Provider Enrollment Quality Assurance Analyst

Gainwell Technologies

Provider Enrollment Quality Assurance Analyst supporting healthcare operations and ensuring quality processing. Engaging with management and clients to resolve issues and improve processes.

Posted 7/24/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $27,200 - $38,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider enrollment systems and claims processing, with a strong focus on healthcare compliance standards and continuous process improvement. Proficient in data analysis and reporting, ensuring efficient transaction processing and adherence to regulatory guidelines.

Highest-signal resume keywords

Provider Enrollment SystemsClaims Processing PlatformsMicrosoft Office SuiteHealthcare Compliance StandardsQuality Assurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReport PreparationProcess ImprovementTransaction ProcessingWorkflow Modification

Soft Skills

Problem SolvingLeadershipCommunication

Tools & Technologies

Microsoft Excel

Industry Keywords

Healthcare OperationsCMS RegulationsState RegulationsFederal Regulations

About the role

Key responsibilities & impact

Performs complex standard and non-standard processing and quality tasks in support of outsourced services within a specific industry and functional area
Demonstrates knowledge and skills in a variety of assigned work processes
Applies knowledge to ensure best practice procedures and continuous process improvement
Identifies issues and reviews, recommends and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions
Performs analyses and reports findings
Maintains log records of pertinent data and provides periodic status reports
Prepares standard and adhoc reports for management and clients
Researches problems and follows up with the client regarding resolution
Interfaces with management and clients to resolve issues and assists in implementing same as approved
Supports development and documentation of new or revised standard operating procedures
Handles company confidential data according to policy and guidelines
May provide leadership and work guidance to less experienced personnel
Monitors daily activity of employees to ensure policy and procedures are being followed

Requirements

What you’ll need

High school diploma or GED required
Minimum of 2 years of experience in provider enrollment, healthcare operations, or quality assurance
Proficiency in provider enrollment systems and claims processing platforms
Strong proficiency in Microsoft Office Suite, particularly Excel (e.g., pivot tables, formulas)
Awareness of healthcare compliance standards and regulatory guidelines (e.g., CMS, state, and federal regulations)

Benefits

Comp & perks

Flexible vacation policy
Educational assistance
Comprehensive health benefits
Leadership and technical development academies