong organizational skills and attention to detail.Ability to manage multiple priorities while maintaining accuracy. Preferred Qualifications Provider credentialing or enrollment experience.Customer service experience.Experience utilizing verification tools, databases, and document management systems.Strong verbal and written communication skills.Ability to interpret and apply policies, procedures, and regulatory requirements. Why This Opportunity? This role offers the opportunity to support critical healthcare operations by ensuring providers meet regulatory and program requirements. Ideal for professionals with administrative, healthcare, credentialing, or compliance experience who enjoy detailed review work and making informed enrollment determinations. Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply. California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile: Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Benefits Information: Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings. We look forward to working with you! Beacon Hill. Employing the Future (TM)