Provider Enrollment Advisor – Gainwell – Hamilton

As an Advisor Provider Enrollment 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 of this position.

Your role in our mission
Review and assess the applicability of regulations (CMS, State NJ, waivers, etc) to provide guidance and instruction for provider operations
Ability to review complex business rules to provide guidance and instruction for provider operations
Evaluate operational practices and assess driver (regulatory, operational control, best practice) and overall impact
Ability to learn all aspects of New Jersey Medicaid and be able to apply to provider support
Claims process
Provider enrollment
New projects
Support new initiatives, determining impact on operations, and assist with outlining required tasks for implementation

What we’re looking for
Nine or more years of functional area experience (i.e. finance, human resources, procurement, information technology, etc.)
Experience working with organizational functions and personnel
Experience working with help desk software
What you should expect in this role
On-site training at Hamilton, NJ
Hybrid after training
The pay range for this position is $70,400.00 – $100,500.00 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.

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