Remote Medicaid Provider Relations Specialist
Gainwell Technologies LLC
- Remote job
Gainwell Technologies is seeking a Professional Field Representative to support Wisconsin Medicaid providers as a primary liaison for education, issue resolution, and operational support. You will work with providers and stakeholders to research, resolve complex issues, and deliver training on policies and procedures. The role requires at least 2 years of Medicaid/Medicare or government healthcare program experience, strong analytical and project management skills, and the ability to work #J-18808-Ljbffr Gainwell Technologies LLC
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ..., CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work- ...Gainwell Technologies is seeking a Provider Enrollment Specialist to support Nevada Medicaid enrollment remotely. The role involves reviewing enrollment, revalidation, and documentation, with outreach to providers to ensure complete submissions and timely approvals....Remote work
- Guided Care is seeking a part-time Licensing Specialist to manage licensing, Medicare, and Medicaid registrations with accurate, timely submissions. The role emphasizes... ...of Licensing and requires independent work in a remote-capable setup within the United States. #J-18808-...Remote jobPart time
- Ensemble Health Partners is seeking a remote Healthcare Eligibility Specialist to interview uninsured/under-insured patients and determine Medicaid eligibility. You will review referrals, collect documents, and coordinate submissions while traveling to client locations...Remote job
- ...TITLE: Medicaid Specialist Field Staff REPORTS TO: Operations Admissions... ...A. Bachelor's degree in a related field or demonstrated experience... ...site Monday through Friday. Remote work is not available for... ...and document requirements. Provide a copy of the public aid checklist...Remote workWork at officeMonday to Friday
- Genesis Healthcare is seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process... ...converting residents across a group of nursing centers. This remote role involves gathering documents, submitting applications, and...Remote job
- Gainwell Technologies is seeking a Provider Enrollment Specialist to support WV Medicaid enrollment, maintenance, and renewal activities. You will review applications... ...excellent written and verbal communication, with a remote work setup and occasional on-site projects in West...Remote job
- ...Analyst to lead investigations into fraud, waste, and abuse within Medicaid programs. You will audit case files, prepare regulator-ready... ...Medicaid roles, with strong documentation skills and ability to work remotely with occasional travel. #J-18808-Ljbffr PplfirstRemote job
- Centauri Health Solutions in the United States is seeking a Remote Member Advocate to support Medicaid, MSP, and LIS enrollment by phone. You will verify sensitive personal and financial details and ensure 100% accurate enrollment while maintaining HIPAA compliance. The...Remote job
$45.43k - $52k
...lives of others! We are looking for a Medicaid Eligibility Specialist for our Pennsylvania Team.... ...Will: Medicaid Eligibility Provide clients with information and guidance... ...Address client inquiries and concerns related to Medicaid applications, renewals, and...Remote workFull time$50k - $56k
...efficiently. Through member and provider touchpoints with less... ...a Senior Enrollment Specialist, reporting to the... ...correcting enrollment-related issues by building... ...responsible to review Medicaid eligibility and complete... ...Geographic Responsibility: Remote, US Type of...Remote workPermanent employmentFull timeFor contractorsWork at office- ...re expanding our team and looking for a Medicaid Waiver Specialist (Screener) who is passionate about... ...them through the application process. We provide full training, and after 2–3 months on‐site, you’ll transition to a remote schedule. What You’ll Do ~ Conduct...Remote workFull timeTemporary workMonday to Friday
- Innovative Systems Group is seeking a provider services specialist to support Medicare and Medicaid provider operations. The role involves researching and resolving provider inquiries related to contracts, system issues, data entry claims payments, and directory accuracy...
- ...experience navigating Medicaid referrals, submitting... ...Manager is responsible for providing community-based case... ..., including Veterans-related services, and TCM-... ...connection to facilitate remote workdays; otherwise, working... ...Brain Injury Specialist training are required...Remote workFull timeContract workWork at officeLocal areaWork from homeFlexible hoursShift workAfternoon shift
- Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate) Virtual Job Description Posted Friday, July 24, 2026 at 4:00 AM Who We Are Centauri delivers... ...Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent...Remote jobMonday to Friday
$90.58k - $114.59k
...No55-b/c Eligible: NoAgency: Medicaid Inspector General, NYS Office of the Title: Investigative Specialist 2 MedicaidOccupational Category... ...sanctions against providers. The incumbent will aid in this... ...degree in criminal justice or related field may substitute for two...Remote workPermanent employmentFull timeWork experience placementInternshipWork at officeVisa sponsorship- ...To support provider services, the full-time Provider Relations Specialist will analyze call drivers, develop action plans to reduce provider contact rates, and collaborate with internal partners while enjoying the flexibility to telecommute from anywhere within the U....Remote workFull time
- Gainwell Technologies is seeking an experienced Provider Field Representative to support providers across a Southern California territory. This remote, field-based role involves home-based work with regular travel for visits, training, and outreach activities to ensure...Remote jobWork from home
- ...A major health care provider is seeking a Senior Provider Relations Representative for a remote role within WA, MO, or NC. This position focuses on resolving provider issues, enhancing provider relationships, and analyzing performance data. Ideal candidates should have...Remote work
- Gainwell Technologies is seeking an experienced Provider Field Representative to support healthcare providers across Central California... ...reside in Central California and be willing to travel; the role is remote and field-based, with regular travel throughout the territory....Remote job
- ...Description Job Title: Revenue Cycle Management Specialist I Reports to: Revenue Cycle... ...Type: Part-Time Work Setting: Remote Position Overview: The Revenue... ...community health settings Familiarity with Medicaid, Medicare, and commercial payers...Remote workPart timeMonday to Friday
- ...consultant and subject matter expert supporting employee relations for employed physicians and advanced practice providers (APPs) within the Medical Group. Manages complex... ..., and legal defensibility. Responsibilities Remote Work Capable Essential Functions Serves as the...Remote workContract workWork experience placement
$19.7 - $27.2 per hour
Provider Relations Specialist About Company Samaritan Ministries is a Biblical solution to health care. It is not insurance. We deliver authentic,... ...than on-location work situation is approved (i.e. hybrid or remote), the employee must work in an appropriately professional...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hoursWeekend workAfternoon shift$95k - $125k
...variety of backgrounds who collaborate to provide the very best evidence-based care for... ...at all levels of care. Provider Relations Specialist Position Overview As a Provider Relations... ...or conferences Location ~ Remote based ~70-90% Travel within the...Remote workPermanent employmentFull timeTemporary workImmediate startMonday to FridayWeekend workAfternoon shift- ...to join our team. This is a remote position, where you will partner... ...Wisconsin IRIS program - a Medicaid long-term care option for older... ...for achieving their goals related to employment, housing, health... ...this Realistic Job Preview to provide you with an inside look at...Remote workWork at officeLocal areaWork from home
- ...Work Location Virtual/Remote ONLY for living in the... ...primary purpose of the Coding Specialist II is to code and verify... ...the ability to provide direction to coding staff as it relates to coding integrity, established... ...Centers for Medicare & Medicaid Services (CMS)...Remote workContract workLocal area
- ...Inpatient Experience Required - Remote work for TX, AR, WI and... ...purpose of the Coding Specialist III is to code and... ...Demonstrates the ability to provide direction to coding staff as it relates to coding integrity,... ...reimbursement (Medicare and Medicaid) principles. •Advance...Remote workContract workLocal area
$17 per hour
...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type... ...Authorization Specialist to support provider enablement activities. The... ...processes and related back-office operations... ...work codes, Medicare and/or Medicaid services Professional experience...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work$30.5k - $45.76k
...Summary The DAPO Specialist supports Gainwell's healthcare... ...validating, and updating provider and pharmacy-related records to ensure accuracy... ...tasks that align with state Medicaid requirements and internal... ...working in a fast-paced, remote environment. Your role...Remote workFull timeContract workWork at officeWork from homeFlexible hoursShift work- ...Supporting the billing teams remotely, the full-time Reconciliation Specialist will manage payment reconciliations, post payments in various billing systems... ...practices and billing for commercial insurance and Medicaid Willingness to learn and a positive attitude...Remote workFull time
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