Provider Enrollment Quality Assurance Analyst - AR (Remote)

Gainwell Technologies LLC•Any city, OH

5d•$40,900 - $58,400•Remote

About The Position

Gainwell Technologies is hiring a Provider Enrollment Quality Assurance Analyst to support outsourced services and help clients improve healthcare operations. The role performs complex processing and quality assurance activities, analyzes workflows, resolves operational issues, supports process improvements, and helps maintain standard operating procedures. It also provides guidance and operational support to team members. This is a remote position for candidates in Arkansas, with a Monday-through-Friday schedule from 8:00 AM to 5:00 PM. Employees working remotely must have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload. Video cameras are required during interviews and the initial week of orientation. The posting is intended for pipelining, and applications will be accepted on an ongoing basis.

Requirements

High school diploma or GED.
At least 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, including pivot tables and formulas for data analysis and reporting.
Awareness of healthcare compliance standards and regulatory guidelines, including CMS, state, and federal regulations.
Understanding of multiple provider types and specialty requirements.
Candidates must be located in Arkansas.
Remote employees must have broadband internet with at least 24 Mbps download and 8 Mbps upload.
Video cameras must be used during all interviews and the initial week of orientation.

Responsibilities

Perform complex standard and non-standard processing, quality reviews, analyses, audits, reconciliations, and reporting activities while maintaining expertise across multiple work processes.
Use knowledge of client operations and market dynamics to identify issues, recommend and implement workflow improvements, and support efficient transaction processing.
Research and resolve operational issues, communicate with management and clients about resolutions, and assist with approved process changes.
Support the development, documentation, and maintenance of standard operating procedures while complying with confidentiality, security, and company policies.
Provide leadership and guidance to team members through training, work delegation, activity monitoring, scheduling coordination, workload prioritization, and ongoing operational support.
Create manuals or guides.