TYLER BRICKEY
Summary
Enterprise Medicaid operations, provider enrollment, and strategy leader with 10+ years at Gainwell Technologies across provider enrollment, provider services, MMIS systems, service delivery, business analysis, and client/account leadership. Proven record standardizing multi-state operating models, translating CMS, MPEC, 42 CFR 455, and state requirements into executable workflows, and leading client, executive, contractual, program, and regulatory decisions across Medicaid programs. Drives modernization, risk reduction, and enterprise best practices across provider platforms, CRM/workflow, contact center, claims, financial, quality, training, compliance, engineering, automation, and cross-COE teams.
Overview
2027
2027
years of professional experience
Work History
Director, Service Delivery - Provider Enrollment Center of Excellence
Gainwell Technologies
01.2025 - Current
- Lead Gainwell’s Provider Enrollment Center of Excellence, setting enterprise provider enrollment strategy, operating models, governance, and KPI frameworks across 20+ Medicaid programs.
- Own enterprise standards for CMS, MPEC, 42 CFR 455, state policy, SLA feasibility, audit readiness, and provider experience; lead client meetings, demos, contractual discussions, and federal/state regulatory discussions across Medicaid accounts.
- Co-lead enterprise best practices and cross-COE alignment with Compliance, Training, Claims, and Call Center COEs; partner with Sales/Solutioning, DDI, Product, ICC/CXOne, Workflow, CRM, Verint, Workspace/Cafe X, RPA/AI, engineering, account leaders, and systems teams to convert design into executable provider solutions.
- Direct provider modernization and technology solutioning across MMIS and provider platforms, Provider+, Provider Workspace/Cafe X, Dynamics CRM, CXOne, Verint, digital forms, screening integrations, automation, and AI-enabled workflows, translating design into scalable controls, processes, and reusable assets.
- Lead multi-state transformation and recovery efforts including Missouri Provider+ DDI and SLA redesign, Indiana/Wisconsin/Louisiana Kaizens and performance remediation, Arkansas automation and policy simplification, Rhode Island modernization, Alaska workflow redesign, Nevada/Pennsylvania solutioning, and Kansas/Virginia/Vermont/Connecticut DDI redesigns.
- Create executive dashboards, KPI dictionaries, QA standards, playbooks, and standardized operating models that strengthen audit readiness, accelerate DDIs, reduce manual work through automation, and improve provider and client outcomes.
Provider Services Manager / Interim Account Delivery Manager
Arkansas Medicaid
11.2023 - 12.2024
- Directed end-to-end Arkansas Medicaid service delivery during a leadership transition, overseeing provider enrollment, call center, provider relations/support, and related functions while serving as primary liaison to Arkansas DHS.
- Led approximately 50 professionals and 5 direct leaders, maintaining 100% SLA performance and audit-ready operations with no major findings or penalties across provider services.
- Drove digital and process modernization to >95% electronic submission, improved routine enrollment completion time to about 4 days, and piloted e-signature/DocuSign workflows that cut selected transaction time 30-40%.
- Used dashboards, targeted training, and portal/process changes to reduce RTP from about 35% to under 25%, cut provider status calls about 20%, and handle demand 20% above forecast without added headcount.
- Led EVV planning, dealt fee-for-service transition, EFT/process simplification, and RPA/AI-enabled improvements; resolved a revalidation defect by reinstating impacted providers same day and deploying a code fix within 24 hours while enabling operations roughly 20% below planned headcount.
Provider Services Manager
Arkansas Medicaid
09.2022 - 10.2023
- Served as primary client contact for provider services and led service delivery across Provider Enrollment, Claims Liaison, Call Center, PCMH/PCM, PACE, Life 360, MCO, financial, and related healthcare programs, building the account leadership foundation for the interim ADM role.
- Directed team performance, escalations, account planning, and process improvement/automation initiatives to meet SLAs and strengthen client partnerships.
- Expanded operational scope and cross-functional leadership that led to selection as interim Account Delivery Manager for the Arkansas Medicaid account in November 2023.
Provider Enrollment Supervisor
Arkansas Medicaid
08.2022 - 09.2022
- Managed provider enrollment operations, daily workload, escalations, and analyst development to ensure timely and accurate application processing and provider updates.
- Partnered on automation and process changes to improve productivity, quality, and provider experience while maintaining service-level performance.
- Built team capability and operational controls that supported promotion into broader provider services leadership.
Business Analyst I
06.2018 - 08.2019
- Gathered and validated business requirements, defined scope, and served as liaison between clients and technical teams for Medicaid system enhancements and implementations.
- Supported solution design, change management, feasibility analysis, proposals, user experience, and documentation of business processes and requirements.
PCMH Analyst
10.2015 - 06.2018
- Managed Patient Centered Medical Home enrollment for 950+ Medicaid providers across 350+ Arkansas locations and supported research on metrics, credentials, beneficiary data, financials, and system design.
- Helped design and implement two PCMH enrollment systems, delivered enrollment data presentations, and managed vendor relationships and invoicing.
Flooring Specialist & Professional Sales Specialis
Home Depot
2013 - 2015
Senior National Account Manager
Next Generation Financial Group
2010 - 2013
Internet Sales Manager & Sales Consultant
Crain Ford Jacksonville
2007 - 2010
Education
Pulaski Technical College
01-2018
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University of Arkansas at Little Rock
01-2007
Criminal Justice Studies
Metropolitan Career Technical Center
01-2005
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Reserve Officers’ Training Corps
01-2005
Skills
- Medicaid Provider Enrollment
- Enterprise Service Delivery
- MMIS & Provider Platforms
- Provider Operations Strategy
- CMS / MPEC / 42 CFR 455
- Client, Contract & Regulatory Leadership
- DDI & Modernization
- Product / Workflow / CRM Governance
- QA / KPI / SLA Frameworks
- RTP & Backlog Reduction
- Automation, RPA & AI
- Cross-COE Collaboration
- Platforms & Tools: MMIS, Provider, Provider Workspace / Cafe X, Dynamics CRM, CXOne, Verint OM, Digital Forms, Screening Integrations, Microsoft Office
ADDITIONAL EXPERIENCE
Earlier experience includes national account management, consultative sales, contract negotiation, client relationship management, and retail sales leadership.
Timeline
Director, Service Delivery - Provider Enrollment Center of Excellence
Gainwell Technologies
01.2025 - Current
Provider Services Manager / Interim Account Delivery Manager
Arkansas Medicaid
11.2023 - 12.2024
Provider Services Manager
Arkansas Medicaid
09.2022 - 10.2023
Provider Enrollment Supervisor
Arkansas Medicaid
08.2022 - 09.2022
Business Analyst I
06.2018 - 08.2019
PCMH Analyst
10.2015 - 06.2018
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University of Arkansas at Little Rock
Criminal Justice Studies
Metropolitan Career Technical Center
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Reserve Officers’ Training Corps
Flooring Specialist & Professional Sales Specialis
Home Depot
2013 - 2015
Senior National Account Manager
Next Generation Financial Group
2010 - 2013
Internet Sales Manager & Sales Consultant
Crain Ford Jacksonville
2007 - 2010
Pulaski Technical College