Hybrid Provider Enrollment Manager

at Gainwell Technologies

• Job title: Provider Enrollment Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $97,500 - $139,300 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Anchorage, United States

About the role

• Provider Enrollment Manager managing Medicaid provider enrollment and compliance at HMS, a Gainwell Company. Ensuring operational efficiency and high-quality service delivery within healthcare enrollments.

Responsibilities

• Manage the end-to-end Medicaid provider enrollment process, ensuring compliance with CMS and state requirements
• Day-to-day operations of the provider enrollment lifecycle including new enrollments, revalidations, and maintenance updates
• Supervise staff performance to meet or exceed Service Level Agreements, turnaround times, and quality targets
• Ensure compliance with state and federal regulations, manage team performance, and partner closely with clients and internal stakeholders to deliver accurate, timely, and high-quality enrollment processing
• Utilize the Medicaid Management Information System (MMIS) as the system of record for updating provider data, uploading approved enrollment documents, and maintaining data accuracy
• Oversee workflow and document processing using OnBase (Hyland) for document imaging, indexing, and secure storage
• Use Verint Workforce Management (WFM) tools to monitor productivity, adherence, and staffing needs
• Develop and maintain Standard Operating Procedures, training materials, and quality control procedures
• Analyze trends and data to guide strategic planning and continuous improvement initiatives.

Requirements

• Bachelor’s degree in healthcare administration, business administration, public health, or a related field
• Minimum of five (5) years of experience in Medicaid provider enrollment, credentialing, or similar healthcare operations functions
• At least three (3) years supervisory or management experience, leading teams in an operational or production-driven highly matrixed environment
• Working knowledge of Medicaid Management Information Systems (MMIS) and Medicaid provider data standards
• Exceptional written and oral communication and people skills.

Benefits

• generous, flexible vacation policy
• educational assistance
• comprehensive health benefits
• 401(k) employer match
• leadership and technical development academies