Long-Term Care Auditor I - Remote EST / CST Job Details | Gainwell Technologies LLC

Summary

Gainwell Technologies provides healthcare technology and business solutions. The Long-Term Care Auditor I supports the identification and recovery of Medicaid improper payments to long-term care providers by conducting audits, analyzing financial data, managing provider communications, and preparing reports.

Responsibilities

• Interpret and apply federal and state Medicaid regulations, statutes, and policies related to long term care
• Analyze provider records across multiple accounting software systems to identify discrepancies
• Identify improper payments, including those resulting from inaccurate payments, collections issues, and coordination of benefits
• Serve as the primary liaison for assigned long term care providers, ensuring clear and consistent communication
• Manage a caseload of 30+ in various stages of completion
• Prepare and deliver provider reports and maintain ongoing communication throughout the audit process
• Provide regular status updates and reports to management

Skills

• College degree required
• Strong analytical and problem solving skills
• Ability to work independently, manage competing deadlines, and handle multiple initiatives simultaneously
• Excellent organizational and time management skills to meet or exceed revenue and audit targets
• Exceptional written and verbal communication skills, with the ability to build strong relationships with internal teams and long term care providers
• Flexibility to adapt to shifting priorities and follow direction as needed
• Must reside in Eastern or Central Time Zone locations
• Reliable broadband internet required (minimum 24 Mbps download / 8 Mbps upload; higher speeds recommended)

Qualifications

Must Haves

• College degree required
• Strong analytical and problem solving skills
• Ability to work independently, manage competing deadlines, and handle multiple initiatives simultaneously
• Excellent organizational and time management skills to meet or exceed revenue and audit targets
• Exceptional written and verbal communication skills, with the ability to build strong relationships with internal teams and long term care providers
• Flexibility to adapt to shifting priorities and follow direction as needed
• Must reside in Eastern or Central Time Zone locations
• Reliable broadband internet required (minimum 24 Mbps download / 8 Mbps upload; higher speeds recommended)

Benefits

• Fully Remote / Work from Home
• Health benefits (medical, dental, and vision) begin on Day 1 of employment.
• 401(k) with company match and additional benefits become available within the first few months.
• Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.
• Educational assistance.
• Leadership and technical development academies to help build your skills and capabilities.