Hybrid Medicaid Provider Enrollment Specialist

Gainwell Technologies LLC; Baton Rouge (LA); Hybrid; USD 34,000 - 48,000; Full time

Benefits offered by this job

Health benefits

401(k) with company match

Flexible vacation policy

Career growth opportunities

Company-provided computer

Job summary

Gainwell Technologies LLC in Baton Rouge, LA, is seeking a Provider Enrollment Analyst to support Louisiana Medicaid enrollment and screening activities, ensuring compliance with state and federal requirements. You will validate applications, update provider records, resolve enrollment issues, and collaborate with state representatives and Gainwell teams to maintain accuracy, efficiency, and data security.

The role requires strong office skills, attention to detail, and the ability to adapt in a

Qualifications

• High school diploma or GED is required; degree preferred.
• Knowledge of fundamental concepts in medical/insurance fields.
• Previous experience in Medicaid, provider enrollment, or related field.
• Excellent customer service and interpersonal skills.
• Proficiency with Microsoft Office and Windows-based applications, with ability to work independently while maintaining confidentiality.

Responsibilities

• Review, validate, and process Medicaid provider enrollment applications in compliance with Louisiana Medicaid guidelines, ACA requirements, and federal regulations.
• Maintain and update provider records, conduct enrollment screenings, and ensure documentation is accurate, complete, and compliant.
• Research, analyze, and resolve provider enrollment issues while responding to provider inquiries regarding enrollment status and requirements.
• Collaborate with Gainwell Technologies teams and State Medicaid representatives to support enrollment operations and meet productivity, quality, and compliance standards.
• Utilize enrollment systems and Microsoft Office applications to perform daily responsibilities while identifying opportunities for process improvements and operational efficiencies.
• Provide strong attention to detail with the ability to accurately manage sensitive provider information.
• Utilize analytical and problem-solving skills when evaluating information, and applying policies and regulations.
• Display excellent organizational, time management, and prioritization skills, with the ability to adapt in a fast-paced environment.

Skills

Customer service

Office software

Attention to detail

Analytical thinking

Time management

Education

High school diploma or GED

Degree preferred

Tools

Microsoft Office

Windows-based applications

Job description

Gainwell Technologies LLC in Baton Rouge, LA, is seeking a Provider Enrollment Analyst to support Louisiana Medicaid enrollment and screening activities, ensuring compliance with state and federal requirements. You will validate applications, update provider records, resolve enrollment issues, and collaborate with state representatives and Gainwell teams to maintain accuracy, efficiency, and data security.

The role requires strong office skills, attention to detail, and the ability to adapt in a