Long-Term Care Auditor I - Remote EST / CST (Any city, CT, US, 99999)

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