Provider Enrollment Quality Assurance Analyst - AR (Remote)

Gainwell Technologies LLC; United States; Remote; USD 41,000 - 58,000; Full time

Benefits offered by this job

Flexible vacation policy

401(k) match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking a Provider Enrollment Quality Assurance Analyst - AR (Remote) to ensure accurate enrollment processing, compliance, and continuous improvement across outsourced services. You’ll analyze complex workflows, develop SOPs, train team members, and coordinate with management to resolve issues.

This full-time, remote role offers a flexible vacation policy, 401(k) match, comprehensive health benefits, and educational assistance.

Qualifications

• High school diploma or GED required.
• 2+ years in provider enrollment, healthcare operations, or quality assurance.
• Proficiency in provider enrollment systems.
• Strong Microsoft Excel skills for data analysis and reporting.
• Awareness of CMS/state/federal healthcare compliance.
• Experience creating manuals or guides; knowledge of provider types and specialties.

Responsibilities

• Perform complex standard and non-standard processing, quality reviews, analyses, audits, reconciliations, and reporting.
• Identify issues, recommend workflow improvements, and support efficient transaction processing.
• Research and resolve operational issues and assist with changes.
• Develop, document, and maintain SOPs while ensuring confidentiality and security.
• Provide leadership and guidance through training, delegation, and workload prioritization.

Skills

Provider enrollment

Data analysis

Healthcare compliance

Manuals/guides

SOP creation

Education

High school diploma or GED

Tools

Microsoft Office Suite

Excel

Job description

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

As a Provider Enrollment Quality Assurance Analyst - AR (Remote) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

• Perform complex standard and non-standard processing, quality reviews, analyses, audits, reconciliations, and reporting activities in support of outsourced services while maintaining expertise across multiple work processes.
• Apply knowledge of client operations and market dynamics to identify issues, recommend and implement workflow improvements, and support efficient, effective transaction processing.
• Research and resolve operational issues, interface with management and clients regarding resolutions, and assist with the implementation of approved process changes.
• Support the development, documentation, and maintenance of standard operating procedures while ensuring compliance with company confidentiality, security, and policy requirements.
• Provide leadership and guidance to team members through training, work delegation, activity monitoring, scheduling coordination, prioritization of workloads, and ongoing support of operational objectives.

What we’re looking for

• High school diploma or GED required.
• Minimum of 2 years of experience in provider enrollment, healthcare operations, or quality assurance.
• Proficiency in provider enrollment systems.
• Strong proficiency in Microsoft Office Suite, particularly Excel (e.g., pivot tables, formulas) for data analysis and reporting.
• Awareness of healthcare compliance standards and regulatory guidelines (e.g., CMS, state, and federal regulations).
• Create manuals or guides. Understanding multiple provider types and specialty requirements.

What you should expect in this role

• This is a remote position for Arkansas candidates.
• Work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
• To test your internet speed, go to Google and search for “Internet Speed Test.”

The pay range for this position is $40,900.00 - $58,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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.