[Hiring] Provider Enrollment Analyst @Gainwell Technologies LLC

Role Description

As a Provider Enrollment Analyst - Remote CA at Gainwell, you'll support healthcare provider enrollment operations by:

• Reviewing, processing, and maintaining healthcare provider enrollment applications, updates, and supporting documentation in accordance with established policies and procedures.
• Verifying provider demographic information, National Provider Identifier (NPI), Tax Identification Number (TIN), and other enrollment-related information for accuracy and completeness.
• Researching and resolving enrollment discrepancies, missing documentation, and provider-related issues to ensure timely and accurate processing.
• Entering, updating, and maintaining provider information across multiple systems while meeting established quality, productivity, and turnaround time expectations.
• Collaborating with healthcare providers and internal teams to resolve enrollment issues, maintain regulatory compliance, and identify opportunities for process improvement.

Qualifications

• Minimum of 2 years of experience in healthcare provider enrollment, provider services, healthcare operations, claims processing, credentialing, or a related healthcare administrative role.
• Experience reviewing and processing healthcare provider information, enrollment applications, or provider records.
• Familiarity with Medicaid, Medicare, Medi-Cal, managed care, or other healthcare payer operations preferred.
• Strong attention to detail, analytical skills, and the ability to research discrepancies and maintain accurate records.
• Proficiency with Microsoft Office applications and the ability to navigate multiple systems, manage competing priorities, and meet productivity and quality expectations.

Requirements

• 100% remote: Work from home anywhere within the United States.
• Required schedule: Monday through Friday, either 7:30 AM to 4:30 PM or 8:00 AM to 5:00 PM Pacific Time (PT), regardless of your state of residence.
• Support California healthcare provider enrollment operations in a fast-paced, accuracy-driven environment.
• Maintain a professional, secure, and distraction-free home workspace with reliable high-speed internet access.
• Complete required job-related assessments, background investigation, and training as part of the hiring and onboarding process.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• Variety of leadership and technical development academies to help build your skills and capabilities.