Provider Enrollment Analyst

🕒 July 23

🇺🇸 United States – Remote

💵 $27.2k - $38.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

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Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Perform complex standard and non-standard processing, quality reviews, analyses, audits, reconciliations, and reporting activities supporting outsourced services • Maintain expertise across multiple work processes • Apply knowledge of client operations and market dynamics to identify issues • Recommend and implement workflow improvements supporting efficient transaction processing • Research and resolve operational issues • Interface with management and clients regarding resolutions • Assist with implementation of approved process changes • Develop, document, and maintain standard operating procedures • Ensure compliance with company confidentiality, security, and policy requirements • Provide leadership and guidance through training, work delegation, activity monitoring, scheduling coordination, workload prioritization, and ongoing operational support

🎯 Requirements

• High school diploma or GED required • Minimum of 2 years of experience in provider enrollment, healthcare operations, or quality assurance • Proficiency in provider enrollment systems • Strong proficiency in Microsoft Office Suite, particularly Excel, including pivot tables and formulas • Awareness of healthcare compliance standards and regulatory guidelines, including CMS, state, and federal regulations • Must be an Arkansas candidate • Broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload • Availability Monday through Friday, 8:00 AM to 5:00 PM • Video cameras must be used during interviews and the initial week of orientation

🏖️ Benefits

• Work flexibility • Learning and career development opportunities • Technical credentials and certifications • Generous, flexible vacation policy • Educational assistance • Leadership and technical development academies • 401(k) employer match • Comprehensive health benefits

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