Remote Medicaid Long-Term Care Auditor I

Gainwell Technologies LLC; United States; Remote; USD 52,000 - 68,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Flexible vacation policy

Company computer

Job summary

Gainwell Technologies is seeking a Long-Term Care Auditor I to join our remote team. This entry level role focuses on identifying Medicaid improper payments in long term care, auditing provider records, and ensuring accuracy of payments.

You will collaborate with providers throughout the review process and manage a 30+ caseload. The ideal candidate brings a college degree, strong analytical skills, and the ability to communicate clearly with internal teams and providers.

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 targets.
• Exceptional written and verbal communication skills with providers and internal teams.

Responsibilities

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

Skills

Analytical thinking

Problem solving

Written and verbal communication

Time management

Education

College degree

Tools

Accounting software

Job description

Gainwell Technologies is seeking a Long-Term Care Auditor I to join our remote team. This entry level role focuses on identifying Medicaid improper payments in long term care, auditing provider records, and ensuring accuracy of payments.

You will collaborate with providers throughout the review process and manage a 30+ caseload. The ideal candidate brings a college degree, strong analytical skills, and the ability to communicate clearly with internal teams and providers.