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Best fit if you like structured, rules-based review of long-term care claims for a Medicaid-focused tech vendor, fully remote on EST/CST, and comfortable with compliance-heavy documentation. Thin on pay and formal career ladders in the given data—confirm those in the process.
As a Long-Term Care Auditor I at Gainwell, a typical day centers on reviewing LTC claims, provider documentation, and policy rules against Medicaid/long-term care requirements. Work is remote on EST/CST hours: queue cases, flag inconsistencies, document findings, and escalate edge cases to senior auditors or clinical/policy partners. Expect heavy use of audit tools, secure PHI handling, and clear written rationales for approve/deny or further-review decisions.
Useful foundations (role-inferred, not from occupation data): medical billing/coding literacy, Medicaid or LTC program rules, audit sampling, and careful documentation. No certification catalog or costs were provided in CERTS.
The listing targets remote work with EST/CST coverage in the United States.
Public items emphasize Medicaid and provider-enrollment technology, alongside other government health program support.
No certification family or priced resources were supplied in CERTS; confirm any required credentials with the employer.
Website: gainwelltechnologies.com
Public cache only — not an employee review.
Long-Term Care Auditor I - Remote EST/CST at Gainwell Technologies LLC in US About the Role This position as a Long-Term Care Auditor I at Gainwell Technologies LLC offers an exciting opportunity to contribute to the growth and success of a forward-thinking company. As a key member of our team, you will be responsible for ensuring compliance with long-term care regulations and standards. Responsibilities Conduct comprehensive audits of long-term care facilities to ensure adherence to regulatory requirements and best practices. Analyze data and prepare detailed reports on findings and recommendations for improvement. Collaborate with facility staff, management, and other auditors to address any issues identified during the audit process. Maintain accurate records of all audit activities and ensure compliance with internal policies and procedures. Who We're Looking For We are seeking a detail-oriented individual with strong analytical skills and a commitment to quality. The ideal candidate will have experience in healthcare auditing or related fields, as well as excellent communication and interpersonal skills. A bachelor's degree is preferred, but relevant experience can be considered. About the Company Gainwell Technologies LLC is dedicated to solving business challenges and enhancing the way we work and grow. Our company values your contributions and prioritizes work flexibility, learning, and career development. Join us in making a positive impact on the long-term care industry. Next Steps To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. If you are interested in this role, please ensure all required fields are filled out accurately and submit your application as soon as possible. To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
Generated for personal interview prep · 2026-08-05 UTC · getajob.ai