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Provider Enrollment Manager Jobs in Delaware (NOW HIRING)

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

... enrollments. While leads are provided, this is not an inbound or appointment-setting role ... Manage inbound calls as volume allows, with outbound calling remaining the primary responsibility

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Showing results 1-20

Provider Enrollment Manager information

See Delaware salary details

$35.5K

$86.5K

$117.1K

How much do provider enrollment manager jobs pay per year?

As of Jul 27, 2026, the average yearly pay for provider enrollment manager in Delaware is $86,453.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,100.00 and $116,600.00 per year, depending on experience, location, and employer.

What is a Provider Enrollment Manager?

A Provider Enrollment Manager is responsible for overseeing the process by which healthcare providers become authorized to bill insurance companies, Medicare, or Medicaid for their services. They manage applications, verify credentials, and ensure compliance with regulations to maintain active provider statuses. Their role is crucial in minimizing delays in reimbursement and avoiding compliance issues for healthcare organizations. Provider Enrollment Managers typically work in hospitals, healthcare systems, or insurance companies, and they often supervise a team that handles provider credentialing and enrollment tasks.

What are the key skills and qualifications needed to thrive as a Provider Enrollment Manager, and why are they important?

To thrive as a Provider Enrollment Manager, you need expertise in healthcare regulations, credentialing processes, and provider data management, typically supported by a degree in healthcare administration or a related field. Familiarity with enrollment software, credentialing databases, and compliance tracking systems is essential. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These capabilities ensure timely and accurate provider enrollments, regulatory compliance, and efficient healthcare operations.

What is the difference between Provider Enrollment Manager vs Provider Relations Specialist?

AspectProvider Enrollment ManagerProvider Relations Specialist
CredentialsTypically requires healthcare administration, insurance, or related certificationsOften requires customer service, healthcare, or administrative certifications
Work EnvironmentOffice-based, focused on enrollment processes and complianceOffice or hospital-based, focused on communication and relationship building
Employer & Industry UsageHealth insurance companies, healthcare providers, government programsHospitals, clinics, healthcare networks, insurance companies
Search & Comparison IntentUnderstanding enrollment processes, credentialing, and complianceBuilding provider relationships, resolving provider issues

The Provider Enrollment Manager primarily handles provider credentialing, enrollment, and compliance with insurance plans, ensuring providers are properly registered. In contrast, the Provider Relations Specialist focuses on maintaining positive relationships with providers, addressing their concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

What are some common challenges faced by Provider Enrollment Managers, and how can they be effectively addressed?

Provider Enrollment Managers often encounter challenges such as navigating complex payer requirements, managing high volumes of applications, and ensuring timely credentialing to prevent delays in provider onboarding. Staying organized, maintaining clear communication with payers and internal teams, and utilizing enrollment management software can help mitigate these challenges. Building strong relationships with both providers and insurance representatives also facilitates smoother processes and quicker resolution of issues.
What are the most commonly searched types of Provider Enrollment jobs in Delaware? The most popular types of Provider Enrollment jobs in Delaware are:
What are popular job titles related to Provider Enrollment Manager jobs in Delaware? For Provider Enrollment Manager jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Provider Enrollment Manager jobs in Delaware look for? The top searched job categories for Provider Enrollment Manager jobs in Delaware are:
What cities in Delaware are hiring for Provider Enrollment Manager jobs? Cities in Delaware with the most Provider Enrollment Manager job openings:
Infographic showing various Provider Enrollment Manager job openings in Delaware as of July 2026, with employment types broken down into 78% Full Time, 15% Part Time, 1% Temporary, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $86,453 per year, or $41.6 per hour.
Provider Revalidation Field Representative - Delaware

Provider Revalidation Field Representative - Delaware

Gainwell Technologies

Newark, DE • Hybrid

$35K - $50K/yr

Other

Medical, Life, Retirement, PTO

Posted 9 days ago


Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

136th of 245 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

#LI-LS2

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

Pay

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Hours and flexibility

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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