Provider Enrollment Advisor- Nevada (Remote)

Gainwell Technologies; Nevada (IA); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

401(k) match

Healthcare benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies is seeking a Provider Enrollment Advisor to support the Nevada Medicaid program. The role serves as a subject matter expert for enrollment processes, analyzes data to inform cost-effective improvements, and ensures compliance with Federal, State, and agency guidelines while meeting service level agreements.

You will collaborate with the enrollment manager and technical teams, manage projects and timelines, build stakeholder relationships, and drive process enhancements that

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• 5+ years in healthcare operations.
• 3+ years in provider credentialing and enrollment.
• 5+ years in problem solving, research, and process improvement.
• Knowledge of CMS Federal and State enrollment guidelines preferred.
• Knowledge of NV Medicaid guidelines preferred.
• Six Sigma Lean Green or Black Belt certification preferred.

Responsibilities

• Serve as the subject matter expert for provider enrollment requirements, ensuring compliance with regulatory and business standards.
• Analyze business needs, gather client requirements, and recommend process and system improvements to support operational goals.
• Develop business specifications and collaborate with technical teams on system enhancements, testing, and implementation activities.
• Manage project activities, timelines, and deliverables, ensuring deadlines and objectives are met.
• Utilize data analysis to identify trends, root causes, compliance risks, and process improvement opportunities, and provide actionable recommendations.
• Support corrective action plans, resolve complex business application issues, and exercise sound judgment in decision-making.
• Build strong stakeholder relationships, influence positive outcomes, and maintain a high level of accuracy and attention to detail.

Skills

Healthcare ops

Provider enrollment

Data analysis

Problem solving

CMS guidelines

Medicaid knowledge

Six Sigma

Education

Bachelor's degree

Job description

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Date: Sep 14, 2026

Location: Any city, NV, US, 99999

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Provider Enrollment Advisor will support the Provider Enrollment Manager and team for Nevada Medicaid. This person will act as a subject matter expert for business applications and team processes. This role requires analysis of data to make recommendations that are cost effective and high-quality. This person supports the business meeting Federal, State and Agency guidelines and service level agreements with the client.

Your role in our mission

• Serve as the subject matter expert for provider enrollment requirements, ensuring compliance with regulatory and business standards.
• Analyze business needs, gather client requirements, and recommend process and system improvements to support operational goals.
• Develop business specifications and collaborate with technical teams on system enhancements, testing, and implementation activities.
• Manage project activities, timelines, and deliverables, ensuring deadlines and objectives are met.
• Utilize data analysis to identify trends, root causes, compliance risks, and process improvement opportunities, and provide actionable recommendations.
• Support corrective action plans, resolve complex business application issues, and exercise sound judgment in decision-making.
• Build strong stakeholder relationships, influence positive outcomes, and maintain a high level of accuracy and attention to detail.

What we’re looking for

• Bachelor’s degree in a related field or an equivalent combination of education, training, and experience.
• Five or more years of experience in healthcare operations (managed care, provider, or member services).
• Three or more yearsof experience in provider credentialing and enrollment.
• Five or more years of experience in problem-solving, research, and process improvement.
• Knowledge of provider enrollment processes and requirements for CMS Federal and State Guidelines related to enrollment and reenrollment policies, preferred.
• Knowledge of NV Medicaid Guidelines, preferred.
• Six Sigma Lean Green or Black Belt certification, preferred.

What you should expect in this role

• This is a 100% remote position.
• Candidates must be available to work during Pacific Time Zone business hours.
• The deadline to submit applications for this posting is October 5, 2026
• #LI-REMOTE

The pay range for this position is$70,400.00 - $85,000.00per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.”