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The Provider Enrollment Specialist reviews applications and documentation to determine eligibility for healthcare programs while providing excellent customer service to providers. They also conduct virtual and onsite reviews to verify regulatory compliance and maintain accurate case records.
AHCCCSArizona Health Care Cost Containment System
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Make An Impact With AHCCCS
AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona’s citizens, ensuring access to quality healthcare for vulnerable populations.
Why AHCCCS?
At AHCCCS, your work doesn’t just support a system—it transforms lives across Arizona.
✓ Supportive Culture: High employee engagement, strong leadership, and flexible work options including remote roles.
✓ Diverse Career Paths: Whether you're an experienced professional, a recent graduate, or exploring internships, AHCCCS offers meaningful roles in a competitive industry.
✓ Innovation in Public Service: Join a team that values performance, creativity, and continuous improvement in delivering healthcare solutions.
What You’ll Do
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.
Your Competencies and Skills
We’re looking for someone who can:
• Evaluate information and make decisions using established guidelines.
• Research issues, gather information, and resolve problems.
• Provide excellent customer service while handling complex inquiries.
• Communicate clearly with providers, customers, and team members.
• Maintain accurate records and pay close attention to detail.
• Adapt to changing priorities and learn new processes and requirements.
What We Need From You
Required Qualifications:
• Valid Arizona Driver License.
• Ability to travel to provider locations.
• Pass a Fingerprint Background Screening.
• Complete E-Verify employment eligibility.
What Sets You Apart
Preferred Qualifications:
• 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.
The Perks
Join us, and you’ll enjoy:
• 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
• Visit the State of Arizona benefits page for more
Are You Ready to Make a Difference?
Take the next step in your career and join a team that’s transforming lives across Arizona.
Apply today and be part of something extraordinary!
For questions, contact AHCCCS Careers at 602‑417‑4000 or careers@azahcccs.gov
Additional Details
📝 Applications are reviewed on a rolling basis—apply early to ensure consideration!
🚗 Travel within Arizona may be required for this role.
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