Gainwell Technologies

Provider Enrollment Lead - Remote US

Gainwell Technologies  •  Florida (Remote)  •  3 hours ago
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Job Description

Your role in our mission

Essential Job Functions

  • 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.
  • Understands the business of the client and related market dynamics; applies knowledge to ensure best practice procedures and continuous process improvement. Identifiies 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. Interprets, audits and reconciles reports for accuracy or completeness. 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. Adheres to existing security policies and procedures.
  • May provide leadership and work guidance to less experienced personnel. Trains and assists team members. Monitors daily activity of employees to ensure policy and procedures are being followed. Coordinates with managers and employees to ensure adequate scheduling. Prioritizes and delegates work.

Basic Qualifications

  • High school diploma or G.E.D.
  • Six or more years of experience with business process service delivery and improvement, preferably in an outsourcing environment
  • Experience working with client company product and/or services
  • Experience working with client company industry and/or functional area
  • Experience working with business solutions software

Other Qualifications

  • Strong communication skills
  • Strong personal computer and business solutions software skills
  • Strong organization and time management skills
  • Good problem solving skills
  • Team leadership skills to train and assist less experienced personnel
  • Ability to multi-task
  • Ability to work independently and as part of a team
  • Ability to assess clients' business and identify improvement opportunities

Work Environment

  • Office environment

What we're looking for

What you should expect in this role

Gainwell Technologies

About Gainwell Technologies

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus.

Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies.

Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Industry
IT & Software
Company Size
10,000+ employees
Headquarters
United States
Year Founded
Unknown
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