{"id":2863055,"url":"https://alion.io/job/healthpartners-provider-enrollment-coordinator","title":"Provider Enrollment Coordinator","company":{"id":1786580,"name":"HealthPartners","domain":"healthpartners.com","url":"https://alion.io/company/healthpartners-com","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Oracle","truth_index":{"grade":"A","score":85,"open_postings":28,"ghost_share":0,"stale_share":0.786,"repost_share":0,"time_to_fill_p50_days":20,"computed_at":"2026-11-05T05:54:30Z"}},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Bloomington, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":31000,"max_usd":54000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":4386},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-19T14:55:02Z","employer_posted_date":"2026-10-19","last_verified_at":"2026-11-05T05:42:48Z","board_verified":true,"closed_at":null,"days_open":16,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":16},"description":"HealthPartners is hiring a Provider Enrollment Coordinator. The Provider Enrollment Coordinator is responsible for managing all aspects of provider enrollment and revalidation with federal, state, and commercial payers to ensure timely and accurate participation status. This role supports the onboarding lifecycle for physicians, advanced practice clinicians, and other healthcare providers by coordinating documentation, monitoring application progress, and communicating status updates to internal stakeholders and external agencies. The coordinator ensures compliance with organizational standards and payer-specific requirements, helping to prevent revenue disruption and optimize operational efficiency.\nMINIMUM QUALIFICATIONS:\nEducation, Experience or Equivalent Combination:\n\nHigh school diploma or equivalent.\n\n2+ years of experience in provider enrollment, medical staff services, credentialing, or revenue cycle operations.\n\nKnowledge, Skills, and Abilities:\nStrong knowledge of Medicare/Medicaid enrollment processes and commercial payer requirements.\n\nExcellent organizational skills and attention to detail.\n\nAbility to manage multiple deadlines and shift priorities.\n\nStrong communication skills and comfort interacting with providers and payer representatives.\n\nPREFERRED QUALIFICATIONS:\nEducation, Experience or Equivalent Combination:\nAssociate or bachelor’s degree in business, healthcare administration, or related field.\n\nExperience with CAQH, PECOS, NPPES, and common credentialing/enrollment software systems.\n\nESSENTIAL DUTIES:\nProvider Enrollment & Payer Management - 80%\nEnrollment consists of 10 entities and several outside contract entities.\n\nPrepare, submit, and track enrollment, for initial enrollment applications for MN and WI Medicare, MN and WI Medicaid, and contractual plans. Initial enrollment is based on the contractual plan requirement (profile, add/term/change form, spreadsheets, and portals).\n\nPrepare, submit revalidations for MN and WI Medicare, MN and WI Medicaid and commercial insurance plans.\n\nReassign providers with Medicare Part A for our Critical Access Hospitals.\n\nProvider maintenance including name changes, terms, and change of practice locations.\n\nMonitor approval timelines and proactively resolve enrollment delays or discrepancies.\n\nMake updates to CAQH, PECOS, NPPES, and our contractual payer plans; databases.\n\nRe-attestation of provider data every 120 days to ensure data is accurate for the contractual plans.\n\nEnroll providers with out-of-state Medicaid based on state specific requirements.\n\nAdd assigned plans codes in EPIC once confirmation is received after the provider is enrolled.\n\nOnboarding Support - 10%\nCollaborate closely with recruitment teams, credentialing, and Clinic Operations to ensure alignment of start dates and enrollment readiness.\n\nAssist providers with completing payer-required documentation and signatures.\n\nServe as an enrollment subject matter expert for leadership, recruiters, and clinic teams.\n\nDeliver a positive, professional onboarding experience for providers\n\nData Integrity & Compliance - 10%\nEnsure all enrollment processes follow federal/state regulations, payer guidelines, and organizational policies.\n\nMaintain accurate digital records of applications, correspondence, approvals, and effective dates.\n\nSupport audits, quality reviews, and process improvement initiatives.\n\n*Job description rankings/percentages are intended to reflect normal averages over an extended period of time, and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.","description_format":"text","description_chars":3736,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":true},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospitals & Health Systems","Nonprofits & Foundations","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-19T16:49:21Z"}],"visa":[],"liveness":{"score":42,"band":"fade","label":"Fading","p_open":1,"p_active":0.556,"p_room":0.75,"age_days":16,"expected_fill_days":20,"reasons":["conf:0","stale_co","win:late","comp:junior,brand"],"computed_at":"2026-11-05T05:54:30Z"},"pay":null,"html_url":"https://alion.io/job/healthpartners-provider-enrollment-coordinator","json_url":"https://alion.io/job/healthpartners-provider-enrollment-coordinator.json","meta":{"generated_at":"2026-11-05T11:21:12Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":14606,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-06T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1786580},"rest":"https://alion.io/mcp/rest/get_company?id=1786580"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhealthpartners-provider-enrollment-coordinator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhealthpartners-provider-enrollment-coordinator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhealthpartners-provider-enrollment-coordinator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/healthpartners-provider-enrollment-coordinator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhealthpartners-provider-enrollment-coordinator"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":2863055}},{"tool":"search_jobs","arguments":{"company":"healthpartners.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":2863055},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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