Provider Enrollment Analyst - Remote CA

Gainwell Technologies LLC•Any city, OH

2d•$37,500 - $53,500•Remote

About The Position

The Provider Enrollment Analyst supports healthcare provider enrollment operations by reviewing, processing, and maintaining provider information in accordance with established policies, procedures, and regulatory requirements. The role involves working with enrollment applications, verifying provider information, researching discrepancies, and helping ensure providers are accurately enrolled and maintained in applicable healthcare programs. This position is 100% remote within the United States and supports California healthcare provider enrollment operations. Employees must work Pacific Time business hours Monday through Friday, using either a 7:30 AM–4:30 PM or 8:00 AM–5:00 PM schedule. The employee must maintain a professional, secure, and distraction-free home workspace with reliable high-speed internet. Required job-related assessments, a background investigation, and training are part of hiring and onboarding.

Requirements

Minimum of 2 years of experience in healthcare provider enrollment, provider services, healthcare operations, claims processing, credentialing, or a related healthcare administrative role.
Experience reviewing and processing healthcare provider information, enrollment applications, or provider records.
Strong attention to detail and analytical skills, including the ability to research discrepancies and maintain accurate records.
Proficiency with Microsoft Office applications.
Ability to navigate multiple systems, manage competing priorities, and meet productivity and quality expectations.
Availability to work Monday through Friday during one of the stated Pacific Time schedules.
Ability to maintain a professional, secure, and distraction-free home workspace with reliable high-speed internet.

Nice To Haves

Familiarity with Medicaid, Medicare, Medi-Cal, managed care, or other healthcare payer operations.

Responsibilities

Review, process, and maintain healthcare provider enrollment applications, updates, and supporting documentation in accordance with established policies and procedures.
Verify provider demographic information, National Provider Identifier (NPI), Tax Identification Number (TIN), and other enrollment-related information for accuracy and completeness.
Research and resolve enrollment discrepancies, missing documentation, and provider-related issues to ensure timely and accurate processing.
Enter, update, and maintain provider information across multiple systems while meeting established quality, productivity, and turnaround time expectations.
Collaborate with healthcare providers and internal teams to resolve enrollment issues, maintain regulatory compliance, and identify opportunities for process improvement.