Provider Enrollment Quality Analyst - Jackson, MS (Onsite)

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.

Summary

As a Provider Enrollment Quality Analyst 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.

The Provider Enrollment Quality Analyst is responsible for ensuring the accuracy, quality, and compliance of provider enrollment, credentialing, and maintenance activities. This role performs detailed quality reviews, audits enrollment transactions, and identifies process improvement opportunities to ensure adherence to regulatory, contractual, and organizational requirements. The analyst serves as a subject matter expert in provider enrollment processes and supports continuous improvement initiatives to enhance operational performance and provider experience.

Your role in our mission

• Conduct quality audits of provider enrollment, recredentialing, demographic maintenance, and provider data management transactions.
• Review enrollment documentation for completeness, accuracy, and compliance with state, federal, client, and organizational requirements.
• Monitor adherence to service level agreements (SLAs), quality standards, and operational procedures.
• Identify trends, defects, and process gaps, and provide actionable recommendations for improvement.
• Perform root cause analysis on quality issues and partner with leadership to implement corrective actions.
• Prepare and distribute audit findings to leadership.
• Track and trend audit results to identify refresher training, as needed.
• Assist in developing quality assurance methodologies, audit tools, and monitoring processes.
• Collaborate with Provider Enrollment Specialists, Credentialing teams, Operations leadership, and Compliance partners to improve overall quality performance.
• Support internal audits by providing documentation, reports, and quality metrics.
• Participate in training initiatives and provide coaching based on audit findings and performance trends.
• Maintain expertise in provider enrollment regulations, credentialing requirements, payer guidelines, CMS requirements, and state-specific policies.

What we're looking for

• Associates degree in Healthcare Administration, Business Administration, or related field preferred; equivalent experience may be considered.
• 2 or more years of experience in provider enrollment, credentialing, provider data management, healthcare operations, quality assurance, auditing, or compliance-related functions preferred.
• Experience working with Medicaid, Medicare, managed care organizations, or healthcare payers preferred.
• Advanced analytical, problem-solving, and organizational skills.
• Proficiency with Microsoft Office Suite, reporting tools, and provider management systems.
• Strong written and verbal communication skills.

What you should expect in this role

On-site position based in Jackson, MS, with potential for hybrid work after 90 to 120 days

Work schedule is Monday – Friday, 8:00 AM to 5:00 PM CST

Video cameras must be used during all interviews, as well as during the initial week of orientation.

Assessment Requirement: As part of our interview process, all candidates must successfully complete a skills and competency assessment before advancing in the hiring process.

Employee Benefits & Perks:

Health benefits (medical, dental, and vision) begin on Day 1 of employment.

401(k) with company match and additional benefits become available within the first few months.

Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.

Career growth and advancement opportunities are encouraged and supported.

A company-provided computer is supplied for work use.

The deadline to submit applications for this posting is November 2, 2026.

#LI-ONSITE #LI-PP1 #LI-CM1

The pay range for this position is $47,100.00 - $67,300.00 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.