Provider Enrollment Specialist - Remote WV

Gainwell Technologies; West Virginia; Hybrid; USD 39,000 - 56,000; Full time

Benefits offered by this job

Health benefits beginning Day 1

401(k) with company match

Flexible vacation policy after 90 days

Career growth opportunities

Company-provided computer

Job summary

Gainwell Technologies is seeking a Provider Enrollment Specialist to support WV Medicaid enrollment, maintenance, and renewal activities. You will review applications, renewals, and maintenance requests in line with WV Medicaid guidelines and federal requirements, ensuring accuracy and timely processing.

The role emphasizes following policies, strong research abilities, and excellent written and verbal communication, with a remote work setup and occasional on-site projects in West Virginia.

Qualifications

• Healthcare enrollment or credentialing experience desired.
• Follow written policies, operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
• Self-motivated with good time management and organizational skills.
• Excellent written and verbal communication skills.
• Ability to perform extensive research independently.

Responsibilities

• Provider enrollment, maintenance, and renewal activities for WV Medicaid.
• Review and process enrollment applications, renewals, and maintenance requests.
• Ensure compliance with WV Medicaid guidelines and federal requirements.
• Maintain accurate documentation and timely processing of tasks.

Skills

Healthcare enrollment

Credentialing

Time management

Communication skills

Research skills

Education

High School Diploma

Job description

Location: Any city, WV, 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

Provider Enrollment Specialists are responsible for supporting provider enrollment, maintenance, and renewal activities for the WV Medicaid program. Primary responsibilities include reviewing and processing Medicaid provider enrollment applications, renewals, and maintenance requests according to WV Medicaid approved guidelines, ACA, and other federal requirements and procedures.

Your role in our mission

• Healthcare enrollment or credentialing experience desired
• Ability to follow written policies, operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
• Self-motivated with good time management and organizational skills.
• Excellent written and verbal communication skills.
• Ability to perform extensive research independently.

What we're looking for

• High School Diploma or equivalent
• Able to read, write and speak English proficiently
• Fluency in both English and Spanish is preferred but not required
• 2years of working experience in healthcare, enrollment, credentialing, or related fields.

What you should expect in this role

• Candidates must live in West Virginia or within a 30-mile radius of its borders.
• This is a remote position with occasional onsite requirements for special projects.
• Video Requirements: Video cameras must be on during all interviews and throughout the first week of orientation.
• Assessment Requirement: As part of our interview process, candidates will be required to complete a skills and competency assessment before advancing to the next stage of the selection process.

Employee Benefits & Perks:

Health benefits (medical, dental, and vision) begin on Day 1 of employment.

401(k) with company match and additional benefits become available within the first few months.

Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before theemployee's start date at Gainwell.

Career growth and advancement opportunities are encouraged and supported.

A company-provided computer is supplied for work use.

#LI-REMOTE #LI-PP1 #LI-CM1

The pay range for this position is$39,100.00-$55,900.00 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.