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Gainwell Technologies

Provider Enrollment Analyst

Gainwell Technologies

Provider Enrollment Analyst contributing to healthcare technology solutions for clients. Supporting claims processing and evaluating adjudication decisions with adherence to policy guidelines.

Posted 6/30/2026full-timeRemote • Montana • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing within the medical and insurance fields, utilizing policy guidelines to evaluate claims and make adjudication decisions while meeting production and quality requirements.

Highest-signal resume keywords
Claims ProcessingAdjudication Decision MakingPolicy Guidelines EvaluationMulti-TaskingIndependent Work

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims EvaluationBasic Computer SkillsReading SkillsAnalysis Skills
Soft Skills
EfficiencyTime Management
Industry Keywords
Medical FieldInsurance FieldPolicy Guidelines

About the role

Key responsibilities & impact
  • Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes
  • Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines
  • Meet production and quality requirements established by clients for timely claims processing
  • Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision

Requirements

What you’ll need
  • Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
  • Basic reading and analysis skills to evaluate claims and make adjudication decisions
  • Basic computer use skills
  • Ability to multi-task across multiple claims to work efficiently
  • Ability to work independently to meet individual production goals

Benefits

Comp & perks
  • Opportunities to travel through your work (0-10%)