Provider Enrollment Analyst - Remote CA (Any city, CA, US, 99999)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Provider Enrollment Analyst - Remote CA at Gainwell, you'll support healthcare provider enrollment operations by reviewing, processing, and maintaining accurate provider information in accordance with established policies, procedures, and regulatory requirements.

You'll work with provider enrollment applications, verify provider information, research discrepancies, and help ensure healthcare providers are accurately enrolled and maintained within applicable healthcare programs.

This position is 100% remote within the United States. Candidates must be available to work Pacific Time (PT) business hours, regardless of where they reside.

Your role in our mission

• 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.

What we're looking for

• 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.

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

• Strong attention to detail, analytical skills, and the ability to research discrepancies and maintain accurate records.

• Proficiency with Microsoft Office applications and the ability to navigate multiple systems, manage competing priorities, and meet productivity and quality expectations.

What you should expect in this role

• 100% remote: Work from home anywhere within the United States.

• Required schedule: Monday through Friday, either 7:30 AM to 4:30 PM or 8:00 AM to 5:00 PM Pacific Time (PT), regardless of your state of residence.

• Support California healthcare provider enrollment operations in a fast-paced, accuracy-driven environment.

• Maintain a professional, secure, and distraction-free home workspace with reliable high-speed internet access.

• Complete required job-related assessments, background investigation, and training as part of the hiring and onboarding process.

Please note: This job posting may be used for the purpose of building a candidate pipeline for current and future hiring needs.

The pay range for this position is $37,500 - $53,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership an...