Senior Verification Quality Auditor - Remote

Gainwell Technologies LLC; Oregon; Hybrid; USD 63,000 - 90,000; Full time

Benefits offered by this job

Flexible vacation policy

401(k) match

Health benefits

Educational assistance

Development academies

Job summary

Gainwell Technologies LLC is seeking a Senior Verification Specialist to independently reassess verification reviews, retest controls, and ensure compliance across member and provider interactions related to account access and EFT changes. You will report findings, guide improvements, and collaborate with Compliance, Operations, Quality, Privacy, and Security teams.

This fully remote role offers flexibility for most US locations.

Qualifications

• Five or more years of experience in member or provider verification, health-care operations, or related quality review roles.
• Ability to independently reassess verification reviews and retest controls across end-to-end lifecycles.
• Strong analytical and written communication skills for findings reports and risk-based recommendations.

Responsibilities

• Evaluate verification activities and identify risks to ensure compliance.
• Reassess completed reviews using an audit-the-auditor approach and validate actions.
• Test high-risk request controls and ensure proper documentation and escalation.

Skills

Experience in healthcare operations

Quality reviews

Policy understanding

Analytical skills

Communication skills

Microsoft Office

SharePoint

Tools

Microsoft Office

SharePoint

Case-management systems

Job description

Gainwell Technologies LLC is seeking a Senior Verification Specialist to independently reassess verification reviews, retest controls, and ensure compliance across member and provider interactions related to account access and EFT changes. You will report findings, guide improvements, and collaborate with Compliance, Operations, Quality, Privacy, and Security teams.

This fully remote role offers flexibility for most US locations.