[Hiring] Provider Enrollment Specialist @Arizona Department of Administration

Role Description

As a Provider Enrollment Specialist, you’ll:

• 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.

Qualifications

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

Requirements

• 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.

Benefits

• 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.