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Provider Enrollment Lead - Remote Idaho

Role overview

Qualifications

  • High school diploma or GED
  • 2+ years of provider enrollment experience
  • Hands-on experience with provider enrollment processes
  • Strong written and verbal communication skills

Responsibilities

  • Monitor daily provider enrollment operations and service levels
  • Train and mentor provider enrollment staff
  • Process and support provider enrollment activities
  • Help develop and improve provider enrollment policies and procedures

Key facts

Hard skills

Other skills

  • Training And Development
  • Communication
  • Microsoft Office
  • Physical Flexibility
  • Time Management

About the company

Gainwell Technologies LLC logo

Gainwell Technologies LLC

Digital Health & Health Tech

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size10001

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Job description

 

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell is seeking a Provider Enrollment Lead to support the daily work of a provider enrollment team. You will monitor enrollment activities and service levels, assist with enrollment, maintenance, and revalidation work, train and support team members, research provider questions, and review reports for accuracy. You will also help update procedures and workflows as payer and regulatory requirements change.

Your role in our mission

  • Monitor daily provider enrollment operations, reports, and workloads to support service-level requirements for enrollment, maintenance, and revalidation.
  • Train and mentor provider enrollment staff, answer process questions, and provide day-to-day guidance to team members.
  • Process and support provider enrollment, maintenance, and revalidation activities and research moderately complex provider or customer questions.
  • Review reports and daily transactions for accuracy and data integrity and ensure work follows established policies, procedures, and service-level requirements.
  • Help develop and improve provider enrollment policies, procedures, and workflows and incorporate payer or regulatory changes into daily processes.

What we're looking for

  • High school diploma or GED and 2+ years of provider enrollment experience.
  • Hands-on experience with provider enrollment processes, including enrollment, maintenance, and/or revalidation.
  • Experience reviewing provider enrollment transactions, reports, or data for accuracy and resolving enrollment-related questions or issues.
  • Experience training, mentoring, or providing process guidance to team members, along with strong organization and time-management skills.
  • Strong written and verbal communication and computer skills, including proficiency with Microsoft Office and experience using business or provider enrollment systems.

What you should expect in this role

  • Full-time, remote position; candidates must reside in Idaho
  • Work independently while maintaining regular communication with provider enrollment staff, management, customers, and internal partners.
  • Manage multiple priorities and deadlines while maintaining accurate provider enrollment information.
  • Schedule flexibility may be required based on business and operational needs.
  • Access to Gainwell’s competitive benefits package for eligible employees including medical, dental, vision, and 401(k) options in accordance with applicable eligibility guidelines.

#LI-REMOTE

#LI-JT1

The pay range for this position is $31,400.00 - $44,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

 

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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