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Role overview
Job description
Job Summary The Provider Enrollment Services (PES) Quality Analyst is responsible for monitoring, auditing, and improving the quality and accuracy of provider enrollment processes across multiple payors and clients. The role focuses on ensuring compliance with client guidelines, reducing errors, improving turnaround time, and driving continuous process improvement through detailed quality reviews and feedback sessions. The analyst will work closely with Operations, Training, and Leadership teams to maintain high-quality standards and support operational excellence. Key Responsibilities Quality Audits & Compliance • Conduct quality audits for provider enrollment and credentialing cases. • Review enrollments for accuracy, completeness, and compliance with client and payor requirements. • Ensure adherence to SOPs, workflows, turnaround time (TAT), and quality benchmarks. • Identify document
…About this listing
- Listed from Advantum Health's careers site via Keka · last confirmed on the source 25 Oct 2026
- Posted 9 Jun 2026
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What they are looking for
Skills & requirements
Qualification
Required Qualifications Education • Bachelor’s degree preferred; Experience • 2–5 years of experience in: o Provider Enrollment Services (PES) o Credentialing o Quality Assurance / Auditing Preferred Experience • Experience working with: o CAQH o PECOS o NPPES o Commercial and Government Payors Required Skills Technical Skills • Strong understanding of provider enrollment workflows
Department · Quality
Hiring company
Advantum Health
Full-service revenue cycle management for hospitals, health systems and specialty practices. 98%+ collection rate, $1B+ managed. Schedule a conversation.
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