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Provider Enrollment Quality Assurance - Remote

Gainwell Technologies LLC
Posted 17 days ago, valid for 23 days
Location

Pleasant Grove, OH, US

Salary

$40,900 - $58,400 per year

Contract type

Full Time

Life Insurance

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Sonic Summary

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  • Gainwell is seeking a Provider Enrollment Quality Assurance professional to work remotely, focusing on improving healthcare for vulnerable communities.
  • Candidates should have a high school diploma or GED and a minimum of 2 years of experience in provider enrollment, healthcare operations, or quality assurance.
  • The role involves performing quality reviews, resolving operational issues, and providing leadership and guidance to team members.
  • The salary for this position ranges from $40,900 to $58,400 per year, depending on various factors such as geographic location and experience.
  • Gainwell offers a flexible work environment with opportunities for career development, educational assistance, and comprehensive health benefits.

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

 

Summary

​As a Provider Enrollment Quality Assurance - Remote at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

  • Perform complex standard and non-standard processing, quality reviews, analyses, audits, reconciliations, and reporting activities in support of outsourced services while maintaining expertise across multiple work processes.
  • Apply knowledge of client operations and market dynamics to identify issues, recommend and implement workflow improvements, and support efficient, effective transaction processing.
  • Research and resolve operational issues, interface with management and clients regarding resolutions, and assist with the implementation of approved process changes.
  • Support the development, documentation, and maintenance of standard operating procedures while ensuring compliance with company confidentiality, security, and policy requirements.
  • Provide leadership and guidance to team members through training, work delegation, activity monitoring, scheduling coordination, prioritization of workloads, and ongoing support of operational objectives.

What we're looking for

  • 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) for data analysis and reporting.
  • Awareness of healthcare compliance standards and regulatory guidelines (e.g., CMS, state, and federal regulations).

What you should expect in this role

  • This is a remote position for Arkansas candidates. 
  • Work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.
  • To work effectively as a teleworker with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
  • To Test your internet download and upload speed:
    • Go to Google.
    • Search for Internet Speed Test or click here.

 

The deadline to submit applications for this posting is August 28, 2026.

#LI-REMOTE #LI-SA1

 

The pay range for this position is $40,900.00 - $58,400.00 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.




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