Provider Relations Consultant

Gainwell Technologies

Provider Relations Consultant assisting healthcare providers and internal teams with issue resolution. Managing provider inquiries and maintaining professional relationships within Idaho healthcare operations.

Posted 5/25/2026full-timeRemote • Idaho • 🇺🇸 United StatesJuniorMid-Level💰 $32,700 - $46,700 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

2+ years of experience in healthcare operations, provider relations, provider services, claims research, provider enrollment, credentialing, medical billing, or healthcare customer support
Experience working with healthcare providers, state programs, payer operations, provider offices, billing agencies, or healthcare support functions preferred
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

Benefits

Comp & perks

Comprehensive benefits package including medical, dental, vision
401(k) with company match
Paid time off
Company-observed holidays
Flexible vacation policy
Educational assistance
Leadership and technical development academies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare operationsprovider relationsclaims researchprovider enrollmentcredentialingmedical billingcomplianceworkflow improvementprocess improvement

Soft Skills

written communicationverbal communicationorganizational skillsanalytical skillstime managementproblem-solvingeducational skillspresentation skills