Provider Revalidation Field Representative - Louisiana
St. George, Louisiana, United States · Hybrid
$35k–$50k/yr
Mid level$1M raised
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 opport…
Skills: Provider Enrollment, Provider Relations, Credentialing, Healthcare Operations, Medical Billing
Provider Revalidation Field Representative - Colorado
Denver, Colorado, United States · Hybrid
$35k–$50k/yr
Mid level$1M raised
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 opport…
Skills: Provider Enrollment, Provider Relations, Credentialing, Healthcare Operations, Medical Billing
Provider Revalidation Field Representative - Arkansas
Conway, Arkansas, United States · Hybrid
$35k–$50k/yr
Mid level$1M raised
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 opport…
Skills: Provider Enrollment, Provider Relations, Credentialing, Healthcare Operations, Medical Billing
Provider Revalidation Field Representative - Delaware
Newark, Delaware, United States · Hybrid
$35k–$50k/yr
Mid level$1M raised
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 opport…
Skills: Provider Enrollment, Provider Relations, Credentialing, Healthcare Operations, Medical Billing
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 opport…
Skills: Proposal Production, Editorial Support, Work Planning, Microsoft Project, Desktop Publishing
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Data Analysis, Requirements Gathering, Process Mapping, Documentation, Data Warehousing
Senior Identity and Access Management Analyst (IAM)
Perry County, Ohio, United States · Remote OK
$81k–$116k/yr
Senior$1M raised
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Identity and Access Management, Information Security, Vulnerability Management, Compliance Management, Technology Audit
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 opport…
Skills: Business Analysis, Requirements Gathering, Data Modeling, Test Case Execution, SQL
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Information systems architecture, Software development life cycle, System design, Data administration, Analytical skills
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Technical Lead - C/Unix Batch Development (Long Term Care)
Perry County, Ohio, United States · Remote Solely
$100k–$115k/yr
Senior+$1M raised
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Technical Lead - C/Unix Batch Development (Long Term Care)
Perry County, Ohio, United States · Remote OK
$100k–$115k/yr
Senior+$1M raised
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: C Programming, Unix, Linux, SQL, Technical Leadership
Muskingum County, Ohio, United States · Remote Solely
$95k–$136k/yr
Senior+$1M raised
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
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 opport…
Skills: Provider Enrollment, Customer Service, Organizational Skills, Verbal Communication, Written Communication
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Medical Claims Recovery Specialist (Subrogation) - Hybrid - Phoenix, AZ
Perry County, Ohio, United States · Hybrid
Mid level$1M raised
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 opport…
Skills: Subrogation, Claims Recovery, Case Management, HIPAA Compliance, Legal Review
Summary As a SharePoint Administrator – SharePoint & Project Server (AWS), you will be responsible for administering, supporting, and maintaining enterprise SharePoint Server and Project Server (PWA) environments hosted …
Skills: SharePoint Server, Project Server, AWS, PowerShell, SQL Server
Medical Claims Recovery Specialist (Subrogation) - Hybrid - Phoenix, AZ
Perry County, Ohio, United States · Hybrid
$31k–$44k/yr
Mid level$1M raised
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 opport…
Skills: Subrogation, Claims Management, Case Management, Microsoft Word, Microsoft Excel
Provider Revalidation Field Representative - Louisiana
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$35k–$50k/yr
Full-time
Flexible Vacation Policy, 401(k) Employer Match, Comprehensive Health Benefits, Educational Assistance, Leadership And Technical Development Academies
Posted 26d ago
~40 hrs/week
Responsibilities
Acts as the primary liaison between Gainwell, state Medicaid programs, and healthcare providers to ensure compliance with enrollment and revalidation requirements. Conducts proactive outreach and provides education to providers to prevent disruptions in reimbursement and network participation.
Requirements
Requires two or more years of experience in provider enrollment, credentialing, or healthcare operations. Must possess strong communication and organizational skills along with proficiency in Microsoft Office applications.
Full 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-PP1
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.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does.
We're the essential ingredient that makes Medicaid work.
For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health.
Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most.
When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare.
Less burden, more mission. Gainwell.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does.
We're the essential ingredient that makes Medicaid work.
For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health.
Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most.
When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare.
Less burden, more mission. Gainwell.