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Alexander Dahl, MBA, PESC
ProvEnroll is maintained by a provider enrollment professional with experience across Medicaid, Medicare, and managed care programs.
The work represented here reflects operational experience in provider enrollment, credentialing workflows, federal and state payer systems, and primary source verification standards. This resource was developed to document structural patterns, enrollment dependencies, and system behaviors commonly encountered in practice.
Professional focus areas include:
Medicare and Medicaid enrollment operations
Federal and state participation frameworks
Credentialing platform behavior and lifecycle management
Revalidation and deactivation remediation
Primary source verification standards and audit alignment
Experience includes leadership and operational roles supporting enrollment modernization initiatives, payer-facing coordination, and multi-state program participation.
ProvEnroll is intended as a structured reference for enrollment professionals navigating complex participation environments.
Professional Experience
General Dynamic Information Technology (GDIT)
Provider Enrollment Manager
At GDIT, I supported provider enrollment operations within a state Medicaid contract environment aligned with CMS and federal regulatory standards. Responsibilities included oversight of enrollment workflows, coordination across operational teams, and alignment with Medicaid participation requirements.
The role involved managing application lifecycle processes, maintaining regulatory compliance standards, and supporting program integrity objectives within a large-scale government contract structure.
Signify Health (CVS)
Provider Enrollment Manager
At Signify Health, responsibilities included overseeing national provider enrollment operations within a multi-state managed care environment. The role involved managing application lifecycles, coordinating cross-functional stakeholders, and ensuring alignment with payer participation requirements across commercial and government programs.
Work in this capacity included operational oversight of enrollment queues, resolution of activation barriers, and maintaining regulatory and contractual compliance standards within a high-volume network expansion environment.
Twin Cities Physicians
Manager of Contracting & Credentialing
At Twin Cities Physicians, responsibilities included establishing and overseeing contracting and credentialing operations within a multi-specialty physician organization. The role involved developing enrollment workflows, managing payer participation processes, and aligning credentialing standards with payer and regulatory requirements.
Work included coordination of payer contracting, provider onboarding, documentation standardization, and development of structured enrollment procedures to support network participation and compliance objectives.
Rayus (Formerly CDI/Insight Imaging)
Payer Credentialing Specialist
At Rayus, responsibilities included managing state-level payer enrollments and physician credentialing activities within a multi-state radiology network. The role involved coordinating enrollment timelines with clinic openings, aligning payer participation requirements, and maintaining credentialing documentation standards.
Work in this capacity required synchronization of contracting, credentialing, and activation processes to support consistent network participation across geographically distributed clinic locations.
Health Partners
Provider Enrollment Coordinator
At HealthPartners, responsibilities included processing commercial and government payer enrollment applications within a regional physician services environment. The role involved coordinating documentation, monitoring application statuses, and ensuring alignment with payer-specific participation requirements.
Work in this capacity provided exposure to enrollment lifecycle management, payer portal workflows, and multi-payer regulatory frameworks across both public and private programs.
Noridian Healthcare Solutions
Operations Coordinator / Provider Enrollment Rep I
At Noridian Healthcare Solutions, responsibilities included supporting Medicare Part B provider enrollment operations within a CMS contractor environment. The role involved processing PECOS-related submissions, interpreting Medicare Program Integrity Manual (PIM) guidance, and applying CMS enrollment standards across assigned jurisdictions.
Work in this capacity provided direct exposure to MAC-level enrollment review processes, jurisdictional variation, and federal compliance frameworks governing Medicare participation.
Wisconsin Physician Services
Provider Enrollment Analyst
At Wisconsin Physician Services, responsibilities included supporting Medicare provider enrollment operations within a CMS contractor environment. The role involved processing enrollment applications in accordance with CMS guidance and internal contractor review standards.
Work in this capacity provided foundational exposure to Medicare enrollment adjudication processes, jurisdictional requirements, and federal participation frameworks governing provider activation.
Independent Projects
The following independent projects are maintained separately from ProvEnroll.
SyncAnalytics is a simple reporting tool that generates follower reciprocity reports for Facebook and Instagram accounts. It was developed as a focused utility project centered on clean data extraction and structured output.
Computer: The Game is a hobby project exploring the process of repairing and rebuilding computer hardware as a structured, problem-solving exercise. It reflects a long-standing interest in systems, logic, and hands-on technical troubleshooting.
ChunkSpawn is a Minecraft world-structuring and chunk repair service focused on correcting terrain corruption and improving long-term world stability. The project emphasizes structured regeneration logic and performance optimization.
ThatsThatCat is a light creative service offering custom pet name suggestions. It exists as a small independent branding and naming experiment outside of core operational work.
Support ProvEnroll
Support ProvEnroll
ProvEnroll is maintained independently and updated regularly.
If you find this resource helpful in your work, support is appreciated but never expected.
Contributions support hosting, research, and ongoing content development.
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