Provider Enrollment Analyst

🔥 15 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $37.5k - $53.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

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

• Review, process, and maintain healthcare provider enrollment applications, updates, and supporting documentation • Verify provider demographic information, National Provider Identifier (NPI), Tax Identification Number (TIN), and other enrollment-related information • Research and resolve enrollment discrepancies, missing documentation, and provider-related issues • Enter, update, and maintain provider information across multiple systems • Meet established quality, productivity, and turnaround time expectations • Collaborate with healthcare providers and internal teams to resolve enrollment issues • Maintain regulatory compliance and identify opportunities for process improvement • Support California healthcare provider enrollment operations

🎯 Requirements

• 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 and analytical skills • Ability to research discrepancies and maintain accurate records • Proficiency with Microsoft Office applications • Ability to navigate multiple systems, manage competing priorities, and meet productivity and quality expectations • Availability to work Monday through Friday during Pacific Time business hours • Professional, secure, and distraction-free home workspace with reliable high-speed internet access • Successful completion of required job-related assessments, background investigation, and training

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Work-from-home arrangement • Reliable high-speed internet access required for home workspace

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