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Job Title: Delegated Payer Enrollment Data Administrator/Analyst

+ Monday - Friday

+ 8am - 4pm

Position Summary

The Delegated Payer Enrollment Data Analyst is responsible for managing, analyzing, and optimizing provider enrollment data under delegated payer agreements. This role ensures data accuracy, compliance with payer and NCQA standards, and supports seamless integration, reporting, and audit readiness. The position plays a key role in streamlining processes, improving data workflows, and enabling timely reimbursement and operational efficiency.

Key Responsibilities

+ Manage and maintain delegated enrollment rosters in alignment with payer contracts and NCQA requirements.

+ Analyze and reconcile enrollment data across internal systems and payer records to ensure accuracy and integrity.

+ Design, optimize, and implement processes for data collection, transformation, reporting, and integration.

+ Develop and deliver scheduled and ad-hoc reporting for internal stakeholders and payers (weekly, monthly, quarterly).

+ Collaborate with Medical Staff Office, Payer Enrollment, IT, and Revenue Cycle teams to enhance system interoperability.

+ Support payer audits by preparing documentation, responding to data requests, and ensuring compliance.

+ Identify and drive process improvements and automation opportunities to streamline delegated enrollment workflows.

+ Serve as a primary liaison with payer representatives to resolve enrollment and data discrepancies.

Required Skills & Qualifications

+ Bachelor’s degree in healthcare administration, Business, Data Analytics, or related field.

+ 2–4 years of experience in provider enrollment, credentialing, or payer data analytics.

+ Proven expertise in data analysis and reporting tools, including SQL, Power BI, Access, and Alteryx.

+ Experience managing large data sets and performing advanced data manipulation.

+ Familiarity with enrollment systems (e.g., Verity Credential Stream, PECOS, CAQH) and EHR platforms (e.g., Epic).

+ Strong problem-solving, organizational, and communication skills with attention to detail.

+ Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Preferred Qualifications

+ Experience with delegated payer agreements and NCQA audit standards.

+ Familiarity with payer portals (e.g., Availity, NaviNet).

Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Our mission is to deliver exceptional care recognizing the unique needs of all those we serve. Our vision is to achieve the best outcomes with our patients at the center of the physician-led team, driven by service, innovation and continuous learning.

Our integrated network offers seamless access to Atlantic Health System’s entire health care continuum and our nationally and regionally ranked hospitals. In collaboration with Atlantic Health System, several of our practices offer urgent care and walk-in services.

In addition to primary care physicians, the team includes specialists that care for patients in all aspects of their health from pediatrics to geriatrics and everything in between. We make health decisions easier for patients with enhanced access to referrals.

Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

+ Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)

+ Life & AD&D Insurance.

+ Short-Term and Long-Term Disability (with options to supplement)

+ 403(b) Retirement Plan: Employer match, additional non-elective contribution

+ PTO & Paid Sick Leave

+ Tuition Assistance, Advancement & Academic Advising

+ Parental, Adoption, Surrogacy Leave

+ Backup and On-Site Childcare

+ Well-Being Rewards

+ Employee Assistance Program (EAP)

+ Fertility Benefits, Healthy Pregnancy Program

+ Flexible Spending & Commuter Accounts

+ Pet, Home & Auto, Identity Theft and Legal Insurance

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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.