Provider Enrollment Specialist - Remote US

What you should expect in this role

• This is a 100% remote position with 8-hour shifts scheduled Monday through Friday during standard business operating hours.

• Fast-paced, high-volume, highly visible role requiring strong attention to detail while delivering documented, high-quality analytical support within established service level agreement (SLA) timelines and operational standards.

• Utilize claims systems, reporting tools, and operational documentation to review pharmacy claims, validate reimbursement logic, and support claims accuracy and process improvement initiatives.

• Investigate complex inquiries, communicate findings and resolutions to internal and external stakeholders via secure messaging, email, or verbal communication, and document all activity within designated system tools.

• Work both independently and collaboratively with cross-functional teams while supporting operational goals and performance expectations.

• Eligible employees may participate in Gainwell’s comprehensive benefits program, which includes medical, dental, vision, 401(k), paid time off, and other employee wellness and support programs.
  

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