Provider Enrollment Analyst

Why Join CINQCARE?

CINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care.

Position Overview

Provider Enrollment involves coordinating and submitting applications along with required documentation to Medicare, Medicaid, and commercial insurance plans on behalf of a network of healthcare practitioners. This role reports directly to the Senior Program Director-Medical Staff Office, ensuring compliance, accuracy, and timely completion throughout the enrollment process. The Provider Enrollment Analyst should embody CINQCARE's core values, including Trusted, Empathetic, Committed, Humble, Creative, and Community­ Minded.

Key Responsibilities

• Manage full-cycle enrollment of employed and contracted advanced practitioners with Medicare, State Medicaid, and commercial insurance plans

• Complete group and individual provider enrollments for CINQ Connect

• Oversee revalidation for previously enrolled providers and groups

• Implement provider enrollment processes with strict adherence to timelines and confidentiality standards

• Ensure enrollment activities comply with CMS regulations, federal and state laws, and delegation requirements

• Prepare for and participate in delegation audits: pre-assessment, semi-annual, quarterly, and annual

• Maintain accuracy and integrity of data within the credentialing and enrollment databases

• Maintain consistent communication with providers, internal teams, and insurance companies to resolve issues and ensure timely processing

• Notify practitioners, leadership, and relevant stakeholders of enrollment approvals, denials, appeals, suspensions, terminations, and network status updates

• Provide support with CAQH profiles, enrollment applications, and other customer service functions

• Process state-specific changes to ensure accurate network participation records

• Handle provider terminations within CINQ Connect, delegated entities, and insurance networks

• Leverage enrollment platforms (e.g., CAQH, MD-Staff) to maintain and update practitioner data

• Resolve discrepancies in applications, claims, and billing related to enrollment

• Collaborate with practitioners and leadership to address enrollment-specific needs and inquiries

• Provide backup support for team members and leadership as needed

• Perform other duties aligned with departmental goals

• Strategy: The Provider Enrollment Analyst will suggest new programs, procedures and policies to continually improve efficiency and morale and to improve employee experience.

• Collaboration: The Provider Enrollment Analyst will participate in development of people objectives and systems, including metrics, queries, and standard reports for ongoing company requirements

• Knowledge: The Provider Enrollment Analyst will provide subject matter expertise in all topics surrounding the provider enrollment field, solution deployment, and performance evaluation.

• Culture: The Provider Enrollment Analyst is accountable for creating a productive, collaborative, safe and inclusive work environment for the enrollment team and as part of the larger Company.

Required Qualifications

• Education:

  • High School Diploma required

  • Certification as a Certified Provider Credentialing Specialist (CPCS), and/or Certified Provider Medical Services Management (CPMSM), and/or Certified Provider Enrollment Specialist (CPES), preferred

• Experience:

  • A minimum of 4 years of experience as a Provider Enrollment Analyst or similar role.

• Communication:

  • Excellent verbal, written communication, and presentation skills; Exceptional interpersonal and communication skills Proficiency in all Microsoft Office applications

• Relationships:

  • Ability to build and effectively manage relationships with business leaders, coworkers, and clients.

  • Maintain a high degree of confidentiality and discretion

• Culture:

  • Good judgment, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding and entrepreneurial company. ]

Our Benefits

At CINQCARE, we care for our team like we care for our patients—holistically. We offer flexible, comprehensive benefits so you can thrive while delivering top-notch care.

• Medical Plans: Two comprehensive options offered to Team members.

• 401K: 4% employer match for your future.

• Dental & Vision: Flexible plans with in-network savings.

• Paid Time Off: Generous PTO, holidays, and wellness time.

• Extras: Pet insurance, commuter benefits, mileage reimbursement, CME for providers, and company-provided phones for field staff.

The working environment and physical requirements of the job include:

Work is performed indoors in a setting with conditioned air and artificial light. Travel to and work in offices or other environments is required.

In this position you will need an to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.

Equal Opportunity & Reasonable Accommodation Statement

CINQCARE is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.

If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.