Managed Care Auditor Jobs (NOW HIRING)

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 Bachelor's degree required or Associate's degree with five(5) years of related experience 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. The pay range for this position is $45,000.00 - $55,000.00 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.