Provider Relations Consultant - Remote Idaho

It takes great medical minds to create powerful solutions that solve some of healthcares most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know youve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, youll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

The Provider Relations Consultant supports provider relations operations by assisting healthcare providers, state partners, and internal teams with issue resolution, provider education, claims research, and operational support activities. This role serves as a liaison between the provider community and internal operational teams while helping maintain strong provider relationships, supporting outreach initiatives, and ensuring timely, accurate, and compliant responses to provider inquiries.

Your role in our mission

• Support the Regional Provider Relations team by researching, investigating, documenting, and responding to provider and state partner inquiries within established response time standards.
• Manage out-of-state and non-bordering Idaho provider concerns, including outreach, education, issue resolution, and follow-up.
• Build and maintain professional relationships with healthcare providers, provider offices, associations, state partners, and operational teams.
• Assist with the development and delivery of provider education materials through one-on-one support, virtual meetings, workshops, conferences, and group sessions.
• Research claims, enrollment, credentialing, billing, compliance, and operational issues while identifying opportunities for workflow and process improvement.

What were looking for

• 2+ years of experience in healthcare operations, provider relations, provider services, claims research, provider enrollment, credentialing, medical billing, or healthcare customer support.
• Experience working with healthcare providers, state programs, payer operations, provider offices, billing agencies, or healthcare support functions preferred.
• Experience researching and resolving provider-related claims, enrollment, billing, credentialing, compliance, or operational inquiries.
• Strong written and verbal communication skills with the ability to educate, present, and communicate professionally with providers and stakeholders.
• Strong organizational, analytical, time management, technical, and problem-solving skills with proficiency in Microsoft Office and business systems.

What you should expect in this role

• Remote position supporting healthcare provider operations and provider relations activities throughout Idaho and surrounding service areas.
• Travel may be required for provider site visits, conferences, workshops, team meetings, or operational events, including onsite meetings in Boise, Idaho.
• Fast-paced environment focused on provider satisfaction, operational support, issue resolution, compliance, and continuous process improvement.
• Regular interaction with healthcare providers, provider offices, operational leadership, associations, and state partners.
• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.

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The pay range for this position is $32,700.00 - $46,700.00 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. Youll 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. Youll 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.