Provider Enrollment Specialist - Medicaid

Join the Conduent Provider Enrollment Team

No Weekends – Flexible Work Schedule

Enjoy a positive, employee-friendly culture while playing an important role in supporting our clients.

We offer Excellent Training, Career Opportunities, a Great Culture, and Great Benefits!

About the Role

The Provider Enrollment Specialist is responsible for processing Medicaid provider enrollment and revalidation applications accurately and efficiently. This role ensures applications are complete, compliant with state and federal guidelines, and processed within established service level agreements. The associate will collaborate with providers, internal leadership, and the client to resolve discrepancies and move applications through the approval process.

Location – Remote US only 

Pay Range: $16-17/hr DOE - which may be below your state's minimum wage.  Please take this into consideration when applying.  

Hours:

Standard work hours are either 8:00 a.m. – 4:30 p.m. or 8:30 a.m. – 5:00 p.m. MST, Monday through Friday with the possibility of flexible hours. Onsite work is preferred with the possibility of remote options for candidates who meet qualifications and performance expectations. As a Transaction Processing Specialists, you will be responsible for:

• Review, process, and manage Medicaid provider enrollment and revalidation applications.

• Verify all application data for accuracy, completeness, and compliance with Medicaid guidelines.

• Identify missing or incomplete documentation and proactively follow up with providers to obtain required information.

• Maintain detailed and accurate records of application status, outreach efforts, and supporting documentation.

• Communicate effectively with providers regarding application requirements, deficiencies, and next steps.

• Partner with client representatives and internal leadership to resolve pending questions, escalations, or barriers preventing application approval.

• Monitor assigned workload to ensure timely processing and adherence to established turnaround times.

• Escalate complex issues or policy-related questions to leadership as appropriate.

• Maintain confidentiality and safeguard sensitive provider and organizational information.

• Participate in team meetings, training sessions, and process improvement initiatives.

• Assisting with other duties as assigned

   

   

Requirements

To be successful in this role you will:

• High school diploma or equivalent required; some college preferred
• 1–3 years of experience in healthcare administration, Medicaid enrollment, claims processing, or related transaction-based roles preferred.
• Proficiency in Microsoft Office and data entry systems.
• Experience working with Medicaid guidelines or provider enrollment systems is highly preferred.
• Strong attention to detail and ability to review documents for accuracy and compliance preferred
• Excellent written and verbal communication skills preferred
• Ability to manage multiple applications simultaneously and meet productivity goals preferred

Working for you

Here are a few good reasons in addition to competitive pay to work at Conduent:

• Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST

• Career growth opportunities 

• Full Benefit Options day one

• 401K and matching

• Employee discount program

• Full-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information.  For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $16.00-1700. 

Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time  

 We are currently NOT hiring in the following geographies, including but not limited to:    

States: AK, CA, HI, MA, IL, MT & NY    

Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC    

Remote44#

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.