Urwah Admin

Gainwell Technologies LLC

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Healthcare Call Center Representative - Remote Texas
</b></h1></div></div></div></div><div><div><div><div>Date: Jul 30, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, TX, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 37155
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>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&rsquo;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.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>Gainwell Technologies is seeking a COB Support Assistant to support our Third-Party Recovery (TPR) operations. In this role, you will assist Medicaid providers and members by verifying health insurance coverage, maintaining accurate records, and providing exceptional customer service. The position combines inbound call support and back-office processing activities to help ensure accurate coordination of benefits information while supporting cost containment and regulatory compliance initiatives. This role is ideal for individuals who are detail-oriented, customer-focused, and thrive in a fast-paced healthcare environment.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Respond to inbound calls from Medicaid providers and members regarding insurance verification and coordination of benefits inquiries.</li>
<li>Verify, update, and document health insurance information using Medicaid and internal systems.</li>
<li>Process emails, faxes, SharePoint requests, and other correspondence related to TPR operations.</li>
<li>Perform data entry and administrative support activities while meeting productivity and quality standards.</li>
<li>Navigate multiple databases, carrier systems, and software platforms to research and validate information.</li>
<li>Provide professional, accurate, and timely customer service while handling sensitive healthcare information.</li>
<li>Adhere to HIPAA requirements, company policies, and security guidelines.</li>
<li>Identify opportunities to improve processes and support operational efficiency initiatives.</li>
<li>Support Florida TPR operations and perform additional duties as assigned.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>High school diploma or GED required.</li>
<li>1+ years of call center or phone-based customer service experience.</li>
<li>1+ years of health insurance verification experience, including medical, dental, vision, or pharmacy coverage.</li>
<li>1+ years of data entry or administrative support experience with strong attention to detail.</li>
<li>Working knowledge of HIPAA privacy and security regulations.</li>
<li>Proficiency with Microsoft Excel and the ability to navigate multiple systems and software applications simultaneously.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Remote position open to candidates located anywhere within the Dallas-Fort Worth, TX area.</li>
<li>Monday&ndash;Friday work schedule, with shifts of 7:00 AM&ndash;3:30 PM or 7:30 AM&ndash;4:00 PM.</li>
<li>Frequent interaction with Medicaid members, providers, insurance carriers, and internal business partners.</li>
<li>Support the TPR Florida (FL) account.</li>
<li>Training on Gainwell systems, processes, and healthcare programs.</li>
<li>Opportunity to contribute to programs that help improve healthcare integrity, reduce costs, and support regulatory compliance.</li>
<li>Occasional extended hours may be required based on business needs.</li>
<li>As part of our interview process, all candidates must complete an Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.
<br>
Video cameras must be used during all interviews, as well as during the initial week of orientation.</li>
<li>To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.</li>
<li>To test your internet speed, go to Google and search for &ldquo;Internet Speed Test.&rdquo;</li><br>
</ul><p></p><p>The deadline to submit applications for this posting is <b>August 6, 2026</b>.</p><br>
<p><br>
#LI-REMOTE #LI-JA1 #LI-CM1<br>
</p></div></div></div><p></p><p>The pay range for this position is $26,500.00 - $37,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Healthcare Call Center Representative - Remote Texas

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Senior Customer Support - Montgomery, AL (Onsite)
</b></h1></div></div></div></div><div><div><div><div>Date: Jul 29, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Montgomery, AL, US, 36117-6008
</p></div></div></div></div><div><div><div><div>Req ID: 37113
</div></div></div></div><div><div><div><div>Work Mode: Full-Time onsite (5+ days per week)
</div></div></div></div><div></div><div><div><div><div><p>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&rsquo;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.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As a <b>Senior Customer Support - Montgomery, AL (Onsite)</b> at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><p>This is an important position in Gainwell&rsquo;s commitment to helping clients deliver better health and human services outcomes.</p>
<ul><li>Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed</li>
<li>Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved</li>
<li>Adhere to the client&rsquo;s SLAs and consistently meet production targets</li>
<li>Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes</li>
<li>Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>2 or more years of customer service experience in any industry</li>
<li>Knowledge of basic help desk software, computer software and Microsoft Office applications</li>
<li>Strong problem-solving skills to bring inquiries to effective resolution</li>
<li>Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally</li>
<li>Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><p>This is an onsite position in Montgomery, AL.</p>
<ul><li>As part of the application process for this position, you will be required to complete an assessment in order to proceed further.</li>
<li>Video cameras must be used during all interviews, as well as during the initial week of orientation.</li>
</ul><p><b>Employee Benefits &amp; Perks:</b></p>
<ul><li>Health benefits (medical, dental, and vision) begin on Day 1 of employment.</li>
<li>401(k) with company match and additional benefits become available within the first few months.</li>
<li>Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.</li>
<li>Career growth and advancement opportunities are encouraged and supported.</li>
<li>A company-provided computer is supplied for work use.</li><br>
 </ul><p><br>
The deadline to submit applications for this posting is August 24, 2026.</p>
 <p>#LI-ONSITE #LI-PP1 #LI-CM1</p><br>
</div></div></div><p></p><p>The pay range for this position is $27,200.00 - $38,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Senior Customer Support - Montgomery, AL (Onsite)

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Member/Provider Call Center Lead - Greater Sacramento - Remote
</b></h1></div></div></div></div><div><div><div><div>Date: Jul 29, 2026
</div></div></div></div><div><div><div><div>Location:
<p>West Sacramento, CA, US, 95605-1630
</p></div></div></div></div><div><div><div><div>Req ID: 37178
</div></div></div></div><div><div><div><div>Work Mode: Full-Time onsite (5+ days per week)
</div></div></div></div><div></div><div><div><div><div><p>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&rsquo;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.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As a <b>Member</b>/<b>Provider Call Center Lead </b>at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions. Here are the details on this position.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Answers telephones and responds to moderately complex customer questions and/or forwards calls to appropriate personnel.</li>
<li>Research customer inquiries and responds to appropriate parties in a timely manner.</li>
<li>Interfaces with team personnel, management, and customers in reference to customer service issues.</li>
<li>Reviews client reports on a weekly basis to ensure data integrity; prepares and submits reports to management.</li>
<li>Monitors daily transactions to ensure policy and procedures are in accordance with service level agreement.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>High school diploma or G.E.D.</li>
<li>Two to three years of customer service or other telephone experience.</li>
<li>Experience working with organizational functions and personnel.</li>
<li>Experience working with fax machines, computer software, and telephone technology.</li>
<li>Experience working with and skilled in the use of help desk software.</li>
<li>Experience leading or mentoring team members.
</li></ul></div></div><div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Business and analytical problem-solving skills.</li>
<li>Communication skills.</li>
<li>Ability to work independently.</li>
<li>Ability to follow oral and written directions.</li>
<li>Office environment may require shift work.</li>
<li>The deadline to submit applications for this posting is August 7, 2026</li><br>
</ul></div></div></div><p></p><p>The pay range for this position is $35,900.00 - $51,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Member/Provider Call Center Lead - Greater Sacramento - Remote

<div><div><div><div><div><h1 class="jobSectionHeader"><b>EDI Helpdesk Representative - Remote US
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 20, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, MT, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36698
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>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&rsquo;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.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As an <b>EDI Helpdesk Representative - Remote US</b> at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve, a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges.</p>
<p>This position supports Gainwell's Montana Medicaid operations while offering the flexibility of working remotely from anywhere within the United States.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Serve as the first point of contact for healthcare providers by answering inbound calls and responding to EDI-related inquiries.</li>
<li>Research, troubleshoot, and resolve provider issues or escalate more complex concerns to the appropriate teams.</li>
<li>Conduct outbound follow-up calls and communications to ensure timely resolution of provider requests.</li>
<li>Process provider and member updates while maintaining accuracy, compliance, and documentation standards.</li>
<li>Meet established service, quality, and productivity goals while delivering exceptional customer support.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>High School Diploma or GED required.</li>
<li>Minimum two years of experience in customer service, call center support, helpdesk support, healthcare operations, provider services, claims processing, or a related field.</li>
<li>Strong verbal and written communication skills with a customer-focused approach.</li>
<li>Proficiency with Microsoft Office and the ability to navigate multiple systems simultaneously.</li>
<li>Ability to work independently, manage competing priorities, and maintain attention to detail in a remote environment.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>100% remote position open to candidates located anywhere within the United States.</li>
<li>Equipment provided by Gainwell Technologies.</li>
<li>Monday through Friday schedule during standard business hours.</li>
<li>Video cameras must be used during all virtual interviews and the first week of training.</li>
<li>Candidates must successfully complete a skills and competency assessment before advancing in the hiring process.</li><br>
</ul><p></p><p><b>This posting is intended for pipelining. We will accept applications on an ongoing basis.
</b></p><p>#LI-REMOTE</p>
<p>#LI-JT1</p><br>
</div></div></div><p></p><p>The pay range for this position is $35,000 - $50,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

EDI Helpdesk Representative - Remote US

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Certified Pharmacy Technician - Remote US
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 19, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, OH, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36696
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><div>The Certified Pharmacy Technician supports pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, pharmacy claims inquiries, benefit questions, and other pharmacy-related services. This role works in a fast-paced, high-volume environment while ensuring accuracy, compliance, and exceptional customer service. The ideal candidate combines strong pharmacy knowledge with excellent communication skills and a commitment to supporting healthcare outcomes.</div>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Support members, providers, and pharmacies by responding to pharmacy-related inquiries, benefit questions, prior authorization requests, and claims-related issues.</li>
<li>Research and resolve pharmacy claims, eligibility, coverage, and medication-related concerns while maintaining service level expectations.</li>
<li>Review, document, and process pharmacy transactions and requests in accordance with client, regulatory, and operational guidelines.</li>
<li>Utilize multiple systems and resources to accurately investigate issues, provide resolutions, and maintain complete documentation.</li>
<li>Collaborate with internal teams, healthcare professionals, and external stakeholders to support quality service delivery and member satisfaction.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>Active Certified Pharmacy Technician (CPhT) certification required.</li>
<li>Active Pharmacy Technician registration with a State Board of Pharmacy, where applicable.</li>
<li>Experience supporting pharmacy operations, prior authorizations, pharmacy claims, PBM services, managed care programs, specialty pharmacy, or healthcare customer service preferred.</li>
<li>Strong customer service, communication, and problem-solving skills with the ability to work effectively in a fast-paced, high-volume environment.</li>
<li>Proficiency using pharmacy systems, multiple computer applications, and documentation tools while maintaining accuracy and attention to detail.</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Support pharmacy-related operations serving members, providers, pharmacies, and healthcare professionals across a variety of programs and clients.</li>
<li>Research and resolve pharmacy inquiries related to benefits, claims, medications, prior authorizations, and other pharmacy services.</li>
<li>Utilize multiple systems and resources to investigate issues, document interactions, and provide timely and accurate resolutions.</li>
<li>Participate in training and professional development opportunities designed to expand pharmacy, healthcare, and customer service knowledge.</li>
<li>Remote work environment with opportunities for professional growth and a comprehensive benefits package including medical, dental, vision, 401(k) with company match, flexible paid time off, paid holidays, wellness programs, and additional employee support resources.</li><br>
</ul><div></div><div>This is a <b>pipeline requisition</b> intended to proactively build a strong pool of qualified candidates for upcoming business needs. We will be actively reviewing applications, conducting screenings, and coordinating interviews on an ongoing basis. Our goal is to identify qualified talent in anticipation of filling this position in the near future.</div><br>
<div></div><div>#LI-REMOTE</div>
<div>#LI-JT1</div><br>
</div></div></div><p></p><p>The pay range for this position is $37,440 - $47,840 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Certified Pharmacy Technician - Remote US

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Medical Claims Recovery Specialist - Hybrid NC
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 18, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Raleigh, NC, US, 27608
</p></div></div></div></div><div><div><div><div>Req ID: 36655
</div></div></div></div><div><div><div><div>Work Mode: Occasional onsite (1-2 days per week recurring)
</div></div></div></div><div></div><div><div><div><div><p>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&rsquo;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.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>HMS works to make the healthcare system better for everyone. We identify and prevent fraud, waste, and abuse so individuals can access the care they need&mdash;now and in the future. Through innovative technology and powerful data analytics, we help government and commercial payers reduce costs, improve quality, and meet regulatory requirements. We also empower consumers to take a more active role in their health. Each year, we save our clients billions of dollars while supporting healthier communities.
<br>
At HMS, you will have the opportunity to develop new skills, grow your career in a dynamic industry, and make a meaningful difference in the lives of others.
<br>
We are seeking a detail-oriented and motivated Case Management Assistant (Onsite). This role is responsible for verifying, documenting, and coordinating information required to process applications and case management assignments. Responsibilities include confirming third-party liability, validating documentation, coordinating with employers, and providing high-quality customer service while ensuring accurate data entry, timely processing, and compliance with program requirements.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><ul><li>Provide enrollment support and HIPP/Premium Assistance program information to Medicaid-eligible individuals and their families via phone.
</li><li>Verify, document, and investigate healthcare coverage for Medicaid recipients and their dependents.
</li><li>Identify members who may qualify for the HIPP/Premium Assistance program.
</li><li>Complete periodic and ad-hoc reports as required.
</li><li>Handle high-volume customer service calls, including inquiries about the HIPP/Premium Assistance program.
</li><li>Perform accurate and timely data entry.
</li><li>Obtain and/or verify all documentation required for eligibility and enrollment into the HIPP/Premium Assistance program.
</li><li>Maintain active cases during open enrollment and premium review periods to support revenue and program growth.
</li><li>Independently manage a variety of cases of differing complexity within established service level agreements.
</li><li>Conduct outgoing follow-up calls regarding case status, payments, or outstanding requirements.
</li><li>Perform advanced document review, case status identification, basic legal research, and escalate issues when necessary.
</li><li>Prioritize and manage all case events and critical payment/recovery tasks while meeting internal and regulatory deadlines.
</li><li>Interact professionally with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and internal clients.</li></ul>
</div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>2+ years of relevant professional experience in subrogation, claims, or case management.</li>
<li>Proficiency in Microsoft Word and Excel; basic knowledge of Microsoft Access is preferred.</li>
<li>Experience in a legal or insurance office setting (Estate recovery or casualty preferred).</li>
<li>Familiarity with Medicaid and/or Medicare programs is preferred</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Hybrid work arrangement based in the Raleigh, Norrth Carolina office &mdash; onsite 2 days per week.
</li><li>Schedule: Monday&ndash;Friday, 8:00 AM &ndash; 5:00 PM.
</li><li>Video cameras are required during all interviews and throughout the first week of orientation.
</li><li>To work effectively as a teleworker or hybrid employee, you must have broadband internet with a minimum speed of 24 Mbps download and 8 Mbps upload (higher speeds recommended for optimal performance).</li></ul><br>
<p></p><p>This posting is intended for pipelining. We will accept applications on an ongoing basis.</p>
<p>#LI-HYBRID #LI-JA1 #LI-CM1</p><br>
</div></div></div><p></p><p>The pay range for this position is $35,500.00 - $43,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p><br>
</div></div></div></div><p><br>
<b>Nearest Major Market: </b>Raleigh</p></div>

Medical Claims Recovery Specialist - Hybrid NC

<div><div><div><div><div><h1 class="jobSectionHeader"><b>Senior ETL Data Analyst
</b></h1></div></div></div></div><div><div><div><div>Date: Jun 17, 2026
</div></div></div></div><div><div><div><div>Location:
<p>Any city, IL, US, 99999
</p></div></div></div></div><div><div><div><div>Req ID: 36616
</div></div></div></div><div><div><div><div>Work Mode: Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><p>Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You&rsquo;ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2>
</div><div><p>As a Senior Professional, ETL Data Analyst (Pharmacy/PBM) at Gainwell, you will perform advanced data analysis, requirements gathering, and ETL mapping design to support pharmacy and healthcare data solutions. This role focuses on translating business requirements into technical specifications, ensuring data integrity, and enabling scalable data transformation processes across Medicaid and PBM environments.</p>
</div></div><div><div><h2 class="jobSectionHeader"><b>Your role in our mission</b></h2>
</div><div><p>When joining Gainwell, you will:</p>
<ul><li>Perform requirements gathering and data analysis to support ETL development and healthcare data transformation initiatives</li>
<li>Create detailed mapping documents and technical specifications based on business and system requirements</li>
<li>Partner with ETL developers, DBAs, and configuration teams to ensure accurate implementation of data solutions</li>
<li>Analyze data using SQL and data models to identify transformation logic, trends, and business insights</li>
<li>Develop test cases and support testing (unit, integration, system, and UAT) to validate that solutions meet design and business expectations</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What we're looking for</b></h2>
</div><div><ul><li>5+ years of healthcare business analysis experience, preferably in Medicaid or PBM environments</li>
<li>3+ years of strong SQL and technical data analysis experience</li>
<li>Knowledge of QNXT/schema and healthcare domains including <b>member, eligibility, TPL, claims/encounters (medical &amp; pharmacy), provider, clinical, drug rebate, and financial data</b></li>
<li>Experience with <b>requirements gathering, ETL/data mapping, and interface development</b></li>
<li>Strong communication, analytical, and problem-solving skills with ability to translate technical concepts into business terms</li>
</ul></div></div><div><div><h2 class="jobSectionHeader"><b>What you should expect in this role</b></h2>
</div><div><ul><li>Remote Opportunity within the United States</li>
<li>Video cameras must be used during all interviews, as well as during the initial week of orientation.</li>
<li>This posting is intended for pipelining. We will accept applications on an ongoing basis</li><br>
</ul></div></div></div><p></p><p>The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><br>
<p></p><p>We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><br>
<p></p><p><i>Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div></div></div></div></div><p></p>

Senior ETL Data Analyst

Join Gainwell Technologies LLC and explore 11   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.