Job Description

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  Professional Quality , you will support a  Provider Enrollment team and contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

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• Provide quality assurance and insights analysis on Provider Enrollment applications to ensure adherence to Federal and State policy guidelines.
• Meet production and quality requirements established by our client for timely enrollment application processing; process and support complex provider enrollment requirements.
• Use policy guidelines and criteria established by Federal and State agencies as well as departmental requirements to evaluate provider enrollment applications.
• Participates in special projects, external audits and process improvements in support of quality assurance initiatives.
• Assists management defining and maintaining an effective and efficient quality program including developing and presenting associated training and familiarization to affected staff.

What we're looking for

• Minimum of 3 years working in Provider Enrollment and/or Credentialing required, 5 years of experience preferred.
• Minimum of 3-5 years performing quality assurance and analysis required.
• Strong written and verbal communication skills
• Strong analytical and problem-solving skills
• Strong attention to detail with proven experience utilizing various systems to collect and analyze data with expert MS Office experience, specifically to Excel and PowerPoint; ability to process complex provider enrollment issues.

What you should expect in this role

• This is a remote position for candidates living in the United States but outside Maine. Individuals who live within 1 hour of Augusta, Maine may have a hybrid schedule (work from home and office).
• · Full-time (40 hours a week)
• · Video cameras must be used during all interviews and during the initial week of orientation.
• · Most benefits start on the first day of employment
• · To effectively work as a teleworker with Gainwell, employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS

The pay range for this position is $40,300.00 - $57,600.00 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 and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition) age, sexual orientation, status as a protected veteran, status as an individual with a disability or other applicable legally protected characteristics

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