USVI Licensed Provider Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist to support provider enrollment and maintenance activities for the USVI Medicaid program.

Key Responsibilities

• Review and process Medicaid provider enrollment applications, renewals, and maintenance requests according to guidelines
• Support compliance with ACA and other federal requirements and procedures
• Conduct extensive research independently as needed

Required Qualifications

• High School Diploma or equivalent
• 1-2+ years of experience in healthcare, enrollment, credentialing, or related fields
• Proficiency in reading, writing, and speaking English; Spanish fluency preferred but not required
• Healthcare enrollment or credentialing experience is desired
• Ability to follow written policies and procedures effectively