供应商注册顾问- 内华达州（任何城市，NV，美国，99999）
Provider Enrollment Advisor- Nevada (Any city, NV, US, 99999)
优秀的企业需要优秀的团队来推动运营。加入这个解决业务挑战并提升我们工作和成长方式的团队。在Gainwell工作会带来相应的回报。你将有机会在一个重视你的贡献、注重工作灵活性、学习和职业发展的公司中发展自己的职业生涯。
简介
Provider Enrollment Advisor 将支持内华达州Medicaid的Provider Enrollment Manager及团队。此人将作为业务应用和团队流程的专家。此职位需要分析数据以提出成本效益高且高质量的建议。此人将支持企业遵守联邦、州和机构指南以及与客户的服务水平协议。
你在我们使命中的角色
- 作为提供者注册要求的专家，确保符合监管和业务标准。
- 分析业务需求，收集客户要求，并推荐流程和系统改进以支持运营目标。
- 制定业务规范，并与技术团队合作进行系统增强、测试和实施活动。
- 管理项目活动、时间表和交付物，确保按时完成目标。
- 利用数据分析识别趋势、根本原因、合规风险和流程改进机会，并提供可操作的建议。
- 支持纠正行动计划，解决复杂的业务应用问题，并在决策中表现出良好的判断力。
- 建立牢固的利益相关者关系，促成积极成果，并保持高水平的准确性和细致度。
我们寻找的人选
- 相关领域的学士学位，或同等教育、培训和经验组合。
- 医疗保健运营方面五年或以上经验（管理护理、提供者或会员服务）。
- 提供者认证和注册方面三年或以上经验。
- 五年或以上的问题解决、研究和流程改进经验。
- 熟悉CMS联邦和州指南相关的提供者注册流程和要求，优先考虑。
- 熟悉NV Medicaid指南，优先考虑。
- 六西格玛精益绿带或黑带认证，优先考虑。
你在此职位中可以期待的
- 这是一个100%远程岗位
查看英文原文
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
The Provider Enrollment Advisor will support the Provider Enrollment Manager and team for Nevada Medicaid. This person will act as a subject matter expert for business applications and team processes. This role requires analysis of data to make recommendations that are cost effective and high-quality. This person supports the business meeting Federal, State and Agency guidelines and service level agreements with the client.
Your role in our mission
- Serve as the subject matter expert for provider enrollment requirements, ensuring compliance with regulatory and business standards.
- Analyze business needs, gather client requirements, and recommend process and system improvements to support operational goals.
- Develop business specifications and collaborate with technical teams on system enhancements, testing, and implementation activities.
- Manage project activities, timelines, and deliverables, ensuring deadlines and objectives are met.
- Utilize data analysis to identify trends, root causes, compliance risks, and process improvement opportunities, and provide actionable recommendations.
- Support corrective action plans, resolve complex business application issues, and exercise sound judgment in decision-making.
- Build strong stakeholder relationships, influence positive outcomes, and maintain a high level of accuracy and attention to detail.
What we're looking for
- Bachelor’s degree in a related field or an equivalent combination of education, training, and experience.
- Five or more years of experience in healthcare operations (managed care, provider, or member services).
- Three or more yearsof experience in provider credentialing and enrollment.
- Five or more years of experience in problem-solving, research, and process improvement.
- Knowledge of provider enrollment processes and requirements for CMS Federal and State Guidelines related to enrollment and reenrollment policies, preferred.
- Knowledge of NV Medicaid Guidelines, preferred.
- Six Sigma Lean Green or Black Belt certification, preferred.
What you should expect in this role
- This is a 100% remote position.
- Candidates must be available to work during Pacific Time Zone business hours.
- The deadline to submit applications for this posting is October 5, 2026
The pay range for this position is $70,400.00 - $85,000.00 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.
Originally posted on Himalayas