Enrollment Coordinator

Our Client, a Retail Pharmacy company, is looking for an Enrollment Coordinator for their Cumberland, RI location.

 

Responsibilities:

• Submits, maintains, and monitors applications for Initial enrollment and Revalidation with Government Medicaid Payer and Commercial Payers for Clinics and Providers in order to ensure active participation.


• Provides assistance in developing and improving payer workflow while ensuring compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.


• Responsible for ensuring the timely and accurate submission of Group and Provider enrollment applications for Medicaid and Commercial programs, supporting compliance and operational efficiency across payer relations.


• Responsible for minimizing the deactivation of government program applications by adhering to established quality control procedures.


• Serves as a key poin...