Provider Enrollment Specialist - Remote WV

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

Benefits offered by this job

Health benefits (medical, dental, and视

401(k) with company match

Flexible vacation policy

Company-provided computer

Job summary

Gainwell Technologies is seeking a Provider Enrollment Specialist to support enrollment, maintenance, and renewal activities for WV Medicaid. Primary duties include processing applications and renewals in line with approved guidelines and federal requirements.

The role requires strong organizational skills, the ability to research independently, and excellent communication. Remote work with occasional onsite projects is available, with a deadline for applications on Sep 7, 2026.

Qualifications

• High School Diploma or equivalent required.
• Experience in healthcare enrollment or credentialing preferred.
• Bilingual English/Spanish is preferred but not required.
• Must live in West Virginia or within 30 miles of its borders.

Responsibilities

• Support WV Medicaid provider enrollment applications, renewals, and maintenance.
• Follow ACA and federal guidelines and government requirements.
• Review and process documents according to policies and procedures.
• Communicate effectively with internal teams and providers.

Skills

Healthcare enrollment experience

Policy compliance

Time management

Verbal and written communication

Independent research

Education

High School Diploma or equivalent

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

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
• 2 years 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 the employee's start date at Gainwell.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.

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.

The deadline to submit applications for this posting is September 7, 2026.

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.