Pay Range: $72,000 - $85,000 / year

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:

We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours

Best-in-class well-being programs

Annual, no-cost health assessment program Blueprint for Wellness®

healthyMINDS mental health program

Vacation and Health/Flex Time

6 Holidays plus 1 "MyDay" off

FinFit financial coaching and services

401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service

Employee stock purchase plan

Life and disability insurance, plus buy-up option

Flexible Spending Accounts

Annual incentive plans

Matching gifts program

Education assistance through MyQuest for Education

Career advancement opportunities

and so much more!

Manage, monitor and complete activities related to Provider Enrollment applications, revalidation updates and Credentialing applications as required by the Centers of Medicare & Medicaid Services (CMS) Department of Health (DOH) for Medicare, Medicaid, and Health Plan payers, for Quest, Diagnostics, its subsidiaries, joint ventures and their respective testing facilities. Drive process compliance, controls and standardization utilizing a Centers of Excellence methodology and tools to support and track all Provider Enrollment activities

Quest Diagnostics honors our service members and encourages veterans to apply.

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

Review, prepare and submit requests for Medicare, Medicaid, and Health Plan payers to include completion of but not limited to: provider enrollment applications, revalidation requests, NPI enrollments, licensure updates, CAQH physician credentialing, health plan credentialing, attestations, and disclosures of ownership
Engage with stakeholders such as Health Plans, Legal, Business Development, Compliance, Laboratory Operations and Optum to successfully complete enrollment requests and related activities
Engage with payers directly to discuss enrollment issues, inquiries, updates and due dates of enrollment applications
Review and monitor credentialing reports of enrolled physicians, facilities, and provider groups to proactively submit credentialing applications in advance of payer-defined enrollment/re-enrollment deadlines
Perform regular updates/additions to the Provider Enrollment Database to ensure enrollment reference data is up to date in advance of the enrollment process
Manage all enrollment activities using worklists in a centralized web-based application such as CRM and finalize the signature process through established state Medicaid web portals and the DocuSign eSignature tool
Accurately and efficiently submit enrollment and credentialing applications
Effectively manage and update status of enrollments by way of case creation and management
Effectively communicate with agencies, health plans and internal stakeholders’ on status of enrollments and credentialing applications

Required Work Experience:

3 + years' relevant experience, including working knowledge of Medicare and Medicaid provider network requirements or health plan payer enrollments
Relevant experience in large, complex organizations, commercial lab, or healthcare organizations

Skills:

Strong analytical and problem-solving skills
Strong interpersonal skills; ability to work with external clients and multiple levels internal
Ability to handle confidential or sensitive information with discretion
Strong written & verbal communication
Strong attention to detail
Strong technical skills in MS Word and Excel
Able to multi-task and perform in a fast-paced environment
Lominger’s Competencies:
- Customer Focus
- Organizational Savvy
- Learning on the Fly
- Problem Solving
- Dealing with Ambiguity
- Drive for Results

Quest Diagnostics jobs

Provider Enrollment Specialist (remote)