Remote Medicaid Long-Term Care Auditor I

Gainwell Technologies; United States; On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Health benefits

401(k) with company match

Flexible vacation policy

Career growth

Company-provided computer

Job summary

Gainwell Technologies is seeking an entry-level Long-Term Care Auditor I to help identify Medicaid improper payments and support the accuracy of long-term care payments. The role emphasizes organization, attention to detail, and collaboration with providers throughout the review process.

In this fully remote position, you will interpret federal and state regulations, analyze provider records, manage a 30+ caseload, and deliver clear reports to management while developing your career through

Qualifications

• 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.

Responsibilities

• Interpret and apply federal and state Medicaid regulations 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+ providers 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

Analytical skills

Problem solving

Communication skills

Independence

Time management

Organizational skills

Education

College degree

Job description

Gainwell Technologies is seeking an entry-level Long-Term Care Auditor I to help identify Medicaid improper payments and support the accuracy of long-term care payments. The role emphasizes organization, attention to detail, and collaboration with providers throughout the review process.

In this fully remote position, you will interpret federal and state regulations, analyze provider records, manage a 30+ caseload, and deliver clear reports to management while developing your career through