Provider Enrollment Specialist - Jackson, MS (Onsite)

About the role

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes. Review, validate, and process Medicaid provider enrollment applications in compliance with Mississippi Medicaid guidelines. Research, analyze, and resolve provider enrollment issues while responding to provider inquiries regarding enrollment status and requirements. Collaborate with Gainwell Technologies teams and State Medicaid representatives to support enrollment operations and meet productivity, quality, and compliance standards. Utilize enrollment systems and Microsoft Office applications to perform daily responsibilities while identifying opportunities for process improvements and operational efficiencies. Apply analytical and problem-solving skills, including the ability to research, evaluate information, and apply policies and regulations. Provide knowledge of federal and state healthcare regulations. Demonstrate excellent customer service, interpersonal, and computer proficiency skills.

Responsibilities

• Review, validate, and process Medicaid provider enrollment applications in compliance with Mississippi Medicaid guidelines
• Research, analyze, and resolve provider enrollment issues
• Respond to provider inquiries regarding enrollment status and requirements
• Collaborate with Gainwell Technologies teams and State Medicaid representatives to support enrollment operations
• Utilize enrollment systems and Microsoft Office applications to perform daily tasks
• Identify opportunities for process improvements and operational efficiencies
• Apply analytical and problem-solving skills to evaluate information and apply policies and regulations
• Demonstrate excellent customer service and interpersonal skills

Requirements

• High school diploma required; associate’s degree or bachelor’s degree preferred
• 3 to 5 years of relevant experience in the healthcare industry
• Previous experience in healthcare administration, provider enrollment, data processing, customer service, or a related field preferred
• Strong attention to detail with the ability to accurately manage sensitive provider information
• Excellent organizational, time management, and prioritization skills
• Ability to adapt in a fast-paced environment
• Proficiency with Microsoft Office and Windows-based applications
• Ability to work independently while maintaining confidentiality

Schedule

This position is onsite in Jackson, MS, with a work schedule of Monday through Friday, 8:00 AM to 5:00 PM CST.

Pay

The pay range for this position is $32,700.00 - $46,700.00 per year. The base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership and technical development academies