Provider Enrollment Lead - Remote US

Gainwell Technologies LLC•Any city, OH

1d•$45,000 - $55,000•Remote

About The Position

As a Provider Enrollment Lead - Remote US at Gainwell Technologies, you will support provider enrollment and provider revalidation operations for the New Jersey Medicaid program. This role is responsible for assisting with workflow coordination, inventory management, escalated issue resolution, and team support activities within a high-volume healthcare operations environment. The Provider Enrollment Lead serves as a subject matter resource for Provider Enrollment Analysts and supports operational leadership in maintaining productivity, quality, compliance, and service level expectations tied to Medicaid provider enrollment and fraud prevention initiatives.

Requirements

High school diploma or GED required
3+ years of experience in provider enrollment, provider revalidation, provider credentialing, healthcare operations, claims processing, healthcare administration, or healthcare compliance support.
Strong written and verbal communication skills, organizational skills, analytical thinking, and problem-solving abilities with attention to detail.

Nice To Haves

associate degree or additional post-secondary education in healthcare administration, business, or a related field preferred.
Prior experience serving as a team lead, mentor, trainer, or subject matter expert in a healthcare operations or production environment preferred.
Experience working with Medicaid, Medicare, healthcare enrollment systems, provider data management, Microsoft Office applications, and operational reporting tools preferred.

Responsibilities

Support provider enrollment, provider revalidation, maintenance, and renewal activities for the New Jersey Medicaid program while ensuring compliance with CMS, ACA, state, and federal regulatory requirements.
Monitor inventory, workflow, production metrics, and service level agreements (SLAs) to support operational efficiency and timely processing of provider enrollment activities.
Serve as a resource for Provider Enrollment Analysts by assisting with training, mentoring, escalated issue resolution, process guidance, and day-to-day operational support.
Review enrollment applications, provider documentation, audits, and administrative reports to identify deficiencies, inconsistencies, compliance concerns, or opportunities for process improvement.
Perform both routine and complex provider enrollment tasks with minimal supervision while maintaining productivity, accuracy, quality standards, and confidentiality requirements in a remote production-based environment.