Gainwell Technologies LLC is hiring for work from home roles

Gainwell Technologies LLC

204 Remote Job Openings at Gainwell Technologies LLC

Associate Professional Application Designer

Gainwell Technologies LLC · Full Time · 2 days ago
Gainwell Technologies LLC
🌎 United States 💵 $43500 - $62200 per year ⭐ 0-2 yrs exp 💼 Design
The Associate Professional Application Designer will design, develop, test, and document software applications while collaborating with cross-functional teams to ensure successful deployment. They will act as a bridge between architects and developers to define project requirements and deliver effective technical solutions.

Provider Enrollment Analyst - Remote CT

Gainwell Technologies LLC · Full Time · 2 days ago
Gainwell Technologies LLC
🌎 United States 💵 $29100 - $41600 per year ⭐ 0-2 yrs exp 💼 Others
The Provider Enrollment Analyst will manage credentialing-related tasks to support healthcare operations and client needs. The role involves maintaining high attention to detail while processing enrollment documentation and solving business challenges.

Provider Enrollment Analyst - Remote

Gainwell Technologies LLC · Full Time · 2 days ago
Gainwell Technologies LLC
🌎 United States 💵 $27200 - $38900 per year ⭐ 2-5 yrs exp 💼 Others
The analyst performs complex processing and quality tasks to support outsourced healthcare services while ensuring adherence to compliance and regulatory standards. They are responsible for analyzing data, preparing reports, and collaborating with management and clients to resolve issues and improve workflows.

Provider Enrollment Quality Assurance - Remote

Gainwell Technologies LLC · Full Time · 2 days ago
Gainwell Technologies LLC
🌎 United States 💵 $40900 - $58400 per year ⭐ 2-5 yrs exp 💼 Software Development
Perform complex processing, quality reviews, audits, and reporting activities to support outsourced healthcare services. Identify operational issues, recommend workflow improvements, and provide leadership and guidance to team members.

Vice President, Data Analytics

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $176K - $251K per year ⭐ 10+ yrs exp 💼 Software Development
The Vice President will lead the strategy, operating model, and process improvement agenda for payment integrity, claim review, and data mining intelligence. This role is responsible for building scalable capabilities to improve claim audit throughput, accuracy, and revenue predictability while partnering with cross-functional teams.

Advisor Product, Medicaid Solutions

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Others
The Advisor Product will lead Medicaid claims-related product strategy and domain roadmaps to modernize core adjudication capabilities. They will collaborate with cross-functional teams to translate complex program needs into scalable, data-driven product solutions.

Sr. Batch Developer (Linux/C/SQL)

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $75000 - $95000 per year ⭐ 5-10 yrs exp 💼 Software Development
The Sr. Batch Developer will code, test, debug, and document complex programs while providing technical consulting to clients and management. They will also lead a small sub-team of developers and participate in QA activities to ensure high-quality system components.

Advisor Information Systems Architect

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 10+ yrs exp 💼 Software Development
The advisor participates in establishing information system frameworks and defining components to ensure alignment with business needs. They also work with clients to eliminate architectural gaps and ensure solutions meet performance and project constraints.

Senior Principal Product, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $126K - $181K per year ⭐ 10+ yrs exp 💼 Legal
The Senior Principal Product lead will define the portfolio-level product direction for Medicaid claims-related domains and shape the enterprise strategy for core adjudication modernization. This role involves partnering with cross-functional teams to align strategy with scalable execution and driving measurable transformation outcomes.

Business Analyst

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $55600 - $79400 per year ⭐ 2-5 yrs exp 💼 Software Development
The Business Analyst serves as a liaison between clients, project managers, and technical teams to gather and document business requirements and process flows. They also act as a subject matter expert in Medicaid financial processing while coordinating project milestones and supporting testing activities.

Principal Product, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $116K - $165K per year ⭐ 10+ yrs exp 💼 Legal
Lead product strategy for Medicaid claims-related domains by translating complex program needs into clear product roadmaps and outcomes. Partner with cross-functional teams to modernize core adjudication capabilities through data-driven discovery, experimentation, and scalable execution.

Principal Product, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 10+ yrs exp 💼 Legal
The Product Strategist will lead the transformation of Medicaid claims-related product domains by defining strategy, roadmaps, and investment priorities. They will collaborate with cross-functional teams to modernize core adjudication capabilities and ensure alignment with regulatory and business requirements.

Principal Product, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $126K - $181K per year ⭐ 10+ yrs exp 💼 Legal
Define portfolio-level product direction for Medicaid claims-related domains and shape enterprise strategy for core adjudication modernization. Lead cross-division alignment on product decisions, strategic tradeoffs, and measurable transformation outcomes.

Professional Programmer Analyst

Gainwell Technologies LLC · Full Time · 3 days ago
Gainwell Technologies LLC
🌎 United States 💵 $58200 - $83200 per year ⭐ 2-5 yrs exp 💼 Software Development
The Batch Developer will code, test, and implement complex technical programs while participating in requirements gathering and design documentation. They will also provide on-call support, troubleshoot production issues, and perform root cause analysis to ensure system stability.

Healthcare Call Center Representative - Remote Texas

Gainwell Technologies LLC · Full Time · 4 days ago
Gainwell Technologies LLC
🌎 United States 💵 $26500 - $37800 per year ⭐ 0-2 yrs exp 💼 Support
The representative will respond to inbound calls from Medicaid providers and members to verify insurance coverage and coordinate benefits. Additionally, they will process correspondence and perform data entry while maintaining compliance with HIPAA regulations.

Healthcare Claims Resolution Specialist - Remote US

Gainwell Technologies LLC · Full Time · 4 days ago
Gainwell Technologies LLC
🌎 United States 💵 $26500 - $37800 per year ⭐ 0-2 yrs exp 💼 Legal
The specialist will resolve healthcare claims by collaborating with providers and insurance carriers to manage denials, appeals, and reimbursement issues. They are responsible for documenting claim activity, monitoring aging reports, and ensuring compliance with payer regulations.

Director, Engagement Lead

Gainwell Technologies LLC · Full Time · 4 days ago
Gainwell Technologies LLC
🌎 United States 💵 $127K - $182K per year ⭐ 10+ yrs exp 💼 Others
The Engagement Lead is responsible for overseeing complex client implementation initiatives, ensuring they meet scope, schedule, budget, and quality expectations. This role serves as the primary point of accountability, managing cross-functional teams and maintaining senior-level client relationships throughout the program lifecycle.

Senior Quality Assurance Analyst - M4

Gainwell Technologies LLC · Full Time · 4 days ago
Gainwell Technologies LLC
🌎 United States 💵 $63000 - $90000 per year ⭐ 5-10 yrs exp 💼 Software Development
The Senior Quality Assurance Analyst establishes and maintains project-specific quality assurance strategies, plans, and metrics to ensure process and product compliance. They also lead quality programs, conduct audits, and provide mentorship to less experienced team members.

Member/Provider Call Center Lead - Greater Sacramento - Remote

Gainwell Technologies LLC · Full Time · 4 days ago
Gainwell Technologies LLC
🌎 United States 💵 $35900 - $51300 per year ⭐ 2-5 yrs exp 💼 Support
The role involves answering customer inquiries, managing telephone communications, and ensuring data integrity through weekly reporting. You will also monitor daily transactions to ensure compliance with service level agreements and support team operations.

DRG Quality Advisor Nurse- Remote

Gainwell Technologies LLC · Full Time · 4 days ago
Gainwell Technologies LLC
🌎 United States 💵 $90000 - $110K per year ⭐ 5-10 yrs exp 💼 Healthcare
The DRG Quality Advisor Nurse performs ongoing quality assurance audits, complex clinical review validations, and DRG clinical/coding audits of medical records. They also assist management with onboarding, training, and mentoring new reviewers while serving as a subject matter expert for business initiatives.

Senior Configuration Management

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $72800 - $104K per year ⭐ 5-10 yrs exp 💼 Others
The Senior Configuration Management professional will design and develop complex integrated solutions while managing CI/CD workflows and data environment migrations. They will also provide escalated technical support, automate infrastructure monitoring, and lead root cause analysis for system performance issues.

.NET C# Developer

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $60000 - $80000 per year ⭐ 2-5 yrs exp 💼 Software Development
The developer will design, code, test, and maintain .NET applications to support healthcare and human services solutions. They are responsible for identifying production issues, ensuring system uptime, and collaborating with project managers on technical specifications.

Product Experience Owner - Verint Operations Manager

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $80600 - $115K per year ⭐ 5-10 yrs exp 💼 Product
The Product Experience Owner manages the operational roadmap and workflow standardization for the Verint Operations Manager platform. They serve as the primary liaison between business stakeholders and technology teams to ensure platform capabilities align with operational execution needs.

Provider/Member Call Center Agent - Greater Sacramento - Remote

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $35900 - $51300 per year ⭐ 2-5 yrs exp 💼 Support
The agent is responsible for responding to provider and member inquiries regarding eligibility and benefits via telephone and written requests. They must document all interactions in a CRM system and conduct outbound calls as required by business needs.

Remote Call Center Representative (US)

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $25300 - $36200 per year ⭐ 2-5 yrs exp 💼 Support
The representative will answer incoming calls to provide professional assistance while accurately documenting interactions and updating account histories. They are responsible for resolving customer inquiries, escalating complex issues, and collaborating with team members to meet service-level agreements.

Senior Business Analyst - CTLS Business Lead

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 10+ yrs exp 💼 Software Development
The Senior Business Analyst serves as the functional lead for the Children's Long-Term Support program, managing maintenance activities and projects while acting as the primary liaison between business and technical teams. They are responsible for requirements gathering, process improvement, stakeholder alignment, and ensuring successful delivery of business outcomes within a complex Medicaid environment.

.NET Web Developer

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $65000 - $85000 per year ⭐ 2-5 yrs exp 💼 Software Development
You will design, develop, test, and maintain large-scale web applications while collaborating with stakeholders to define business requirements. Additionally, you will troubleshoot technical issues and participate in design sessions to ensure the delivery of high-quality healthcare administration products.

Associate Manager, Inpatient/Outpatient Coding Review- Remote

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $85000 - $109K per year ⭐ 5-10 yrs exp 💼 Others
Supervise a multidisciplinary team of coders and auditors to ensure accurate medical record coding and DRG validation. Develop quality assurance processes, monitor performance metrics, and provide coaching to maintain regulatory integrity and revenue accuracy.

Healthcare Contact Center Agent - Remote US

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $29100 - $41600 per year ⭐ 2-5 yrs exp 💼 Support
Provide knowledgeable responses to client inquiries and resolve issues while maintaining accurate account history. Collaborate with team members and management to improve workflow procedures and meet production targets.

Senior Business Analyst - Provider+

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
The Senior Business Analyst will translate state and federal Medicaid policy into system requirements and design artifacts to support MMIS and pharmacy environments. They will act as a domain subject matter expert, collaborating with cross-functional teams to ensure successful implementation, configuration, and operational readiness.

Batch Developer (UNIX/C/SQL)

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $60000 - $80000 per year ⭐ 2-5 yrs exp 💼 Software Development
The Batch Developer will code, test, debug, and implement low to moderately complex programs while creating necessary technical documentation. They will also design systems to meet business needs and collaborate with project managers to estimate tasks and validate requirements.

Provider Enrollment Analyst - Remote US

Gainwell Technologies LLC · Full Time · 5 days ago
Gainwell Technologies LLC
🌎 United States 💵 $40000 - $45000 per year ⭐ 0-2 yrs exp 💼 Others
The Provider Enrollment Analyst reviews, processes, and verifies Medicaid provider enrollment and revalidation applications to ensure accuracy and regulatory compliance. They also research and resolve enrollment discrepancies while maintaining accurate records and supporting program integrity initiatives.

Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)

Gainwell Technologies LLC · Full Time · 6 days ago
Gainwell Technologies LLC
🌎 United States 💵 $95000 - $120K per year ⭐ 10+ yrs exp 💼 Software Development
Lead the development and modernization of healthcare claims solutions while mentoring software engineers to deliver high-quality, scalable systems. Partner with cross-functional teams to ensure technical delivery aligns with client needs throughout the software development lifecycle.

Batch Developer (UNIX/LINUX/C/SQL)

Gainwell Technologies LLC · Full Time · 6 days ago
Gainwell Technologies LLC
🌎 United States 💵 $60000 - $80000 per year ⭐ 2-5 yrs exp 💼 Software Development
The developer will code, test, debug, and implement moderately complex programs while analyzing specifications and requirements. They will also provide technical consulting, participate in QA activities, and lead small sub-teams of developers.

Advisor Marketing

Gainwell Technologies LLC · Full Time · 6 days ago
Gainwell Technologies LLC
🌎 India ⭐ 10+ yrs exp 💼 Marketing
Develop and optimize the corporate website using WordPress VIP and create high-converting landing pages via HubSpot CMS. Collaborate with cross-functional teams to ensure a secure, accessible, and performance-optimized web experience.

Client Services Analyst II

Gainwell Technologies LLC · Full Time · 6 days ago
Gainwell Technologies LLC
🌎 United States 💵 $44500 - $63500 per year ⭐ 2-5 yrs exp 💼 Support
Support the delivery of client services by analyzing performance, resolving issues, and ensuring the timely delivery of data files and reporting. Collaborate with cross-functional teams to translate client requirements and drive improvements in KPIs and service delivery.

Process Writer

Gainwell Technologies LLC · Full Time · 6 days ago
Gainwell Technologies LLC
🌎 United States 💵 $55000 - $65000 per year ⭐ 2-5 yrs exp 💼 Writing
The Process Writer is responsible for documenting CX functional processes through flowcharts, process maps, and the creation of Standard Operating Procedures (SOPs) and Desk Level Procedures (DLPs). The role involves collaborating with Lean Six Sigma Black Belts to identify inefficiencies and maintain standardized documentation across the organization.

N-Tiered Web Developer (ASP & VB.NET/C#)

Gainwell Technologies LLC · Full Time · 6 days ago
Gainwell Technologies LLC
🌎 United States 💵 $60000 - $80000 per year ⭐ 2-5 yrs exp 💼 Software Development
Design, develop, and maintain complex N-Tiered business applications through all phases of the system lifecycle. Collaborate with team members to analyze system requirements, create test plans, and provide ongoing maintenance for vendor applications.

Quality Assurance & Compliance Specialist - Remote US

Gainwell Technologies LLC · Full Time · 7 days ago
Gainwell Technologies LLC
🌎 United States 💵 $47100 - $67300 per year ⭐ 2-5 yrs exp 💼 Software Development
Support quality assurance, contract compliance, and governance for the Wisconsin MMIS contract. Analyze performance trends and identify root causes to drive process improvements and ensure contractual requirements are met.

Medical Claims Resolution Analyst - Remote US

Gainwell Technologies LLC · Full Time · 9 days ago
Gainwell Technologies LLC
🌎 United States 💵 $26500 - $37800 per year ⭐ 0-2 yrs exp 💼 Legal
The analyst is responsible for researching, reviewing, and resolving medical and dental claims according to established guidelines. This includes collaborating with internal departments to ensure accurate processing and communicating status updates to leadership.

Experienced Information Systems Architect - ServiceNow

Gainwell Technologies LLC · Full Time · 10 days ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 5-10 yrs exp 💼 Software Development
Lead the design, implementation, and governance of enterprise-wide ServiceNow solutions with a focus on platform scalability and architectural integrity. Manage third-party integrations and optimize CMDB health and data relationship modeling.

Information Security Officer (ISO)

Gainwell Technologies LLC · Full Time · 10 days ago
Gainwell Technologies LLC
🌎 United States 💵 $90900 - $129K per year ⭐ 10+ yrs exp 💼 Software Development
The ISO is accountable for security-related compliance and delivery for assigned customers, acting as a trusted advisor for healthcare industry regulated security requirements. Key duties include managing security risks, reporting on threat and vulnerability management, and coordinating security metrics and incident responses.

Technical Lead - C/Unix Batch Development (Long Term Care)

Gainwell Technologies LLC · Full Time · 10 days ago
Gainwell Technologies LLC
🌎 United States 💵 $100K - $115K per year ⭐ 10+ yrs exp 💼 Software Development
Lead and mentor a technical team to deliver high-quality C/Unix batch development solutions while overseeing the end-to-end software development lifecycle. Collaborate with cross-functional teams to design technical architecture and ensure alignment with business objectives for healthcare clients.

Provider Enrollment Quality Assurance Analyst - AR (Remote)

Gainwell Technologies LLC · Full Time · 10 days ago
Gainwell Technologies LLC
🌎 United States 💵 $27200 - $38900 per year ⭐ 2-5 yrs exp 💼 Software Development
Perform complex quality assurance tasks and processing for provider enrollment services to ensure efficient transaction handling. Analyze reports, implement process improvements, and maintain documentation for standard operating procedures.

Associate Service Delivery Coordinator - Remote

Gainwell Technologies LLC · Full Time · 10 days ago
Gainwell Technologies LLC
🌎 United States 💵 $40900 - $58400 per year ⭐ 2-5 yrs exp 💼 Others
Perform complex processing, quality reviews, and audits to support outsourced healthcare services. Provide leadership and guidance to team members while implementing workflow improvements and maintaining standard operating procedures.

Dental Services and Clinical Policy Manager (Remote in California)

Gainwell Technologies LLC · Full Time · 10 days ago
Gainwell Technologies LLC
🌎 United States 💵 $121K - $174K per year ⭐ 5-10 yrs exp 💼 Healthcare
Manage a team of dental consultants to support Medi-Cal Dental operations, including grievances, appeals, and provider training. Analyze trends to improve clinical policies, workflows, and IT applications while ensuring adherence to laws and industry standards.

Operational Analyst - Verint Operations Manager Configuration

Gainwell Technologies LLC · Full Time · 11 days ago
Gainwell Technologies LLC
🌎 United States 💵 $51700 - $73800 per year ⭐ 2-5 yrs exp 💼 Others
Configure and maintain Verint Operations Manager workflows, queues, and task attributes to optimize enterprise platforms. Partner with operational leaders and technology teams to translate business requirements into governed technical configurations.

Data Exchange Project Manager

Gainwell Technologies LLC · Full Time · 11 days ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
Lead large project management teams to deliver data exchange services between Gainwell systems and third parties. Responsible for project planning, budget oversight, risk mitigation, and the creation of detailed SOWs for business development.

Product

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $116K - $165K per year ⭐ 10+ yrs exp 💼 Others
Lead the product strategy for Medicaid claims-related domains to modernize core adjudication capabilities and platform strategy. Partner with cross-functional teams to translate complex payer and program needs into clear product outcomes and roadmaps.

Product

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 10+ yrs exp 💼 Others
Lead the product strategy for Medicaid claims-related domains to modernize core adjudication capabilities and platform strategy. Partner with cross-functional teams to translate complex payer needs into clear product outcomes and domain roadmaps.

Product

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $126K - $181K per year ⭐ 10+ yrs exp 💼 Others
Lead the strategy and transformation of Medicaid claims-related product domains, including member, provider, benefits, clinical, and finance. Align enterprise product strategy with scalable execution by partnering with engineering, architecture, and executive stakeholders.

Product Strategist, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $116K - $165K per year ⭐ 10+ yrs exp 💼 Product
Lead the product strategy for Medicaid claims-related domains to modernize core adjudication capabilities and platform strategy. Partner with cross-functional teams to translate complex payer needs into clear product outcomes and domain roadmaps.

Senior Portfolio Strategist, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $126K - $181K per year ⭐ 10+ yrs exp 💼 Legal
Lead the strategy and transformation of Medicaid claims-related product domains, including member, provider, benefits, clinical, and finance. Partner with cross-functional teams to modernize core adjudication products and align platform direction with executive goals.

Product Strategist, Medicaid Claims Transformation

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 10+ yrs exp 💼 Product
Lead the product strategy for Medicaid claims-related domains to modernize core adjudication capabilities and platform strategy. Partner with cross-functional teams to translate complex payer needs into clear product outcomes and domain roadmaps.

Operational Analyst - Verint Operations Manager Configuration

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $51700 - $73800 per year ⭐ 2-5 yrs exp 💼 Others
Configure and maintain Verint Operations Manager workflows, queues, and task attributes to align with business requirements. Perform functional testing and maintain detailed documentation to ensure standardized work orchestration across environments.

Experienced Project Manager

Gainwell Technologies LLC · Full Time · 12 days ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
Oversee multiple complex projects and lead implementation teams to drive payment integrity growth and revenue recognition. Responsible for project planning, budget control, risk mitigation, and communicating project metrics to client and company leadership.

Senior Graphic Designer

Gainwell Technologies LLC · Full Time · 13 days ago
Gainwell Technologies LLC
🌎 India ⭐ 5-10 yrs exp 💼 Design
The Senior Graphic Designer will create visually compelling, brand-aligned assets for marketing, sales, and executive communications across digital and print channels. This includes designing digital ads, landing pages, sales decks, and complex collateral to translate technology and healthcare concepts into clear visuals.

Customer Experience (CX) Mobilization - PM/BA

Gainwell Technologies LLC · Full Time · 13 days ago
Gainwell Technologies LLC
🌎 United States 💵 $64900 - $92700 per year ⭐ 5-10 yrs exp 💼 Support
Act as a bridge between stakeholders and clients to ensure CX-specific requirements are documented and met for contact center launches. Analyze business processes and develop operational reports to support client objectives and healthcare goals.

Long-Term Care (LTC) Medical Coding Policy SME - Remote, Wisconsin

Gainwell Technologies LLC · Full Time · 13 days ago
Gainwell Technologies LLC
🌎 United States 💵 $64500 - $85000 per year ⭐ 5-10 yrs exp 💼 Healthcare
Serve as a subject matter expert for Wisconsin Medicaid Long-Term Care programs by analyzing medical coding updates and implementing reimbursement policies. Collaborate with stakeholders to ensure system configuration and coding guidance remain compliant and accurate.

Operational Readiness & Review (ORR) Lead

Gainwell Technologies LLC · Full Time · 13 days ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 5-10 yrs exp 💼 Others
Oversee readiness assessments, demonstrations, and cutover processes for transitioning legacy systems into Gainwell solutions, specifically within Medicaid systems. Facilitate client meetings to showcase business results and maintain operational readiness plans and reports.

Senior Business Analyst

Gainwell Technologies LLC · Full Time · 14 days ago
Gainwell Technologies LLC
🌎 United States 💵 $64900 - $92700 per year ⭐ 5-10 yrs exp 💼 Software Development
The role involves acting as a bridge between clients and technical staff to define and document business requirements for IT projects. Responsibilities include coordinating business analyst activities, improving business processes, and validating test results to ensure client objectives are met.

Cloud Application Support

Gainwell Technologies LLC · Full Time · 14 days ago
Gainwell Technologies LLC
🌎 United States 💵 $64500 - $92200 per year ⭐ 5-10 yrs exp 💼 Software Development
Provide application and operations support for cloud-based infrastructure on Azure and AWS, including environment setup and deployment. Collaborate with development teams and end users to troubleshoot issues and apply ITIL principles for service management.

Business Analyst - Healthcare

Gainwell Technologies LLC · Full Time · 16 days ago
Gainwell Technologies LLC
🌎 United States 💵 $55600 - $79400 per year ⭐ 2-5 yrs exp 💼 Software Development
Collaborate with clients to research, validate, and document business needs for the Medicaid Management Information System (MMIS). Manage system updates for CPT, HCPCS, and diagnosis codes while maintaining operating procedure manuals.

Technical Project Manager

Gainwell Technologies LLC · Full Time · 16 days ago
Gainwell Technologies LLC
🌎 United States 💵 $92900 - $132K per year ⭐ 10+ yrs exp 💼 Product
Lead large technical project teams to deliver healthcare and human services outcomes through planning, tracking, and oversight. Manage project budgets, schedules, and risks while coordinating with clients and leadership to ensure quality deliverables.

Provider Enrollment Business Analyst - Remote WV

Gainwell Technologies LLC · Full Time · 17 days ago
Gainwell Technologies LLC
🌎 United States 💵 $40000 - $50000 per year ⭐ 2-5 yrs exp 💼 Software Development
The role involves translating client business needs into technical requirements and documenting system processes. The analyst will also monitor call center reports, perform data research, and verify system designs through test case execution.

Expert Business Architect

Gainwell Technologies LLC · Full Time · 19 days ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 10+ yrs exp 💼 Software Development
Oversees and designs complex business processes and data models to improve healthcare activities for vulnerable populations. Leads the gathering of client requirements and coordinates business analyst tasks throughout the project life cycle.

Data Scientist

Gainwell Technologies LLC · Full Time · 19 days ago
Gainwell Technologies LLC
🌎 India ⭐ 10+ yrs exp 💼 Software Development
Lead advanced data science initiatives by developing statistical models and machine learning solutions to generate actionable insights from healthcare datasets. Provide technical leadership to junior staff and collaborate with stakeholders to align analytics with business objectives.

Senior Manager, Product Marketing

Gainwell Technologies LLC · Full Time · 19 days ago
Gainwell Technologies LLC
🌎 United States 💵 $120K - $160K per year ⭐ 5-10 yrs exp 💼 Product
Drive the go-to-market strategy, positioning, and messaging for public health, Medicaid, and Pharmacy solutions. Develop compelling marketing content and equip sales teams with tools to communicate value to public sector decision-makers.

Sr. Batch Developer (UNIX/C/SQL/Healthcare)

Gainwell Technologies LLC · Full Time · 19 days ago
Gainwell Technologies LLC
🌎 United States 💵 $70000 - $90000 per year ⭐ 5-10 yrs exp 💼 Software Development
Design, develop, and maintain data processing applications and batch programs to support healthcare administration products. Interface with clients and technical teams to gather specifications, perform code reviews, and resolve production problems.

Senior Business Analyst

Gainwell Technologies LLC · Full Time · 19 days ago
Gainwell Technologies LLC
🌎 Australia, United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
Acts as the primary liaison between clients and technical teams to define and document business requirements for the Medicaid Management Information System. Responsible for leading business meetings, analyzing processes, and validating test results to ensure client objectives are met.

Medicaid Case Management Supervisor - Remote

Gainwell Technologies LLC · Full Time · 20 days ago
Gainwell Technologies LLC
🌎 United States 💵 $50600 - $72300 per year ⭐ 2-5 yrs exp 💼 Others
Supervise and mentor a team to meet operational goals and service expectations while driving process improvements. Monitor day-to-day activities to ensure compliance with policies and optimize resource utilization to reduce costs.

Associate Professional Quality

Gainwell Technologies LLC · Full Time · 20 days ago
Gainwell Technologies LLC
🌎 United States 💵 $40300 - $57600 per year ⭐ 2-5 yrs exp 💼 Others
Responsible for monitoring and evaluating voice and non-voice interactions to ensure accuracy, compliance, and a positive member experience. This includes conducting daily audits, leading calibration sessions, and recommending process enhancements based on data insights.

Senior Professional Quality

Gainwell Technologies LLC · Full Time · 20 days ago
Gainwell Technologies LLC
🌎 United States 💵 $58900 - $84100 per year ⭐ 2-5 yrs exp 💼 Others
Serve as a Quality Assurance subject matter expert providing hands-on support for evaluations, audits, and compliance across call center and back-office channels. Analyze quality metrics to identify root causes and partner with cross-functional leaders to drive process improvements and mitigate risk.

Medicaid Case Management Supervisor

Gainwell Technologies LLC · Full Time · 20 days ago
Gainwell Technologies LLC
🌎 United States 💵 $50600 - $72300 per year ⭐ 2-5 yrs exp 💼 Others
Supervise and mentor a team to meet operational goals and service expectations while driving process improvements. Responsible for formulating operational strategies, ensuring policy compliance, and optimizing resource use to enhance efficiency.

EDI Helpdesk Representative - Remote US

Gainwell Technologies LLC · Full Time · 20 days ago
Gainwell Technologies LLC
🌎 United States 💵 $35000 - $50000 per year ⭐ 2-5 yrs exp 💼 Support
Serve as the primary contact for healthcare providers to resolve EDI-related inquiries through inbound and outbound communication. Research and troubleshoot provider issues while maintaining accurate documentation and compliance standards.

Healthcare Data Entry Specialist - Remote US

Gainwell Technologies LLC · Full Time · 20 days ago
Gainwell Technologies LLC
🌎 United States 💵 $35000 - $50000 per year ⭐ 2-5 yrs exp 💼 Data Entry
The specialist is responsible for accurately entering, reviewing, and validating claims-related information and healthcare records. They must ensure data compliance and maintain the security of sensitive member information while meeting productivity standards.

Senior Business Analyst - Pharmacy

Gainwell Technologies LLC · Full Time · 21 days ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
The role involves supporting pharmacy benefit management (PBM) implementations, configurations, and operations for state clients. The analyst acts as a bridge between technical staff and clients to define business requirements and validate test results for pharmacy claims.

CRM Developer - Dynamics 365

Gainwell Technologies LLC · Full Time · 22 days ago
Gainwell Technologies LLC
🌎 India ⭐ 5-10 yrs exp 💼 Software Development
Responsible for the design, development, and implementation of Microsoft Dynamics 365 Customer Engagement solutions. This includes creating custom plugins, workflows, and Power BI reports to support healthcare application initiatives.

SharePoint Administrator - SharePoint & Project Server (AWS)

Gainwell Technologies LLC · Full Time · 24 days ago
Gainwell Technologies LLC
🌎 India ⭐ 10+ yrs exp 💼 Software Development
Administer and maintain enterprise SharePoint and Project Server environments hosted on AWS, ensuring operational stability and security. This includes managing migrations from on-premises to cloud, configuring infrastructure components, and collaborating with security and development teams.

C Developer with Unix and SQL

Gainwell Technologies LLC · Full Time · 24 days ago
Gainwell Technologies LLC
🌎 India ⭐ 2-5 yrs exp 💼 Software Development
Perform design, development, and testing for batch services within a Unix and SQL environment. Resolve complex technical product integration issues and create comprehensive technical documentation.

Experienced Business Analyst - Pharmacy

Gainwell Technologies LLC · Full Time · 24 days ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Software Development
Coordinate IT project workstreams to align technical solutions with client business priorities in the healthcare sector. Act as a subject matter expert to transform requirements into results and oversee the validation of system test results.

Provider Enrollment Specialist - Remote US

Gainwell Technologies LLC · Full Time · 25 days ago
Gainwell Technologies LLC
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Acts as the enrollment liaison between Gainwell Technologies, the Idaho Department of Health & Welfare, and the provider community. Responsible for processing initial and maintenance enrollment applications while ensuring adherence to state requirements and SLAs.

PMO Lead

Gainwell Technologies LLC · Full Time · 25 days ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Others
Lead large project management teams to deliver healthcare technology solutions by overseeing planning, tracking, and budgeting. Communicate project metrics to leadership and clients while managing risks and supporting business development through SOW preparation.

Utilization Review Nurse- Remote

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $78000 - $88000 per year ⭐ 2-5 yrs exp 💼 Healthcare
Conduct prior authorization, prospective, concurrent, and retrospective reviews to determine the medical necessity and appropriateness of services. Document findings in medical management systems and collaborate with providers and Medical Directors to ensure policy compliance.

Senior WordPress VIP Developer

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 India ⭐ 10+ yrs exp 💼 Software Development
Lead the development, maintenance, and optimization of the corporate website on the WordPress VIP platform. Additionally, build high-converting landing pages using HubSpot CMS to support paid marketing campaigns.

Experienced Business Analyst

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Software Development
Coordinate IT project workstreams to align technical solutions with client business priorities in the healthcare sector. Act as a subject matter expert to document system requirements, streamline workflows, and validate test results.

Lead Product Analyst - Medicaid Drug Rebate

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 5-10 yrs exp 💼 Product
Lead the design and delivery of scalable Medicaid Drug Rebate applications while optimizing complex workflows and user interfaces. Collaborate with cross-functional teams to provide domain expertise and maintain solution standards for state clients.

Lead Product Analyst - Medicaid Drug Rebate

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 2-5 yrs exp 💼 Product
Lead the design and delivery of scalable Medicaid Drug Rebate applications while optimizing complex workflows and user interfaces. Collaborate with cross-functional teams to provide domain expertise, perform data analysis, and support client fiscal initiatives.

Contact Center Provider Services Remote USA

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $29100 - $41600 per year ⭐ 0-2 yrs exp 💼 Support
Manage inbound and outbound communications via phone, email, and chat to resolve inquiries for members and providers. Responsibilities include researching claims, verifying insurance coverage, and documenting all interactions in the CRM system.

Call Center Representative - Remote Arkansas

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $27200 - $38900 per year ⭐ 0-2 yrs exp 💼 Support
Handle inbound calls from healthcare providers regarding enrollment and credentialing verification activities. Guide providers through the GAMMIS system and resolve inquiries in compliance with state and federal regulations.

Medicaid Drug Rebate Product Advisor

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 5-10 yrs exp 💼 Others
Design and deliver scalable Medicaid Drug Rebate applications while optimizing complex workflows and user interfaces. Collaborate with cross-functional pharmacy enterprise teams to provide domain expertise and maintain solution standards for state clients.

Medicaid Drug Rebate Product Advisor

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 2-5 yrs exp 💼 Others
Design and deliver scalable Medicaid Drug Rebate applications while optimizing complex workflows and user interfaces. Provide domain expertise to stakeholders and perform data analysis to support client fiscal initiatives and policy evaluations.

Medicaid Drug Rebate Product Advisor

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 5-10 yrs exp 💼 Others
Design and deliver scalable Medicaid Drug Rebate applications while optimizing complex workflows and user interfaces. Collaborate with cross-functional pharmacy enterprise teams to provide domain expertise and maintain solution standards for state clients.

Pharmacy Product Manager

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 5-10 yrs exp 💼 Product
Oversee the entire product lifecycle for pharmacy products, from strategic vision and roadmap execution to delivery. Act as a subject matter expert and trusted partner across business units to drive initiatives that impact bottom-line performance.

Pharmacy Product Management

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 5-10 yrs exp 💼 Product
Oversee the entire pharmacy product lifecycle from inception to execution, including strategic roadmap development and maintenance. Act as a trusted partner to business units and technical teams to deliver impactful healthcare technology solutions.

Experienced Data Analyst

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 10+ yrs exp 💼 Software Development
Responsible for designing, computing, and validating healthcare quality measures for the Medicaid PCMH program using large-scale datasets. The role involves translating complex technical requirements into audit-ready measures and communicating results to clinical and leadership stakeholders.

C Developer/Batch Developer

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 India ⭐ 2-5 yrs exp 💼 Software Development
Perform design, development, and testing for batch services and product integration. Responsible for coding, debugging, and documenting programs while conducting quality assurance through peer reviews.

Manager Mainframe Production Control & DBA

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86700 - $123K per year ⭐ 10+ yrs exp 💼 Software Development
Leads production control and database administration operations for the NJMMIS environment to ensure stability and performance of batch processing and database platforms. Oversees service delivery, claims configuration, and operational performance while managing technical teams and client relationships.

Bilingual Members & Providers Call Center Agent- CA- Remote

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States ⭐ 0-2 yrs exp 💼 Support
Respond to member telephone calls regarding eligibility and benefit information using an automated system. Research inquiries, document interactions in a CRM ticketing solution, and conduct outbound calls as needed.

Mainframe Production Control DBA

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86700 - $123K per year ⭐ 10+ yrs exp 💼 Software Development
Lead production control and database administration for the NJMMIS environment to ensure stability and performance of batch processing and database platforms. Oversee service delivery, claims configuration, and operational performance while managing technical teams and client relationships.

PMO Lead

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86700 - $123K per year ⭐ 10+ yrs exp 💼 Others
The PMO Lead creates and implements complex project definitions, schedules, and budgets while ensuring alignment with architectural dependencies and release milestones. They also manage a small team of Project Managers and serve as the primary point of contact for client project management.

Experienced Database Administrator

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $88000 - $127K per year ⭐ 10+ yrs exp 💼 Software Development
Design, develop, and maintain scalable and secure database systems to support critical healthcare operations. Lead client engagements to define design strategies and optimize database performance through monitoring and automation.

Provider Field Representative - Remote Missouri

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $40000 - $60000 per year ⭐ 2-5 yrs exp 💼 Others
Acts as the primary liaison between healthcare providers and Missouri Medicaid by conducting site visits to ensure compliance with state and federal requirements. Delivers education and training on billing practices and policies while resolving complex operational issues for providers.

Senior Reporting Business Analyst

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States ⭐ 5-10 yrs exp 💼 Software Development
Act as a bridge between clients and technical staff to define, document, and validate business requirements for IT projects. Coordinate the business analyst team and analyze business processes to improve client technology goals.

Batch Developer

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $58200 - $83200 per year ⭐ 2-5 yrs exp 💼 Software Development
Develop, test, and debug complex technical programs for healthcare administration products. Provide on-call production support, perform root cause analysis, and collaborate with clients to validate program requirements.

Business Analyst - Project Management Office - PMO

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $51900 - $74200 per year ⭐ 2-5 yrs exp 💼 Software Development
The role involves analyzing and documenting business processes to improve client technological outcomes and acting as a bridge between clients and technical teams. Responsibilities include tracking project progress, defining business requirements, and creating data visualizations to monitor KPIs and risks.

Internal Audit

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 India ⭐ 5-10 yrs exp 💼 Others
Execute risk-based audits of business processes and operational activities to evaluate control effectiveness and governance. Develop practical recommendations to mitigate risks and monitor the implementation of corrective actions.

Customer Experience Quality Assurance Associate

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States ⭐ 2-5 yrs exp 💼 Software Development
Monitor and evaluate voice and non-voice interactions to ensure accuracy, compliance, and a high-quality member and provider experience. Conduct daily audits and collaborate with stakeholders to recommend process enhancements based on data-driven insights.

Senior Quality Assurance - Lead

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $58900 - $84100 per year ⭐ 2-5 yrs exp 💼 Software Development
Serve as a QA subject matter expert providing hands-on support, evaluations, and audits across call center and back-office channels. Drive quality improvements through root cause analysis, peer coaching, and collaboration with cross-functional stakeholders.

Experienced Rebate Application Architect

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves leading the configuration, development, and maintenance of drug rebate solutions for state clients. It requires collaborating cross-functionally to translate business needs into detailed application designs and functional specifications.

Rebate Experienced Application Architect

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 10+ yrs exp 💼 Software Development
Lead the configuration, development, and implementation of drug rebate solutions for state clients while providing domain expertise to stakeholders. Collaborate across pharmacy enterprise teams to develop design requirements and oversee technical documentation and deployment.

Senior Identity and Access Management Analyst (IAM)

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 5-10 yrs exp 💼 Others
Lead the enterprise adoption of IAM process and technology enhancements while documenting requirements for system changes. Coordinate security best practices, support IAM operations such as access reviews and audits, and ensure compliance with industry standards.

Experienced Application Architect

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 2-5 yrs exp 💼 Software Development
The Technical Analyst bridges business needs with technical execution by translating requirements into technical specifications and data models for pharmacy claims. They leverage SQL to validate data and collaborate with cross-functional teams to ensure scalable system architecture.

Operational Readiness & Review (ORR) Lead

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 5-10 yrs exp 💼 Others
Oversee readiness assessments, demonstrations, and cutover processes for transitioning legacy Medicaid systems into Gainwell solutions. Facilitate client meetings to showcase business results and maintain detailed operational readiness plans and reports.

Experienced Programmer Analyst

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $97300 - $139K per year ⭐ 10+ yrs exp 💼 Software Development
Design, code, and document complex programs and scalable ETL/ELT pipelines using Databricks. Provide technical leadership, conduct quality assurance, and collaborate with clients to validate programming requirements.

Experienced Project Manager

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
Lead large project management teams to deliver healthcare technology solutions by creating actionable plans, schedules, and budgets. Manage client expectations and project metrics while escalating risks and implementing mitigation strategies.

Green Belt - Business Process Consultant

Gainwell Technologies LLC · Full Time · a month ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Others
The role focuses on documenting existing processes, creating Standard Operating Procedures (SOPs), and implementing operational process improvements for the Customer Experience team. It involves conducting gap analyses and collaborating with cross-functional teams to ensure standardized documentation and quality assurance.

Senior Data Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
The Senior Data Analyst is responsible for eliciting and documenting business requirements to translate objectives into technical software solutions. They act as a bridge between stakeholders and technical teams while supporting the full software development lifecycle.

Senior Identity and Access Management (IAM) Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 5-10 yrs exp 💼 Others
The Senior IAM Analyst facilitates the adoption of process and technology improvements in the Identity and Access Management space. Responsibilities include documenting requirements for software changes, supporting access reviews, and ensuring security compliance with industry standards.

Solution Lead - Care Management

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $103K - $147K per year ⭐ 5-10 yrs exp 💼 Others
Drive the delivery of care management solutions and cross-functional initiatives to support internal and external customers. Manage product delivery from strategic planning to tactical implementation while serving as a product evangelist.

Senior Business Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
The role involves planning and designing business processes to improve healthcare activities and documenting client requirements through data and process models. Additionally, the analyst is responsible for creating test scenarios, performing UAT, and validating that functional requirements are met.

Proposal Operations Specialist

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $95000 - $110K per year ⭐ 5-10 yrs exp 💼 Others
Manage proposal production, operational processes, and submission activities for RFPs and RFIs. Provide editorial support and develop integrated work plans to ensure high-quality, compliant deliverables.

Senior Business Analyst - Medicaid Pharmacy (MMIS)

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
Translates state and federal Medicaid policy into product features, system configurations, and design artifacts for MMIS and Pharmacy environments. Supports end-to-end delivery including requirements gathering, configuration, testing, and operational readiness.

Provider Enrollment Supervisor - Remote US

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $51800 - $74000 per year ⭐ 5-10 yrs exp 💼 Others
Oversee daily Medicaid provider enrollment operations, including onboarding, revalidations, and maintenance of provider records. Lead and coach a team of specialists while serving as the primary operational liaison for clients and internal stakeholders.

Experienced Application Architect

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 10+ yrs exp 💼 Software Development
Serve as the account domain expert providing technology leadership with a focus on cloud-native AWS application architecture. Drive project delivery by translating architectural vision into scalable solutions and guiding application migration and modernization.

Business Analyst - Healthcare

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $55600 - $79400 per year ⭐ 2-5 yrs exp 💼 Software Development
Collaborate with clients to research, validate, and document business needs for the Medicaid Management Information System (MMIS). Manage system updates for CPT, HCPCS, and diagnosis codes while maintaining operating procedure manuals.

Experienced Portfolio Manager

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $81100 - $115K per year ⭐ 10+ yrs exp 💼 Product
Define program goals and long-term strategies while overseeing the end-to-end delivery of complex healthcare technology programs. Facilitate communication between engineering, operations, and leadership to ensure alignment and operational excellence.

Operational Readiness & Review (ORR) Lead

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86000 - $124K per year ⭐ 5-10 yrs exp 💼 Others
Oversees the readiness assessment, demonstrations, and cutover of legacy systems into Gainwell solutions, specifically within Medicaid systems. Facilitates client meetings to showcase business results and manages project documentation and reporting.

Bilingual Members & Providers Call Center Agent- CA- Remote

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States ⭐ 0-2 yrs exp 💼 Support
Respond to member telephone calls regarding eligibility and benefit information using an automated system. Research inquiries, document interactions in a CRM ticketing solution, and conduct outbound calls as needed.

Experienced Information Systems Architect

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 5-10 yrs exp 💼 Software Development
Lead the design, implementation, and governance of enterprise-wide ServiceNow solutions with a focus on platform scalability and architectural integrity. Manage integrations between ServiceNow and external systems while optimizing CMDB health and data integrity.

SharePoint Administrator

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 India ⭐ 10+ yrs exp 💼 Software Development
Responsible for administering and maintaining enterprise SharePoint and Project Server environments hosted on AWS. This includes managing farms, executing on-premises to cloud migrations, and ensuring system security and performance.

Senior Drug Rebate Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $51700 - $73800 per year ⭐ 5-10 yrs exp 💼 Others
Review and resolve Medicaid Drug Rebate payments and disputes by coordinating with drug manufacturers and providers. Perform CMS reporting, invoice management, and provide subject matter expertise to the team.

Experienced Application Architect

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 5-10 yrs exp 💼 Software Development
Acts as a technical liaison between customers and partners to ensure end-to-end solution delivery for client projects. Responsible for creating technical artifacts, managing security documentation, and overseeing SFTP/MFT implementations.

Experienced Project Management

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
Manage multiple Coordination of Benefits projects and lead project management teams to improve healthcare outcomes. Responsibilities include project planning, tracking, budgeting, and communicating metrics to client and company leadership.

Expert AI Engineer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $147K - $210K per year ⭐ 5-10 yrs exp 💼 Software Development
Design, develop, and deploy advanced AI and Generative AI solutions to improve healthcare outcomes and operational efficiency. This includes building ML models, integrating them into existing technology stacks, and ensuring compliance with healthcare regulatory standards.

Experienced Data Science AI Engineer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $117K - $168K per year ⭐ 5-10 yrs exp 💼 Software Development
Design, develop, and deploy advanced AI and Generative AI solutions to improve healthcare outcomes and operational efficiency. This includes end-to-end model deployment, data engineering with large healthcare datasets, and ensuring compliance with HIPAA standards.

Medical Claims Resolution Analyst - Remote US

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $35000 - $50000 per year ⭐ 2-5 yrs exp 💼 Legal
Research, resolve, and process medical claims while ensuring compliance with established guidelines. Coordinate with internal departments and prepare necessary documentation such as Return to Provider forms.

Experienced Solution Architect

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 10+ yrs exp 💼 Software Development
Provide technical leadership and direction to the data engineering team to build analytic data products and strategies. Design and enforce standards for data storage, processing, and governance while aligning with company SDLC standards.

Senior Architectural Engineer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $76100 - $108K per year ⭐ 5-10 yrs exp 💼 Software Development
Lead the design, implementation, and governance of identity and access management solutions primarily across AWS and Azure platforms. Ensure secure and compliant access to healthcare data by enforcing least privilege and auditing configurations against frameworks like NIST and HITRUST.

Senior Client Services Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $55600 - $79400 per year ⭐ 2-5 yrs exp 💼 Support
Provide comprehensive support and troubleshooting for FraudCapture client users to ensure retention and system efficiency. Develop training materials and act as the primary point of contact for technical issues and requirement gathering.

Experienced Data Architect

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $85000 - $121K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves leading data governance committees and ensuring the security and quality of healthcare data, specifically PHI and PII. Responsibilities include managing database architecture, data repositories, and collaborating with stakeholders to implement data services.

Outpatient Coding Auditor

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $70000 - $80000 per year ⭐ 2-5 yrs exp 💼 Finance
Perform coding reviews of medical records to ensure accuracy of diagnosis and procedure codes according to regulatory guidelines. Document audit findings in proprietary systems and provide mentoring and training to new coding auditors.

Experienced Data Architect

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $85000 - $121K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves leading data governance committees and ensuring the security and quality of healthcare data, specifically PHI and PII. Responsibilities include designing database architecture, maintaining data management plans, and collaborating with stakeholders to solve complex data-related issues.

Provider Publications / Communications Lead - Remote US

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $48300 - $69000 per year ⭐ 5-10 yrs exp 💼 Marketing
Lead the planning and development of provider-facing publications and communications to support Medicaid program operations and regulatory compliance. Act as the primary liaison to translate complex healthcare policies into clear, actionable resources for providers.

Experienced Business Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Software Development
Act as a bridge between clients and technical staff to define, document, and validate business requirements for IT projects. Coordinate business analyst activities and provide guidance to newer team members to improve business processes.

Proposal Writer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $90000 - $110K per year ⭐ 2-5 yrs exp 💼 Writing
Analyze customer RFPs to write compelling proposal responses that align with company win themes and strategies. Collaborate with SMEs and senior management to ensure quality assurance and meet strict submission deadlines.

Bilingual Healthcare Customer Service Representative - Remote Florida

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $37440 - $41600 per year ⭐ 2-5 yrs exp 💼 Support
Handle customer inquiries regarding insurance and healthcare while ensuring service level agreements are met. Investigate claim characteristics, resolve provider appeals, and recommend workflow modifications for efficiency.

Nurse Reviewer - Itemized Bill Review

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $78000 - $85000 per year ⭐ 5-10 yrs exp 💼 Healthcare
Perform clinical reviews of medical records, itemized bills, and UB-04 forms to ensure billing accuracy and compliance. Conduct level-of-care and utilization reviews to determine the appropriateness of services while mentoring new reviewers.

.Net/C# Developer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
Support the full product development life cycle by performing complex design tasks, analyzing systems, and conducting release testing. Collaborate with cross-functional teams to manage client expectations and serve as a subject matter expert on product systems and architecture.

Principal Provider Integration & Analytics Delivery Manager

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 10+ yrs exp 💼 Software Development
Lead end-to-end data and analytics delivery for the Provider+ solution, overseeing integrations, reporting, and data conversions. Act as the primary technical advisor to Engagement Leaders to ensure technical design integrity and alignment with client commitments.

Senior Business Analyst - MMIS / Medicaid Pharmacy

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
Translates state and federal Medicaid policy into product features, system configurations, and design artifacts for MMIS and Pharmacy environments. Supports end-to-end delivery including requirements validation, configuration, testing, and operational readiness.

Long-Term Care Auditor I - Remote EST / CST

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $45000 - $55000 per year ⭐ 0-2 yrs exp 💼 Finance
Identify and recover improper Medicaid payments made to long-term care providers through audits and financial data analysis. Serve as the primary liaison for providers and manage a caseload of over 30 audits while reporting status to management.

Long-Term Care Auditor I - Remote EST / CST

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $45000 - $55000 per year ⭐ 0-2 yrs exp 💼 Finance
Identify and recover improper Medicaid payments made to long-term care healthcare providers through audits and financial data analysis. Serve as the primary liaison for providers while managing a caseload of over 30 audits.

Senior Professional, Architectural Engineer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $76100 - $108K per year ⭐ 5-10 yrs exp 💼 Software Development
Lead the design, implementation, and governance of cloud IAM solutions primarily on AWS and Azure to ensure secure access to healthcare data. Responsibilities include automating provisioning workflows, auditing configurations for compliance, and collaborating with security teams to enforce least privilege.

Senior Data Engineer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 2-5 yrs exp 💼 Software Development
Design, develop, and maintain scalable data pipelines and models using Databricks, Spark, and Python to power organizational analytics. Collaborate cross-functionally to optimize data workflows and ensure governed access to data for reporting.

Advisor, Project Management

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
Manage multiple Coordination of Benefits projects and lead project management teams to improve healthcare outcomes through technology. Responsible for project planning, tracking, budgeting, and communicating metrics to client and company leadership.

Process Writer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $44000 - $62800 per year ⭐ 2-5 yrs exp 💼 Writing
The Process Writer is responsible for documenting existing processes, creating Standard Operating Procedures (SOPs), and developing process maps for the Customer Experience team. They will collaborate with Lean Six Sigma Black Belts to identify inefficiencies and ensure documentation aligns with industry best practices.

Experienced Project Manager

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86000 - $124K per year ⭐ 10+ yrs exp 💼 Product
Lead large project management teams to deliver healthcare technology solutions and improve health outcomes for vulnerable populations. Responsible for project planning, budget oversight, risk mitigation, and creating detailed Statements of Work (SOW).

Sr. Client Services Analyst

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $55600 - $79400 per year ⭐ 2-5 yrs exp 💼 Support
Provide comprehensive support and troubleshooting for FraudCapture client users to ensure retention and system efficacy. Develop training materials and act as the primary point of contact for technical issues and escalations.

Data Science AI Engineer, Advisor

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $117K - $168K per year ⭐ 5-10 yrs exp 💼 Software Development
Design, develop, and deploy advanced AI and Generative AI solutions to improve healthcare outcomes and operational efficiency. This includes managing end-to-end deployment, data engineering, and ensuring compliance with HIPAA and industry standards.

AI Engineer, Principal

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $147K - $210K per year ⭐ 5-10 yrs exp 💼 Software Development
Design, develop, and deploy advanced AI and Generative AI solutions to improve healthcare outcomes and operational efficiency. This includes building ML models, integrating them into existing technology stacks, and ensuring compliance with healthcare regulatory standards.

CX Solution Consultant

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $116K - $118K per year ⭐ 5-10 yrs exp 💼 Support
The CX Solution Consultant acts as a strategic advisor designing end-to-end customer experience solutions to drive business outcomes. They bridge the gap between client needs and technology capabilities by leading discovery sessions and developing value-based narratives.

UX/UI Product Developer

Gainwell Technologies LLC · Full Time · 2 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Software Development
Design and deliver enterprise-level product solutions focusing on high-quality, scalable applications and human-centered digital experiences. Lead the end-to-end product development lifecycle while championing UX principles and accessibility standards.

Experienced Project Manager

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
Lead multiple Coordination of Benefits projects and large project management teams to improve healthcare outcomes through technology. Responsible for project planning, tracking, budgeting, and communicating metrics to clients and leadership.

Advisor Business Analyst

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Software Development
Coordinate a business analyst team to define and document business requirements and improve processes for healthcare clients. Act as a bridge between clients and technical staff to ensure project objectives are met and validated.

Provider Enrollment Supervisor - Remote US

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $51800 - $74000 per year ⭐ 5-10 yrs exp 💼 Others
Oversee daily Medicaid provider enrollment operations, including onboarding, revalidations, and record maintenance. Lead and coach a team of specialists while serving as the primary operational liaison for clients and internal stakeholders.

Advisor Solution Architect

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $95100 - $135K per year ⭐ 10+ yrs exp 💼 Software Development
Provide technical leadership and direction to the data engineering team to build analytic data products and define data strategies. Design and enforce standards for data storage, processing, and governance while aligning with company SDLC standards.

Advisor Business Analyst - pipeline

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Software Development
As an Advisor Business Analyst, you will coordinate a business analyst team’s duties on IT projects and provide guidance to newer team members. You will also work with clients to develop business specifications and analyze business processes to support technology goals.

Casualty Case Management Specialist - Remote US

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $43500 - $48000 per year ⭐ 2-5 yrs exp 💼 Others
Manage casualty and estate functions for state Medicaid beneficiaries, including intake, claims review, and settlement of subrogation cases. Ensure all processes comply with HIPAA and government security requirements while maintaining high productivity and accuracy standards.

Medical Claims Recovery Specialist (Subrogation) - Remote US

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $43500 - $48000 per year ⭐ 2-5 yrs exp 💼 Legal
Manage casualty and estate functions for Medicaid beneficiaries, overseeing 700–1,000 subrogation cases. Responsibilities include conducting legal reviews, negotiating settlements, and ensuring HIPAA compliance while communicating with attorneys and insurance adjusters.

Call Center Representative (Healthcare) - Baton Rouge, LA - Remote

Gainwell Technologies LLC · Full Time · 3 months ago
Gainwell Technologies LLC
🌎 United States 💵 $29100 - $41600 per year ⭐ 0-2 yrs exp 💼 Support
Handle a high volume of inbound provider calls to resolve billing, policy, and Medicaid-related inquiries while meeting performance standards. Accurately document all interactions in the designated system to ensure data integrity and proper follow-up.

Clinical DRG Auditor- Remote

Gainwell Technologies LLC · Full Time · 4 months ago
Gainwell Technologies LLC
🌎 United States 💵 $85000 - $95000 per year ⭐ 2-5 yrs exp 💼 Finance
The Clinical DRG Auditor performs clinical and coding validation reviews of medical records to ensure the accuracy of DRG assignments and documentation. They also assist management by mentoring new staff and maintaining current knowledge of coding guidelines and regulatory mandates.

Expert System Operations Manager

Gainwell Technologies LLC · Full Time · 4 months ago
Gainwell Technologies LLC
🌎 United States 💵 $105K - $151K per year ⭐ 10+ yrs exp 💼 Others
The Systems Manager is responsible for the performance, availability, and modernization of the Medicaid Management Information System (MMIS) and related enterprise services. This role leads technical operations, enforces ITSM processes, and ensures system health through proactive monitoring and cross-functional coordination.

Experienced Information Security

Gainwell Technologies LLC · Full Time · 4 months ago
Gainwell Technologies LLC
🌎 United States 💵 $90900 - $129K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves designing audits for computer systems to ensure security and data protection, making recommendations for preventive measures, and assessing system security status. This position also requires designing and recommending security policies, leading investigations into security violations, and providing technical consultation on complex security tasks.

Healthcare Customer Service Representative - Tallahassee, FL - Hybrid

Gainwell Technologies LLC · Full Time · 5 months ago
Gainwell Technologies LLC
🌎 United States 💵 $37440 - $41600 per year ⭐ 2-5 yrs exp 💼 Support
The representative will answer telephones, respond to basic customer questions regarding insurance and healthcare, and provide consultancy utilizing expertise. This role also involves developing and implementing policies, investigating claim characteristics, and responding to provider appeals.

Business Operations Lead

Gainwell Technologies LLC · Full Time · 5 months ago
Gainwell Technologies LLC
🌎 United States 💵 $79200 - $113K per year ⭐ 5-10 yrs exp 💼 Virtual Assistant
This role involves working with the business development team to represent outsourcing capabilities to potential clients, gathering data, and structuring complex sourcing propositions. The Lead will also provide complex analysis of client requirements, create documentation, identify new opportunities, and evaluate internal processes.

Information Security Officer (ISO)

Gainwell Technologies LLC · Full Time · 5 months ago
Gainwell Technologies LLC
🌎 United States 💵 $121K - $173K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves leading security operational governance, driving remediation efforts, and ensuring delivery excellence in security tooling while managing supplier and client relationships. Key duties include creating account security plans, managing security incidents from start to finish, and overseeing audit preparation and risk management.

Information Security Officer (ISO)

Gainwell Technologies LLC · · 5 months ago
Gainwell Technologies LLC
🌎 United States 💵 $113K - $162K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves leading security operational governance, driving remediation efforts, and ensuring delivery excellence in security tooling while managing contractual compliance. Responsibilities also include creating account security plans, managing security incidents from start to finish, and overseeing audit preparation and risk management.

Call Center Representative - Healthcare - Baton Rouge, LA

Gainwell Technologies LLC · Full Time · 5 months ago
Gainwell Technologies LLC
🌎 United States 💵 $29100 - $41600 per year ⭐ 0-2 yrs exp 💼 Support
The representative will handle a high volume of inbound calls from healthcare professionals regarding billing, policy questions, and Medicaid inquiries, aiming to resolve 92% of calls within 3–5 minutes. Key duties include accurately documenting all interactions, maintaining policy knowledge, and ensuring full HIPAA compliance while supporting team goals.

Senior Information Security Officer (ISO)

Gainwell Technologies LLC · Full Time · 5 months ago
Gainwell Technologies LLC
🌎 United States 💵 $113K - $162K per year ⭐ 10+ yrs exp 💼 Software Development
The role involves leading security operational governance, driving remediation efforts, and ensuring compliance and delivery excellence across security tooling and business operations. Key duties include creating account security plans, managing security incidents, audits, risks, and reporting security metrics to meet contractual commitments.

Medical Claims Auditor (Remote - Texas)

Gainwell Technologies LLC · Full Time · 6 months ago
Gainwell Technologies LLC
🌎 United States 💵 $30500 - $42500 per year ⭐ 2-5 yrs exp 💼 Finance
The Medical Claims Auditor reviews and analyzes medical claims and supporting documentation to ensure accuracy, compliance with company policies, and adherence to industry standards, including validating coding accuracy using ICD-10, CPT, and HCPCS guidelines. This role involves identifying discrepancies like upcoding or duplicate claims and communicating findings to recommend corrective actions to the claims processing team or management.

Long-Term Care Auditor I - Remote

Gainwell Technologies LLC · Full Time · 6 months ago
Gainwell Technologies LLC
🌎 United States 💵 $45000 - $55000 per year ⭐ 0-2 yrs exp 💼 Finance
The Long-Term Care Auditor I is responsible for identifying and recovering Medicaid improper payments made to long-term care healthcare providers. This includes conducting audits, analyzing financial data, and maintaining communication with providers throughout the review process.

DRG Nurse Reviewer Appeals and Hearings- Remote

Gainwell Technologies LLC · Full Time · 7 months ago
Gainwell Technologies LLC
🌎 United States 💵 $90000 - $99000 per year ⭐ 5-10 yrs exp 💼 Healthcare
The DRG Nurse Reviewer Appeals and Hearings coordinates and performs all appeal-related duties, including analyzing and responding to provider appeals and preparing case files for hearings. The role also involves participating in hearings and assisting in training new reviewers.

Intern

Gainwell Technologies LLC · Internship · 9 months ago
Gainwell Technologies LLC
🌎 United States ⭐ 0-2 yrs exp 💼 Others
Assist the project team with gathering requirements and designing new methods to improve information processing. Help create or update data/process models based on client requests.

Healthcare Project Manager

Gainwell Technologies LLC · Full Time · 9 months ago
Gainwell Technologies LLC
🌎 United States 💵 $108K - $155K per year ⭐ 10+ yrs exp 💼 Product
The Healthcare Project Manager creates and implements complex project definitions, schedules, budgets, and objectives for large or multiple high-complexity projects. They manage costs, schedules, and quality by overseeing project deliverables and ensuring that project metrics are met.

Senior Business Analyst - SAS Coder

Gainwell Technologies LLC · Full Time · 9 months ago
Gainwell Technologies LLC
🌎 United States 💵 $69400 - $99200 per year ⭐ 5-10 yrs exp 💼 Software Development
The Senior Business Analyst - SAS Coder will perform analysis, development, and evaluation of complex reports related to Medicaid and FoodShare programs. This role involves determining report specifications, meeting with stakeholders, and ensuring compliance with federal and state regulations.

Manager Service Delivery

Gainwell Technologies LLC · Full Time · 9 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86700 - $125K per year ⭐ 10+ yrs exp 💼 Others
Oversee daily operations of the development team for a Medicaid Management Information Systems (MMIS) Contract, ensuring end-to-end delivery of technical solutions. Facilitate operational meetings, monitor processes, and drive improvements to enhance service delivery.

Manager Claims (Remote in USA)

Gainwell Technologies LLC · Full Time · 9 months ago
Gainwell Technologies LLC
🌎 United States 💵 $79000 - $112K per year ⭐ 10+ yrs exp 💼 Legal
The Claims Manager oversees routine claims processing operations and manages a team responsible for data entry, claims resolution, and reporting. This role involves ensuring compliance with laws and regulations while developing policies for efficient operations.

Call Center Project Manager

Gainwell Technologies LLC · Full Time · 10 months ago
Gainwell Technologies LLC
🌎 United States 💵 $86800 - $124K per year ⭐ 10+ yrs exp 💼 Product
As a Call Center Project Manager, you will lead project management teams to ensure quality and timely completion of tasks. You will communicate project metrics and status to clients and stakeholders while managing risks and implementing solutions.