Provider Enrollment Analyst

Gainwell Technologies

Provider Enrollment Analyst supporting provider enrollment and revalidation operations for Medicaid healthcare programs. Ensuring data accuracy and compliance while working in a remote environment.

Posted 5/23/2026full-timeRemote • New Jersey • 🇺🇸 United StatesJunior💰 $40,000 - $45,000 per yearWebsite

About the role

Key responsibilities & impact

Support provider enrollment and provider revalidation operations for Medicaid healthcare programs
Review, process, and verify provider enrollment and provider revalidation applications for accuracy, completeness, and compliance with Medicaid and CMS guidelines
Research, analyze, and resolve provider enrollment discrepancies by working with providers, internal departments, and external stakeholders while identifying potential fraud or inconsistent information
Maintain accurate provider records within enrollment systems and perform quality audits, validation checks, and reporting activities to support operational accuracy and program integrity
Interpret policies, procedures, and workflow requirements while supporting process improvements and updated standard operating procedures within a high-volume operational environment
Handle confidential provider and healthcare information in accordance with HIPAA, company security standards, and regulatory compliance requirements while meeting productivity and quality expectations

Requirements

What you’ll need

High school diploma or GED required
at least 1 year of experience in provider enrollment, provider revalidation, healthcare operations, claims processing, healthcare customer service, or administrative support
Familiarity with Medicaid, Medicare, provider data management, healthcare compliance, or healthcare insurance operations is preferred but not required
Strong attention to detail with the ability to review documentation, identify inconsistencies, and maintain accuracy in a production-driven environment
Basic to intermediate proficiency with Microsoft Office tools, including Excel and Outlook
strong organizational, communication, and multitasking skills
Harver Assessment Requirement: As part of the interview process, candidates must complete the Harver Assessment to evaluate communication, attention to detail, multitasking, and problem-solving capabilities relevant to the role.

Benefits

Comp & perks

generous, flexible vacation policy
401(k) employer match
comprehensive health benefits
educational assistance
a variety of leadership and technical development academies to help build your skills and capabilities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

provider enrollmentprovider revalidationclaims processinghealthcare operationshealthcare customer servicedata managementquality auditsvalidation checksreporting activitiescompliance

Soft Skills

attention to detailorganizational skillscommunication skillsmultitaskingproblem-solving

Certifications

high school diplomaGED