MDVIP: Transforming Primary Care, One Patient at a Time
MDVIP is a national leader in personalized healthcare, empowering over 425,000 members to achieve their health and wellness goals through a network of more than 1,400 concierge primary care physicians. Our program emphasizes preventive medicine, offering comprehensive screenings, advanced diagnostics, and individualized wellness plans. Recognized as a Great Place to Work® since 2018, MDVIP is committed to excellence in patient care and employee satisfaction.
MDVIP is seeking a Provider Enrollment Specialist, reporting to the Manager of Insurance Programs, to
manage the insurance provider enrollment process for our MDVIP physician affiliates. This role requires a deep
understanding of credentialing & contracting procedures and the ability to provide accurate guidance and
support to affiliated physicians, physician staff and internal teams.
If you have a thorough understanding of managing provider enrollment and are a critical thinker, we want to
meet you.
You’ll coordinate with and support the Insurance Services Department in the resolution of complex or
advanced issues and cases. As the Provider Enrollment Specialist, you’ll serve as a liaison between MDVIP and
insurance carriers, commercial and federal clearinghouses, and regulatory bodies at the state, county, and
federal levels. Additionally, you will ensure compliance with all licensing and credentialing requirements on
behalf of MDVIP affiliated physicians.
Credentialing & Contracting Coordination
• Coordinate all aspects of the provider enrollment process while delivering top quality customer service.
• Maintain provider enrollment system processes, policy and procedures, ensuring adherence to all
requirements and taking corrective steps as needed.
• Serve as a liaison between physicians, physician staff, MDVIP staff, and external entities—including
insurance carriers, clearinghouses, and licensing agencies—to support all aspects of the credentialing &
contracting process.
• Identify pertinent matters and provide analysis and resolution to Management weekly.
Metrics & Reporting
• Establish and communicate timelines with MDVIP affiliates to ensure schedules are met. Work directly
with stakeholders to overcome roadblocks.
• Prepare, review, and send status reports to affiliated physicians and field staff, follow-up to ensure closure
on outstanding cases.
• Create and communicate physician provider enrollment status reports to internal Management in monthly
meetings.
• Compile, run, and complete various insurance related reports and presentations for Management.
Escalation & Urgent Issues
• Assess all provider enrollment related materials and reports, and coordinate with external stakeholders to
verify all outside processes are completed.Provider Enrollment Specialist
• Provide analysis and recommendations to Management for escalated transition issues. Resolves escalated
issues and assists with urgent requests.
Provide training and guidance to affiliates, physician staff or respective billing companies related to
MDVIP, when requested, on preventive billing protocols and/or provider enrollment needs
• Successful track record in a similar corporate role focused on coordination or management of provider
enrollment.
• Interprets complex data using experience and critical thinking to support insights.
• Builds collaborative, productive relationships with physicians, physician staff and stakeholders.
• Communicates clearly, professionally, and effectively across diverse audiences.
• Proactively identifies solutions, pursues growth, and seeks added responsibility.
• Demonstrates accountability, meets deadlines, and maintains daily preparedness.
• Applies strategic thinking to assess risks, trends, and opportunities for informed decision-making.
• Experience with CAQH, PECOS & NPPES applications.
• Experience with Net Docs, credentialing software, and athena.
• Certified Provider Credentialing Specialist (CPCS).
• Certified Provider Enrollment Specialist (CPES).
• Experience with Salesforce or other CRM tools.
Why Join MDVIP?
• Be part of a mission-driven organization leading innovation in personalized healthcare.
• Drive transformation and growth in a dynamic, fast-paced environment.
• Competitive compensation: attractive base salary complemented by performance-based incentives for eligible roles.
• Comprehensive benefits: health, dental, vision insurance, and retirement plans.
• Professional development: access to ongoing training and leadership development programs.
• Positive work environment: consistently recognized as a Great Place to Work®, fostering a culture of collaboration and excellence.
MDVIP is an Equal Opportunity Employer and is committed to fostering an inclusive and diverse workplace. We welcome applicants of all backgrounds and do not discriminate based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected status. We believe that diversity and inclusion drive innovation and strengthen our company culture.
If you require accommodation during the application or interview process, please let us know, and we will be happy to assist.
Our compensation reflects the cost of labor across appropriate US geographic markets. Pay is based on several factors including but not limited to market location and may vary depending on job-related knowledge, skills, and education/training and a candidate's work experience. Hired applicants are offered annual incentive compensation programs, subject to applicable eligibility requirements. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company's performance. The company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental coverage, Vision coverage, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick and Family and Medical Leave time as required by law.
Software Powered by iCIMS
www.icims.com