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Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The Provider Enrollment Lead serves as a subject matter resource for Provider Enrollment Analysts and supports operational leadership in maintaining productivity, quality, compliance, and service level expectations tied to Medicaid provider enrollment and fraud prevention initiatives.

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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.SummaryAs a Provider Enrollment Lead - Remote US at Gainwell Technologies, you will support provider enrollment and provider revalidation operations for the New Jersey Medicaid program. This role is responsible for assisting with workflow coordination, inventory management, escalated issue resolution, and team support activities within a high-volume healthcare operations environment.The Provider Enrollment Lead serves as a subject matter resource for Provider Enrollment Analysts and supports operational leadership in maintaining productivity, quality, compliance, and service level expectations tied to Medicaid provider enrollment and fraud prevention initiatives.Your role in our mission<ul><li>Support provider enrollment, provider revalidation, maintenance, and renewal activities for the New Jersey Medicaid program while ensuring compliance with CMS, ACA, state, and federal regulatory requirements.</li><li>Monitor inventory, workflow, production metrics, and service level agreements (SLAs) to support operational efficiency and timely processing of provider enrollment activities.</li><li>Serve as a resource for Provider Enrollment Analysts by assisting with training, mentoring, escalated issue resolution, process guidance, and day-to-day operational support.</li><li>Review enrollment applications, provider documentation, audits, and administrative reports to identify deficiencies, inconsistencies, compliance concerns, or opportunities for process improvement.</li><li>Perform both routine and complex provider enrollment tasks with minimal supervision while maintaining productivity, accuracy, quality standards, and confidentiality requirements in a remote production-based environment.</li></ul>What were looking for<ul><li>High school diploma or GED required; associate degree or additional post-secondary education in healthcare administration, business, or a related field preferred.</li><li>3+ years of experience in provider enrollment, provider revalidation, provider credentialing, healthcare operations, claims processing, healthcare administration, or healthcare compliance support.</li><li>Prior experience serving as a team lead, mentor, trainer, or subject matter expert in a healthcare operations or production environment preferred.</li><li>Strong written and verbal communication skills, organizational skills, analytical thinking, and problem-solving abilities with attention to detail.</li><li>Experience working with Medicaid, Medicare, healthcare enrollment systems, provider data management, Microsoft Office applications, and operational reporting tools preferred.</li></ul>What you should expect in this role<ul><li>This is a fully remote position open to candidates located anywhere within the United States.</li><li>Employees must be available to work Monday through Friday during Eastern Time business hours, from 8:00 AM ET to 5:30 PM ET, regardless of their local time zone.</li><li>This role supports provider revalidation and healthcare compliance initiatives tied to evolving federal and state fraud prevention requirements.</li><li>Daily productivity, quality, attendance, and service level expectations will be monitored in this fast-paced operational environment.</li><li>Video cameras must be used during interviews and orientation, and employees must maintain a broadband internet connection with minimum speeds of 24 Mbps download and 8 Mbps upload for remote work effectiveness.</li><li>This posting is intended for pipelining. We will accept applications on an ongoing basis.</li></ul>#LI-LS2#LI-REMOTEThe pay range for this position is $45,000 - $55,000 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. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Gainwell Technologies LLC

Provider Enrollment Lead - Remote US

Analysis Skills

Broadband

Career Development

Centers for Medicare and Medicaid Services (CMS)

Claims Processing

Communication Skills

Data Management

Detail Oriented

Documentation

Employee Orientation

Federal Laws and Regulations

Health Education

Healthcare

Healthcare Administration

Healthcare Providers

High School Diploma

Insurance

Inventory Management

Leadership

Maintain Compliance

Medicaid

Medicare

Mentoring

Metrics

Microsoft Office

Operational Audit

Operational Support

Organizational Skills

Presentation/Verbal Skills

Problem Solving Skills

Process Improvement

Production Systems

Productivity Management

Provider Credentialing

Quality Management

Quality Metrics

Regulatory Requirements

Reimbursement

Service Level Agreement (SLA)

State Laws and Regulations

Team Lead/Manager

Time Management

Training/Teaching

Work From Home

Writing Skills

In this fully remote role, you will serve as a key point of contact for travelers, providing support before, during, and after their trips to ensure a smooth and positive experience. This role is ideal for someone with strong customer service skills who enjoys helping others, staying organized, and working independently in a remote environment.

We are seeking a Remote Client Support Representative – Travel to assist clients throughout their travel journey. In this fully remote role, you will serve as a key point of contact for travelers, providing support before, during, and after their trips to ensure a smooth and positive experience.This role is ideal for someone with strong customer service skills who enjoys helping others, staying organized, and working independently in a remote environment.Key ResponsibilitiesSupport clients remotely via email, phone, and messaging platformsRespond to travel-related inquiries in a timely, professional mannerAssist with itinerary changes, cancellations, updates, and special requestsProvide clear information on destinations, travel requirements, and agency processesMonitor upcoming trips and proactively communicate with clients as neededResolve issues efficiently while maintaining a high level of customer satisfactionIdeal CandidateStrong written and verbal communication skillsCustomer service experience (travel, hospitality, or support roles preferred)Highly organized, dependable, and detail-orientedComfortable working independently in a fully remote roleAble to learn new systems, booking platforms, and digital tools quicklyPassionate about travel and delivering excellent client supportWhat We OfferFully remote positionFlexible scheduling optionsComprehensive training and ongoing supportGrowth opportunities within a travel-focused companyAccess to travel-related perks and industry discountsSupportive and collaborative remote team environment

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Provider Enrollment Lead - Remote US Gainwell Technologies LLC

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