Remote Chiropractic Consultant (Part-Time, Wisconsin)

Gainwell Technologies; Northern (KY); Hybrid; USD 40,000 - 50,000; Part time

Benefits offered by this job

Health benefits

401(k) match

Educational assistance

Career development academies

Flexible vacation policy

Remote work environment

Job summary

Gainwell Technologies is seeking a Chiropractic Consultant to review Medicaid prior authorizations based on medical necessity. This is a part-time, fully remote role in Wisconsin with a 20-hour workweek.

The position supports providers and internal Gainwell entities, not patient-facing, and emphasizes policy interpretation and cross-team collaboration. Applicants should have a DC license valid in Wisconsin (or able to obtain) and a strong background in chiropractic care and Medicaid programs.

Qualifications

• Must hold a Chiropractic Degree (DC) or equivalent license valid in WI.
• Extensive experience in chiropractic field including provision, delivery, pricing, and coding of requested services.
• Knowledge of Wisconsin Medicaid or other state Medicaid programs.
• Excellent interpersonal, oral, and written communication skills.
• Ability to meet deadlines and manage priorities with minimal supervision.
• Experience collaborating with partners or cross-functional teams toward shared goals.
• Ability to interpret policies and procedures clearly.

Responsibilities

• Adjudicating chiropractic and prior authorizations based on medical necessity and eligibility per state guidelines.
• Reviewing and evaluating prior authorization submissions across multiple systems and requesting information when needed.
• Entering prior authorization outcomes into MMIS for processing.
• Participating in monthly meetings with Gainwell leadership and State stakeholders.
• Providing education to providers on prior authorization submissions when applicable.
• Offering analysis and recommendations on methods to improve administration of the dental program.
• Reviewing communications to providers and members about new or revised policies.

Skills

Interpersonal communication

Oral communication

Written communication

Deadline management

Prioritization

Team collaboration

Policy interpretation

Education

Chiropractic Degree (DC) or equivalent license

Job description

Gainwell Technologies is seeking a Chiropractic Consultant to review Medicaid prior authorizations based on medical necessity. This is a part-time, fully remote role in Wisconsin with a 20-hour workweek.

The position supports providers and internal Gainwell entities, not patient-facing, and emphasizes policy interpretation and cross-team collaboration. Applicants should have a DC license valid in Wisconsin (or able to obtain) and a strong background in chiropractic care and Medicaid programs.