Medicaid Case Navigator (Hybrid) — Growth & Impact

Gainwell Technologies; Raleigh (NC); Hybrid; USD 36,000 - 44,000; Full time

Benefits offered by this job

Health benefits

401(k) employer match

Educational assistance

Generous vacation policy

Job summary

Gainwell Technologies in Raleigh, NC is seeking a detail-oriented Case Management Assistant onsite to support Medicaid enrollment and eligibility processing, ensuring accurate data entry and timely case handling. This role focuses on verifying documents, coordinating with employers, and delivering high-quality customer service while adhering to program requirements.

The position offers hybrid work with onsite presence two days a week, a competitive pay range, benefits, 401(k) match, and

Qualifications

• 2+ years of relevant professional experience in subrogation, claims, or case management.
• Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.
• Experience in a legal or insurance office setting (Estate recovery or casualty preferred).
• Familiarity with Medicaid and/or Medicare programs is preferred.

Responsibilities

• Provide enrollment support and HIPP/Premium Assistance program information to Medicaid-eligible individuals and their families via phone.
• Verify, document, and investigate healthcare coverage for Medicaid recipients and their dependents.
• Identify members who may qualify for the HIPP/Premium Assistance program.
• Complete periodic and ad-hoc reports as required.
• Handle high-volume customer service calls, including inquiries about the HIPP/Premium Assistance program.
• Perform accurate and timely data entry.
• Obtain and/or verify all documentation required for eligibility and enrollment into the HIPP/Premium Assistance program.

Skills

Case management experience

Legal/insurance office experience

Subrogation/claims knowledge

Communication skills

Tools

Microsoft Word

Microsoft Excel

Microsoft Access

Job description

Gainwell Technologies in Raleigh, NC is seeking a detail-oriented Case Management Assistant onsite to support Medicaid enrollment and eligibility processing, ensuring accurate data entry and timely case handling. This role focuses on verifying documents, coordinating with employers, and delivering high-quality customer service while adhering to program requirements.

The position offers hybrid work with onsite presence two days a week, a competitive pay range, benefits, 401(k) match, and