Gainwell Technologies
Provider Enrollment Manager (Anchorage, AK)
Gainwell Technologies, Anchorage, Alaska, United States, 99507
Provider Enrollment Manager (Anchorage, AK)
As a Provider Enrollment Manager at HMS (a Gainwell Technologies Company), you will have a critical role in supporting access to care by ensuring qualified providers are enrolled to deliver services to Medicaid members, directly impacting healthcare delivery across the community. You will be responsible for overseeing the day-to-day operations of provider enrollment activities within the Alaska Medicaid program, ensuring compliance with state and federal regulations, managing team performance, and partnering closely with the client, providers, and internal stakeholders to deliver accurate, timely and high‑quality enrollment processing.
This position supports the Account Delivery Manager (ADM), Regional Leader and internal business partners in achieving or exceeding contractual obligations and company goals and objectives.
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.
Ensures compliance with state and federal regulations, manage team performance, and partners 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.
Analyzes trends and data to guide strategic planning and continuous improvement initiatives.
Qualifications
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.
Expectations and Benefits
Hybrid role with preference for Anchorage, AK office; possibility to work remotely from another state for the right candidate.
Worker must work Alaska Standard Time (AKST) hours.
Full-time permanent regular salaried (W-2) employee position.
Monday through Friday work schedule (40 hours per week).
Health (medical, dental, vision) benefits start on day 1 of employment.
Company match 401K and other benefits available within months of starting.
Flexible vacation policy after 90 calendar days of employment; any exception requires manager approval prior to employee’s Gainwell start date.
Company provided computer for work use.
For hybrid and remote positions employees’ broadband internet connections should have a minimum speed of 24 Mbps download and 8 Mbps upload.
Video cameras must be used during all interviews and during the initial week of orientation if hired.
Position posted until November 19, 2025.
The pay range for this position is $97,500.00 - $139,300.00 per year; base pay may vary depending on geographic region, internal equity, job-related knowledge, skills and experience among other factors.
Gainwell Technologies is an Equal Opportunity Employer. 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.
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This position supports the Account Delivery Manager (ADM), Regional Leader and internal business partners in achieving or exceeding contractual obligations and company goals and objectives.
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.
Ensures compliance with state and federal regulations, manage team performance, and partners 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.
Analyzes trends and data to guide strategic planning and continuous improvement initiatives.
Qualifications
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.
Expectations and Benefits
Hybrid role with preference for Anchorage, AK office; possibility to work remotely from another state for the right candidate.
Worker must work Alaska Standard Time (AKST) hours.
Full-time permanent regular salaried (W-2) employee position.
Monday through Friday work schedule (40 hours per week).
Health (medical, dental, vision) benefits start on day 1 of employment.
Company match 401K and other benefits available within months of starting.
Flexible vacation policy after 90 calendar days of employment; any exception requires manager approval prior to employee’s Gainwell start date.
Company provided computer for work use.
For hybrid and remote positions employees’ broadband internet connections should have a minimum speed of 24 Mbps download and 8 Mbps upload.
Video cameras must be used during all interviews and during the initial week of orientation if hired.
Position posted until November 19, 2025.
The pay range for this position is $97,500.00 - $139,300.00 per year; base pay may vary depending on geographic region, internal equity, job-related knowledge, skills and experience among other factors.
Gainwell Technologies is an Equal Opportunity Employer. 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.
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