Remote Provider Enrollment Analyst — Medicaid Compliance
Gainwell Technologies
- Remote job
Gainwell Technologies is seeking a Provider Enrollment Analyst to support provider enrollment and revalidation operations in healthcare programs. This fully remote role entails reviewing applications for accuracy and compliance with Medicaid guidelines. Candidates should hold a high school diploma and have experience in healthcare operations. Strong attention to detail, organizational abilities, and proficiency in Microsoft Office are essential. The position offers competitive pay and extensive employee benefits. #J-18808-Ljbffr Gainwell Technologies
$21 per hour
...Provider Enrollment Analyst - Remote US Great companies need great teams to propel their operations. Join... ...revalidation operations for Medicaid healthcare programs. This role plays... ...provider data accuracy, regulatory compliance, and fraud prevention initiatives tied...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours- ...Senior Medicaid Eligibility & Enrollment Business Analyst/SME We are seeking a highly experienced Medicaid Eligibility... ...and operational initiatives. Provide production support and guidance... ..., ACA, MAGI, and state Medicaid compliance requirements. Familiarity with...Remote work
- ...Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms |... ...eligibility, claims, encounters, provider enrollment, managed care, and reporting—... .... Familiarity with HIPAA compliance and PHI guidelines. Excellent...Remote workContract work
- ...Advisor Business Analyst - MMIS / Medicaid Pharmacy Join the group... ...may include Member, Provider, Claims (Medicaid,... ...impacts. Ensures compliance alignment by validating... ..., contracts, enrollment, credentialing Member... ...in this role: Fully remote options from Contiguous...Remote work
$69.4k - $99.2k
...Business Operations Analyst - CEV/Medicaid/SNAP Date: May 28... ...efficiencies, support compliance requirements, and... ...outcomes. This role provides consultative and analytical... ..., verification, enrollment, operations, or... ...through your work (0-10%) Remote position within the...Remote workFull timeFlexible hours$86.8k - $124k
...Experienced Business Analyst - MMIS / Medicaid Pharmacy at Gainwell... ...may include Member, Provider, Claims (Medicaid,... ...operational impacts. Ensures compliance alignment by... ..., contracts, enrollment, credentialing Member... ...in this role Fully remote options from Contiguous...Remote workFull timeFlexible hours- ...Provider Enrollment Analyst (CMS 855 Required) At Broadway Ventures, we transform challenges into... ...role ensures provider file accuracy and compliance with established standards and... ...Eastern Standard Time (EST) Location: Remote If you live within 50 miles of Columbia...Remote workFull timeFor contractorsWork experience placementWork at officeMonday to Friday
$140k - $170k
...health insurance shopping and enrollment has expanded beyond... ...safety net programs such as Medicaid, SNAP (food stamps), child care... ...Summary: The Business Analyst is responsible for the end-to... ...data protection policies. Compliance with access control, data classification...Remote work- ...Provider Enrollment Specialist Summary: Responsible in the provider enrollment process to review, research, analyze, and process provider... ...Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Location:...Full timeContract workFor contractorsWork experience placementSecond jobWork at officeLocal areaMonday to FridayShift work
- Conduent is seeking a Provider Relations Manager to lead a Medicaid provider enrollment and support team. You will oversee a range of responsibilities, including managing... ...healthcare in a leadership capacity and offers remote work options, as well as opportunities for career...Remote job
- Conduent is seeking a Transaction Processor Associate to join their Provider Enrollment Team. This role involves processing Medicaid provider applications with a flexible work schedule that suits your needs. The ideal candidate should have a high school diploma, strong...Remote jobFlexible hours
- ...Title: Healthcare Provider Enrollment & Credentialing Specialist (Volunteer... ...Foundation Location: Remote Commitment: 20–25 hours... ...properly enrolled with state Medicaid programs and insurance payers... ...timelines Ensure compliance with federal and state healthcare...Remote work
- ...the United States, is seeking a Provider Enrollment Supervisor for a fully remote role. This position involves leading... ...enrollment and revalidation for Medicaid healthcare programs. Candidates... ...experience. The role also requires compliance oversight and support to enhance...Remote jobWork at office
- ...Analyst Or Manager Consulting - Provider Strategy Remote or Washington, DC ATI Advisory is a healthcare research and advisory services firm changing how... ...includes nationally recognized experts across Medicare, Medicaid, long-term care, and provider delivery, and we...Remote work
- ...Enrolled Actuary, (Cash Balance Actuaries) Remote Strongpoint Partners is a tech-enabled retirement services platform... ...that prioritizes accuracy, compliance, and reduction of regulatory... ...expected to work from home. CBA provides extremely flexible work schedules...Remote workLocal areaWork from homeFlexible hours
- ...Description Our client is looking for an Enrolled Actuary who would ideally have small plan Cash Balance experience... ...on continuing to build out this practice. Fully remote. The firm is a leading provider of actuarial, recordkeeping, investment advisory, and administrative...Remote work
- A leading health care provider is looking for an Actuarial Analyst ALDP to analyze Medicaid pricing and support pricing initiatives. This remote role requires a Bachelor's Degree and participation in the Actuarial exam track. Ideal candidates will have 3+ months of relevant...Remote job
- ...the expectations, guidance and direction provided by the FuturePlan Chief Actuary and... ...expert in the valuation, administration and compliance of Defined Benefit and Cash Balance plans... ...science, math or math related field Enrolled Actuary designation with 5 years industry...Remote workSecond jobWork at officeLocal area
$94.1k - $164.8k
...Managing Actuary The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved... ...or equivalent years of relevant work experience is required Medicaid Rate Advocacy experience is highly preferred Two to three (2...Remote workHourly payWork experience placementWork at office- **This is a 100% remote work-from-home position... ...: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT... ...Prepares additional provider research files and reviews... ...Rehab Unit 75% compliance report for exemption... ...) and Medicare provider enrollment system (PECOS)Remote workWork from homeShift work
$75k
...Highlights Position: Senior Provider Enrollment & Credentialing Specialist Location: Remote Schedule: Full-time; flexible... ...files for completeness, accuracy, compliance, and readiness prior to... ...of commercial payer, Medicare, Medicaid, and government enrollment workflows...Remote workFull timeFlexible hours$66k - $106k
Prime Therapeutics is seeking a Provider Relations Analyst Sr to manage independent pharmacy networks. This remote position involves researching contract inquiries, ensuring compliance with regulations, and maintaining relationships with pharmacy providers. Candidates...Remote workContract work$66k - $106k
...Therapeutics in Atlanta, Georgia, seeks a Provider Relations Analyst Sr to manage independent pharmacy network contracting and ensure compliance with legal standards. The ideal... ...experience in pharmacy-related fields. This remote role requires strong communication skills...Remote work$48.07k - $79.37k
...SUMMARY: The RCM Enrollment Analyst - Epic Workqueues & EDI... ...and monitoring provider and payer enrollment... ...reimbursement, and regulatory compliance within an Epic... ...activities with Medicare, Medicaid, and commercial... ...potential for fully remote work arrangements (based...Remote workShift work$18 - $20 per hour
...features. This range is provided by Insight Global.... ...0/hr Location : 100% Remote Pay Range: $18-$20 Responsibilities... ...The Contract Payer Enrollment Specialist is... ...while ensuring compliance, accuracy, and timely... ...of both Medicare and Medicaid payer enrollment processes...Remote jobFull timeContract work$70k - $90k
...openings for advisory services analysts with interest in health care... ...quantitative data Develop expertise in Medicaid data, policy, and programmatic areas Provide technical assistance to state... ..., with experience in Medicaid enrollment, claims, financial, or program...Remote workContract workLocal areaWork from home$50k - $70k
...accessibility. We don't just provide therapy; we empower... ...Summary The Provider Enrollment & Credentialing... ...for Medicare (PECOS), Medicaid, and commercial insurance... ...work history to ensure compliance with NCQA and CMS standards... ...) Environment: Remote Premium Medical, Dental...Remote work- ...Job Title Provides analyst support for configuration oversight activities. Responsible for... ...documentation regarding updates/changes to member enrollment, provider contracts, provider... ...managed care organization supporting Medicaid, Medicare and/or Marketplace programs....Remote jobWork at office
- ...following business processes Experience in Provider Recoupment in a Payer setup Manage... ...payer claims solution and/or Medicare/Medicaid system Must have good experience with... ..., along with the provider, member enrolment and care management concepts. Must have...Remote workFor contractors
- ...applicants Location: Remote At Pearson, we’... ...Online Academy, provide a best-in-class... ...in awareness and enrollments. This presents an... ...Purpose Summary The Medicaid and Vendor... ...include ensuring compliance with federal and... ...Vendor Management Analyst Location: Remote...Remote workFull timeWork at officeShift work
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