Provider Enrollment Analyst

Gainwell Technologies

Provider Enrollment Analyst supporting Gainwell Technologies in claims processing and innovative health solutions. Contributing individual expertise independently while meeting production and quality client requirements.

Posted 6/19/2026full-timeRemote • South Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.
Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines.
Meet production and quality requirements established by clients for timely claims processing.
Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision.

Requirements

What you’ll need

Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
Basic reading and analysis skills to evaluate claims and make adjudication decisions
Basic computer use skills
Ability to multi-task across multiple claims to work efficiently
Ability to work independently to meet individual production goals

Benefits

Comp & perks

Opportunities to travel through your work (0-10%)

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingadjudication decisionpolicy guidelinesanalysis skillscomputer use skills

Soft Skills

multi-taskingindependent workefficiency