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Provider Enrollment & Data Integrity Analyst

Columbia, SC

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.

As a Provider Enrollment & Data Integrity Analyst, you will play a critical role in ensuring healthcare providers are accurately enrolled and compliant with program standards. Your work directly supports patient access, network reliability, and data-driven healthcare operations. This is a great opportunity for someone with a strong attention to detail, a commitment to quality, and a desire to grow in healthcare administration, compliance, or provider network operations.

Worksite & Schedule

This is a full-time (40-hours/week) position, Monday–Friday in a typical office environment.

  • Work hours: 8:00AM–5:00PM
  • Location: 17 Technology Circle, Columbia, SC, 29203
  • You may be required to travel between buildings.

What You’ll Do

You will support the full lifecycle of provider enrollment, helping ensure accurate provider data and regulatory compliance. Duties include:

  • Determine acceptability of applications for provider enrollment (initial, re-enrollment, reactivation, or information updates).
  • Review, verify, and validate provider information using internal systems and external databases/agencies.
  • Process and update applications in the provider enrollment database; support testing of EFT setups and provider file changes.
  • Respond to internal/external inquiries via correspondence or phone with professionalism and clarity.
  • Resolve application discrepancies by obtaining and reviewing information from providers and relevant agencies.
  • Provide enrollment forms and guidance to prospective enrollees.
  • Participate in special projects related to provider files and data accuracy.
  • Collaborate with technical staff to test and implement system changes.
  • Recommend and support process improvements to optimize enrollment workflows.
  • Contribute to provider education and assist with training provider services staff.

Growth and Development

In this role, you will gain exposure to:

  • Medicare program regulations, health plan operations, and enrollment systems.
  • Cross-functional collaboration with compliance, IT, and provider support teams.
  • System testing and process improvement initiatives—opportunities to grow your skills in operational analysis and project participation.

Qualifications

Required Education & Experience

  • Bachelor’s degree OR
  • Associate’s degree + 2 years of related experience OR
  • 4 years of related experience (office environment).

Required Skills

  • Strong customer service experience in an office setting.
  • Proficient in Microsoft Office (Word, Excel, Outlook).
  • Excellent communication (written and verbal), grammar, and organizational skills.
  • Strong judgment, attention to detail, and ability to manage confidential information.
  • Basic business math and analytical thinking skills.

Preferred Qualifications

  • Bachelor's degree in Business Administration or Health Administration.
  • Knowledge of:
  • Provider certification processes
  • Claims processing and discount programs
  • Medicare enrollment regulations
  • Effective presentation and interpersonal skills

Pre-Hire Requirements

  • Completion of an eQIP background investigation
  • Successful credit check

Benefits

  • 401(k) + company matching
  • Medical, Dental, and Vision Insurance
  • Disability and Life Insurance
  • Flexible Paid Time Off (FPTO)
  • Paid Holidays

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.

Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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