Program Specialist (Remote in CT, MA, NJ, or NY)

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 Program Specialist is responsible for supporting the client and provider relationships. Works closely with the account management team and operations team on maintaining provider inquiries for the successful delivery of HMS services for our client. Job responsibilities include oversight and management of small projects, analysis of data, customer service, building and maintaining reports and the potential of creating client deliverables. Only candidates within CT, MA, NJ, and NY will be considered. Responsibilities Build and manage client provider relationships with support from the Program Director or Manager; responsible for ensuring client satisfaction. Build relationships and collaborate effectively with HMS provider relations to ensure successful delivery of services to client(s). Assist in the creation and/or review of client deliverables. Oversee and manage client provider recoupments, specific to disallowance services and provider portal. Work with account management and operations team as necessary on applicable client design project(s) approach and develop implementation plans. Continuously monitor and timely report progress toward business goals. Assist in the development of both internal and external reports to monitor operational and financial performance. Monitor and prepare trending analysis and reporting for provider-related services for client(s). Support collaboration between account management team and operations staff. Manage expectations, resolve problems, and develop opportunities. Lead and manage projects. Work proficiently in multiple company databases. Understand the basics of data table structures and report building. Demonstrate exceptional customer service and follow-up skills. Qualifications Bachelor’s degree required. Five (5) or more years of relevant work experience required, with experience in one of the following areas preferred: Health insurance, Government, Client service/business-to-business, and Healthcare policy. Two (2) or more years of experience in one of the following areas desired: Health Insurance, Government, Client Service/business-to-business, Health Policy required. Two (2) or more years of experience in TPL required; specific hospital provider background preferred. Healthcare or Medicaid recovery experience strongly preferred. Benefits and Compensation Pay range: $15.00 – $21.00 per hour, subject to geographic region, internal equity, job-related knowledge, skills, and experience. This is a full‑time permanent salaried (W‑2) position. Health (medical, dental, vision) benefits begin on day 1. A company 401(k) match and other benefits become available within months of starting. New employees are eligible for the flexible vacation policy after ninety (90) calendar days of employment. Company-provided computer for work use. Hybrid and remote employees must have broadband Internet with a minimum speed of 24 Mbps download and 8 Mbps upload. Video cameras must be used during all interviews and the initial week of orientation if hired. The use of AI during interviews is prohibited. This position will accept applications until July 13, 2026. Gainwell Technologies is an Equal Opportunity Employer. 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 “wages” and “wage rates” to include 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. #J-18808-Ljbffr Gainwell Technologies