Provider Enrollment Field Analyst - Baton Rouge, LA (Site Visits)

Date: Jan 13, 2025

Location:

Baton Rouge, LA, US, 70809-0204

Req ID: 28783

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

As a Provider Enrollment Field Analyst - Baton Rouge, LA (Site Visits) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Conduct On-Site Surveys: Perform site visits to healthcare provider facilities to assess compliance with enrollment requirements in accordance with CMS, state, and federal regulatory guidelines.
Accurate Documentation: Maintain detailed and accurate records of all site survey findings and observations.
Facility and Operations Review: Evaluate and document the physical infrastructure, equipment, and operational resources at each site to ensure alignment with standards.
Customer Interaction: Manage interactions with healthcare providers professionally, both over the phone and in person.
Effective Communication: Exhibit strong verbal and written communication skills to engage with providers effectively and produce clear, comprehensive reports.
Data Analysis: Analyze collected data to determine compliance outcomes (pass/fail) and identify areas of improvement.
Informed Decision-Making: Make sound, timely decisions regarding provider suitability for basic enrollment processes based on survey findings.
Regulatory Compliance Expertise: Communicate state and federal requirements to providers and document policies in accordance with specified guidelines.
Industry Knowledge: Demonstrate a solid understanding of key concepts and principles in the healthcare and/or insurance fields.

What we're looking for

High School Diploma/GED Required
1–3 years of experience in healthcare operations, provider enrollment, or compliance roles.
Ability to analyze provider documentation and site compliance with regulatory standards.
Willingness to travel locally or regionally to perform site surveys.
Valid driver’s license and reliable transportation.

What you should expect in this role

Hybrid position in Baton Rouge, LA region
This position requires 40% or more travel, some overnight and weekend travel will be required.
Video cameras must be used during all interviews, as well as during the initial week of orientation.
Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.

#LI-HYBRID #LI-JA1 #LI-CM1

The pay range for this position is $29,100.00 - $41,600.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.