Provider Enrollment Lead

🔥 59 minutes ago

🥔 Idaho – Remote

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💵 $31.4k - $44.8k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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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

• Monitor daily provider enrollment operations, reports, and workloads to support service-level requirements • Train and mentor provider enrollment staff and provide day-to-day guidance • Process and support provider enrollment, maintenance, and revalidation activities • Research moderately complex provider or customer questions • Review reports and daily transactions for accuracy and data integrity • Ensure work follows established policies, procedures, and service-level requirements • Help develop and improve provider enrollment policies, procedures, and workflows • Incorporate payer or regulatory changes into daily processes • Work independently while maintaining regular communication with staff, management, customers, and internal partners • Manage multiple priorities and deadlines while maintaining accurate provider enrollment information

🎯 Requirements

• 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 • Strong organization and time-management skills • Strong written and verbal communication skills • Computer skills, including proficiency with Microsoft Office • Experience using business or provider enrollment systems • Candidates must reside in Idaho • Schedule flexibility may be required based on business and operational needs

🏖️ Benefits

• Medical, dental, and vision benefits • 401(k) options • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Flexible work hours • Career development opportunities • Work-life balance

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