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Enrollment Technology Jobs in Delaware (NOW HIRING)

Intermountain Health

Tech in training

Bear, DE · On-site

$39.16 - $60.42/hr

Currently enrolled in an accredited MRI training program, successful completion of an accredited MRI program, or ARRT(R)-registered technologist selected for MRI cross-training. * Ability to meet MRI ...

Zimmer Biomet

$13 - $17.50/hr

As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a ... Must be actively enrolled in an academic program for the entire duration of the assignment * Must ...

Zimmer Biomet

$14.75 - $19.50/hr

As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a ... Must be actively enrolled in an academic program for the entire duration of the assignment * Must ...

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Provider Revalidation Field Representative - Delaware

Gainwell Technologies

Newark, DE • On-site

$35K - $50K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 21 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

136th of 242 rated software companies

Job description

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 Revalidation Field Representative serves as the primary liaison between Gainwell, state Medicaid programs, and the provider community. This role supports provider enrollment and revalidation initiatives to ensure healthcare providers remain compliant with CMS, state, and federal participation requirements.
The Provider Revalidation Field Representative partners directly with healthcare providers to drive successful completion of provider enrollment and revalidation activities. This role serves as a trusted resource, helping providers navigate Medicaid participation requirements, maintain regulatory compliance, and avoid disruptions in reimbursement or network participation.
Your role in our mission
  • Conduct proactive outreach to healthcare providers regarding enrollment, revalidation requirements, deadlines, and compliance expectations.
  • Serve as the primary point of contact for providers throughout the revalidation process, ensuring timely completion of required documentation and corrective actions.
  • Research and resolve provider inquiries related to enrollment, revalidation, credentialing, participation requirements, claims, and billing operations.
  • Deliver provider education through individual consultations, webinars, workshops, presentations, and outreach activities designed to improve provider engagement and compliance.
  • Monitor provider participation and revalidation progress while collaborating with internal teams to improve completion rates and provider satisfaction.

What we're looking for
  • Two (2) or more years of experience in provider enrollment, provider relations, credentialing, healthcare operations, medical billing, customer service, Medicaid, Medicare, or a related healthcare environment.
  • Experience working with healthcare providers, physician offices, clinics, hospitals, behavioral health providers, long-term care facilities, or other healthcare organizations.
  • Strong verbal and written communication skills with the ability to educate providers, build professional relationships, and deliver excellent customer service.
  • Strong organizational, analytical, and problem-solving skills with the ability to manage multiple priorities and deadlines.
  • Proficiency with Microsoft Office applications, including Excel, Outlook, Word, and Teams.

What you should expect in this role
  • Support critical provider revalidation initiatives that help ensure continued access to care for Medicaid members.
  • Build relationships with healthcare providers and serve as a trusted resource throughout the enrollment and revalidation process.
  • Collaborate with Provider Enrollment, Operations, Compliance, Quality Assurance, and Client teams to improve provider participation and compliance outcomes.
  • Receive training on state-specific provider enrollment and revalidation requirements to support provider success and compliance.
  • Travel within assigned territories may be required based on project and business needs.

*This posting is intended for pipelining. We will accept applications on an ongoing basis.
#LI-HYBRID
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The pay range for this position is $35,000 - $50,000 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.

What Gainwell Technologies employees say

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Benefits

Hours and flexibility

Workplace

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, 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 Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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