Provider Relations Consultant - Remote Idaho

Gainwell Technologies LLC•Any city, OH

4d•$32,700 - $46,700•Remote

About The Position

The Provider Relations Consultant supports provider relations operations by assisting healthcare providers, state partners, and internal teams with issue resolution, provider education, claims research, and operational support activities. This role serves as a liaison between the provider community and internal operational teams while helping maintain strong provider relationships, supporting outreach initiatives, and ensuring timely, accurate, and compliant responses to provider inquiries.

Requirements

2+ years of experience in healthcare operations, provider relations, provider services, claims research, provider enrollment, credentialing, medical billing, or healthcare customer support.
Experience researching and resolving provider-related claims, enrollment, billing, credentialing, compliance, or operational inquiries.
Strong written and verbal communication skills with the ability to educate, present, and communicate professionally with providers and stakeholders.
Strong organizational, analytical, time management, technical, and problem-solving skills with proficiency in Microsoft Office and business systems.

Nice To Haves

Experience working with healthcare providers, state programs, payer operations, provider offices, billing agencies, or healthcare support functions preferred.

Responsibilities

Support the Regional Provider Relations team by researching, investigating, documenting, and responding to provider and state partner inquiries within established response time standards.
Manage out-of-state and non-bordering Idaho provider concerns, including outreach, education, issue resolution, and follow-up.
Build and maintain professional relationships with healthcare providers, provider offices, associations, state partners, and operational teams.
Assist with the development and delivery of provider education materials through one-on-one support, virtual meetings, workshops, conferences, and group sessions.
Research claims, enrollment, credentialing, billing, compliance, and operational issues while identifying opportunities for workflow and process improvement.