Long-Term Care Auditor I - Remote EST / CST

About the role

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. Gainwell Technologies is an Equal Opportunity Employer.

Responsibilities

• 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.

Requirements

• 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

Qualifications

• 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

Skills

• Strong analytical and problem solving skills
• Excellent organizational and time management skills
• Exceptional written and verbal communication skills
• Flexibility to adapt to shifting priorities and follow direction as needed

Benefits

• 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.
• A company-provided computer is supplied for work use.

Pay

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.

Schedule

Work Arrangement: Fully Remote / Work from Home