Provider Enrollment Analyst - Remote US at Gainwell Technologies LLC

, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Aug, 26

Salary

50000.0

Posted On

23 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Enrollment, Provider Revalidation, Healthcare Administration, Claims Processing, Data Entry, HIPAA Compliance, Microsoft Excel, Microsoft Outlook, Quality Auditing, Regulatory Compliance, Fraud Prevention, Customer Support

Industry

IT Services and IT Consulting

Description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Provider Enrollment Analyst - Remote US at Gainwell Technologies, you will support provider enrollment and provider revalidation operations for Medicaid healthcare programs. This role plays an important part in ensuring provider data accuracy, regulatory compliance, and fraud prevention initiatives tied to evolving federal and state healthcare requirements. This is a great opportunity for candidates with experience in provider enrollment, healthcare administration, customer support, claims, data entry, or healthcare operations who are looking to grow their career in the healthcare industry. You’ll work with a collaborative team focused on protecting program integrity while supporting healthcare providers through the enrollment and revalidation process.Your role in our mission Review, process, and verify provider enrollment and provider revalidation applications for accuracy, completeness, and compliance with Medicaid and CMS guidelines. Research, analyze, and resolve provider enrollment discrepancies by working with providers, internal departments, and external stakeholders while identifying potential fraud or inconsistent information. Maintain accurate provider records within enrollment systems and perform quality audits, validation checks, and reporting activities to support operational accuracy and program integrity. Interpret policies, procedures, and workflow requirements while supporting process improvements and updated standard operating procedures within a high-volume operational environment. Handle confidential provider and healthcare information in accordance with HIPAA, company security standards, and regulatory compliance requirements while meeting productivity and quality expectations. What we're looking for High school diploma or GED required, along with at least 1 year of experience in provider enrollment, provider revalidation, healthcare operations, claims processing, healthcare customer service, or administrative support. Familiarity with Medicaid, Medicare, provider data management, healthcare compliance, or healthcare insurance operations is preferred but not required. Strong attention to detail with the ability to review documentation, identify inconsistencies, and maintain accuracy in a production-driven environment. Basic to intermediate proficiency with Microsoft Office tools, including Excel and Outlook, along with strong organizational, communication, and multitasking skills. Harver Assessment Requirement: As part of the interview process, candidates must complete the Harver Assessment to evaluate communication, attention to detail, multitasking, and problem-solving capabilities relevant to the role. What you should expect in this role This is a 100% remote position open to candidates located anywhere within the United States. Employees must be available to work Monday through Friday during Eastern Time business hours, from 8:00 AM ET to 5:30 PM ET, regardless of their local time zone. This role supports provider revalidation and program integrity initiatives tied to evolving federal and state healthcare compliance and fraud prevention requirements. Daily productivity, accuracy, attendance, and quality metrics will be monitored in this fast-paced operational environment. Video cameras must be used during interviews and orientation, and employees must maintain a broadband internet connection with minimum speeds of 24 Mbps download and 8 Mbps upload for remote work effectiveness. *This posting is intended for pipelining. We will accept applications on an ongoing basis. #LI-LS2 #LI-REMOTE The pay range for this position is $40,000 - $50,000 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.

Responsibilities

Review and process provider enrollment and revalidation applications to ensure compliance with Medicaid and CMS guidelines. Maintain accurate provider records and resolve discrepancies to protect program integrity and prevent fraud.