Remote Provider Enrollment QA Analyst

Gainwell Technologies LLC; Columbus (OH); Remote; USD 41,000 - 58,000; Full time

Benefits offered by this job

Health benefits

401(k) employer match

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies is seeking a Provider Enrollment Quality Assurance Analyst for a remote role serving Arkansas. The position requires at least 2 years in provider enrollment or healthcare QA and strong Excel skills for data analysis and reporting.

Familiarity with CMS and related regulations is essential. You will perform complex processing, analyze operations, and contribute to process improvements while ensuring adherence to confidentiality and security standards.

Qualifications

• High school diploma or GED is 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 (pivot tables, formulas) for data analysis and reporting.
• Awareness of healthcare compliance standards and regulatory guidelines (CMS, state, and federal regulations).
• Create manuals or guides. Understanding multiple provider types and specialty requirements.

Responsibilities

• 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.

Skills

Provider enrollment systems

Microsoft Excel

CMS compliance awareness

Documentation/ manuals

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

Gainwell Technologies is seeking a Provider Enrollment Quality Assurance Analyst for a remote role serving Arkansas. The position requires at least 2 years in provider enrollment or healthcare QA and strong Excel skills for data analysis and reporting.

Familiarity with CMS and related regulations is essential. You will perform complex processing, analyze operations, and contribute to process improvements while ensuring adherence to confidentiality and security standards.