Senior Enrollment Specialist – Credentialing

Caris Life Sciences

Senior Enrollment Specialist overseeing payer enrollment processes for cancer care. Managing applications and ensuring compliance while addressing complex enrollment issues.

Posted 7/24/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $68,000 - $82,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payer enrollment processes, including compliance with NCQA, Medicaid, and Medicare standards, while effectively managing data integrity and communication with payers. Strong organizational and time management skills are essential for maintaining timely enrollment and training colleagues on internal procedures.

Highest-signal resume keywords

Payer Enrollment ProcessNCQA ComplianceData ManagementCommunication SkillsOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Payer Enrollment RequirementsCredentialing ProcessData Integrity ManagementResearch SkillsProcess Improvement

Soft Skills

Interpersonal SkillsAttention to DetailTime ManagementAutonomous WorkCustomer Service Orientation

Tools & Technologies

Database ManagementMS ExcelMS WordAdobe

Industry Keywords

MedicaidMedicareCredentialing OfficeHealth Plan StandardsFederal Standards

About the role

Key responsibilities & impact

Responsible for overseeing, monitoring, and maintaining the processes involved in both initial and revalidation of payer enrollment applications.
Possess a thorough comprehension of payer enrollment requirements and regulations governing enrollment to ensure ongoing compliance.
Responsible for securing timely enrollment by submitting applications ahead of deadlines and maintaining consistent follow-up with payers through completion.
Conduct research and document enrollment processes encompassing, but not limited to, initial enrollment, revalidation, and demographic changes.
Regularly update and manage data in the credentialing database, spreadsheets, and folders, while maintaining data integrity.
Assures compliance with payer requirements as related to the provider enrollment and monitor activities to ensure compliance with all procedures and regulations.
Participate in the development and implementation of credentialing processes and procedures and provide input regarding process improvement.
Serve as primary contact for payer inquiries and issue resolution, specifically related to enrollment and credentialing matters.
Assist in the training of colleagues on internal enrollment policies and procedures and provide guidance on navigating payer agencies requirements.

Requirements

What you’ll need

High school diploma or GED required.
Four to six years of experience in a credentialing office or equivalent related environments.
Knowledge of health plan and governmental payer credentialing process and requirements, such as NCQA/state/federal standards, Medicaid, and Medicare.
Demonstrates proficient communication abilities, both orally and in writing, and strong interpersonal skills.
Exhibits a heightened level of awareness and attention to detail.
Demonstrates outstanding organizational and time management skills.
Demonstrate the ability to work autonomously while effectively contributing to a collaborative team environment.
Ability to maintain confidentiality.
Proficient in Database, MS Excel, Word, Adobe and other software systems.
A team player with multi-tasking capability and strong customer service orientation.

Benefits

Comp & perks

Highly competitive and inclusive medical, dental and vision coverage options
Health Savings Account for medical expenses and dependent care expenses
Flexible Spending Account to pay for certain out-of-pocket expenses
Paid time off, including: vacation, sick time and holidays
401k match and Financial Planning tools
LTD and STD insurance coverages, as well as voluntary benefit options
Employee Assistance Program
Pet Insurance
Legal Assistance
Tuition Assistance