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Long Term Care Auditor Jobs (NOW HIRING)

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Onsite Reviewer - Ohio

Toledo, OH · On-site

$25/hr

... care Auditor, Field Reviewer, Quality Assurance, Medicaid Provider Enrollment, Regulatory Compliance, Home Health, Long-Term Care, Public Health, Behavioral Health, Provider Monitoring, Healthcare ...

American Health Partners

Claims Auditor

Franklin, TN · Hybrid

... long-term care facilities. In partnership with nursing home operators, these Medicare Advantage ... Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ...

American Health Partners

Claims Auditor

Indianapolis, IN · Hybrid

... long-term care facilities. In partnership with nursing home operators, these Medicare Advantage ... Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ...

American Health Partners

Claims Auditor

Franklin, TN · On-site

... long-term care facilities. In partnership with nursing home operators, these Medicare Advantage ... Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ...

Molina Healthcare

Auditor, Healthcare Services

Waltham, MA · On-site

$30.37 - $59.21/hr

Preferred Qualifications Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience. To all current Molina employees:

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How much do long term care auditor jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for long term care auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

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Long-Term Care Auditor I - Remote EST / CST

Remote

Gainwell Technologies
Health Care and Social Assistance • 10K+ employees
Learn more about Gainwell Technologiesexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

130th of 247 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
The Long-Term Care Auditor I is an entry level position responsible for the identification and recovery of Medicaid improper payments made to long term care healthcare providers. We are looking for a highly organized and detail-oriented Long-Term Care Auditor I to join our team. In this entry level role, you'll support the accuracy and integrity of long term care Medicaid payments by conducting audits, analyzing financial data, and partnering with providers throughout the review process. The ideal candidate excels at problem-solving, communication, and managing multiple priorities.
Your role in our mission

  • Interpret and apply federal and state Medicaid regulations, statutes, and policies 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+ 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.
What we're looking for
  • 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.
What you should expect in this role
  • Work Arrangement: Fully Remote / Work from Home
  • Must reside in Eastern or Central Time Zone locations
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.
  • Reliable broadband internet required (minimum 24 Mbps download / 8 Mbps upload; higher speeds recommended).
  • To test your connection speed, search "Internet Speed Test" on Google.
Employee Benefits & Perks:
  • Health benefits (medical, dental, and vision) begin on Day 1 of employment.
  • 401(k) with company match and additional benefits become available within the first few months.
  • Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
  • Career growth and advancement opportunities are encouraged and supported.
  • A company-provided computer is supplied for work use.

This posting is intended for pipelining. We will accept applications on an ongoing basis.
#LI-REMOTE #LI-JA1 #LI-CM1
The pay range for this position is ((salaryMin)) - ((salaryMid)) per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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