Provider Enrollment Lead - Remote Idaho

Gainwell Technologies LLC; Columbus (OH); Remote; USD 31,000 - 45,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership and technical development

Job summary

Gainwell Technologies is seeking a Provider Enrollment Specialist to join our remote team in the United States. You will monitor daily enrollment operations, support maintenance and revalidation, and ensure data integrity across our provider network.

In this role, you will train and mentor staff, answer process questions, and help implement policies and payer or regulatory changes in daily workflows. Strong communication and Microsoft Office skills are essential.

Qualifications

• High school diploma or GED and 2+ years of provider enrollment experience.
• Experience with enrollment, maintenance, and/or revalidation processes.
• Experience reviewing enrollment transactions or data for accuracy and resolving questions.
• Strong written and verbal communication and proficiency with Microsoft Office.

Responsibilities

• Monitor daily provider enrollment operations, reports, and workloads to support service-level requirements for enrollment, maintenance, and revalidation.
• Train and mentor provider enrollment staff, answer process questions, and provide day-to-day guidance to team members.
• Process and support provider enrollment, maintenance, and revalidation activities and research moderately complex provider or customer questions.
• Review reports and daily transactions for accuracy and data integrity and ensure work follows established policies, procedures, and service-level requirements.
• Help develop and improve provider enrollment policies, procedures, and workflows and incorporate payer or regulatory changes into daily processes.

Skills

Provider enrollment experience

Training / mentoring

Communication skills

Time management

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Summary

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Your role in our mission

• Monitor daily provider enrollment operations, reports, and workloads to support service-level requirements for enrollment, maintenance, and revalidation.
• Train and mentor provider enrollment staff, answer process questions, and provide day-to-day guidance to team members.
• Process and support provider enrollment, maintenance, and revalidation activities and research moderately complex provider or customer questions.
• Review reports and daily transactions for accuracy and data integrity and ensure work follows established policies, procedures, and service-level requirements.
• Help develop and improve provider enrollment policies, procedures, and workflows and incorporate payer or regulatory changes into daily processes.

What we're looking for

• 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, along with strong organization and time-management skills.
• Strong written and verbal communication and computer skills, including proficiency with Microsoft Office and experience using business or provider enrollment systems.

What you should expect in this role

• Full-time, remote position; candidates must reside in Idaho.
• Work independently while maintaining regular communication with provider enrollment staff, management, customers, and internal partners.
• Manage multiple priorities and deadlines while maintaining accurate provider enrollment information.
• Schedule flexibility may be required based on business and operational needs.
• Access to Gainwell’s competitive benefits package for eligible employees including medical, dental, vision, and 401(k) options in accordance with applicable eligibility guidelines.

The pay range for this position is $31,400.00 - $44,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• 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.

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.