Provider Revalidation Field Representative - Delaware

Gainwell Technologies; Newark (DE); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking a Provider Revalidation Field Representative in Newark, DE. This role is crucial in supporting healthcare providers through the enrollment and revalidation process to ensure compliance with necessary regulations.

The ideal candidate will have at least two years of experience in a healthcare-related environment and possess strong communication and organizational skills. This position offers a salary between $35,000 and $50,000 per year, with multiple benefits.

Qualifications

• Two or more years of experience in a healthcare-related environment.
• Experience working with healthcare providers.
• Strong verbal and written communication skills.

Responsibilities

• Conduct proactive outreach to healthcare providers regarding enrollment.
• Serve as the primary point of contact for providers.
• Research and resolve provider inquiries related to enrollment and revalidation.

Skills

Provider enrollment

Customer service

Strong communication skills

Organizational skills

Analytical skills

Tools

Microsoft Office

Job description

Provider Revalidation Field Representative - Delaware

Location: Newark, DE, US, 19711-7515; Any city, DE, US, 99999

Summary

The Provider Revalidation Field Representative serves as the primary liaison between Gainwell, state Medicaid programs, and the provider community, supporting provider enrollment and revalidation initiatives to ensure healthcare providers remain compliant with CMS, state, and federal participation requirements.

Your role and responsibilities

• Conduct proactive outreach to healthcare providers regarding enrollment, revalidation requirements, deadlines, and compliance expectations.
• Serve as the primary point of contact for providers throughout the revalidation process, ensuring timely completion of required documentation and corrective actions.
• Research and resolve provider inquiries related to enrollment, revalidation, credentialing, participation requirements, claims, and billing operations.
• Deliver provider education through individual consultations, webinars, workshops, presentations, and outreach activities designed to improve provider engagement and compliance.
• Monitor provider participation and revalidation progress while collaborating with internal teams to improve completion rates and provider satisfaction.

Qualifications

• Two or more years of experience in provider enrollment, provider relations, credentialing, healthcare operations, medical billing, customer service, Medicaid, Medicare, or a related healthcare environment.
• Experience working with healthcare providers, physician offices, clinics, hospitals, behavioral health providers, long‑term care facilities, or other healthcare organizations.
• Strong verbal and written communication skills with the ability to educate providers, build professional relationships, and deliver excellent customer service.
• Strong organizational, analytical, and problem‑solving skills with the ability to manage multiple priorities and deadlines.
• Proficiency with Microsoft Office applications, including Excel, Outlook, Word, and Teams.

What to expect

• Support critical provider revalidation initiatives that help ensure continued access to care for Medicaid members.
• Build relationships with healthcare providers and serve as a trusted resource throughout the enrollment and revalidation process.
• Collaborate with Provider Enrollment, Operations, Compliance, Quality Assurance, and Client teams to improve provider participation and compliance outcomes.
• Receive training on state‑specific provider enrollment and revalidation requirements to support provider success and compliance.
• Travel within assigned territories may be required based on project and business needs.

Compensation and benefits

Pay Range: $35,000 - $50,000 per year. Base pay may vary based on geographic region, internal equity, job‑related knowledge, skills, and experience.

Benefits include a generous, flexible vacation policy, 401(k) employer match, comprehensive health benefits, educational assistance, and opportunities for leadership and technical development.

Equal Opportunity Statement

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.”