West Sacramento, California, United States · On-site
$38k–$54k/yr
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 opport…
Skills: Medical Claims Processing, Appeals Examination, Medical Terminology, HIPAA Compliance, Claim Data Correction
Perry County, Ohio, United States · Remote OK
$56k–$79k/yr
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’ll h…
Skills: Healthcare Claims Analysis, CPT Coding, HCPCS Coding, ICD-10 Coding, Microsoft Excel
Perry County, Ohio, United States · Remote OK
$73k–$104k/yr
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’ll h…
Skills: C#, WPF, .Net, ASP .NET, RESTful Services
Perry County, Ohio, United States · Remote Solely
$52k–$74k/yr
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’ll h…
Skills: Medicaid Drug Rebates, Claims Processing, Medical Billing, PRIMS, SSRS Reports
Anchorage, Alaska, United States · Hybrid
$48k–$69k/yr
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 HMS, a Gainwell Company carries its re…
Skills: Medicaid Claims Knowledge, Healthcare Insurance, Customer Service, Conflict De-escalation, Troubleshooting
Perry County, Ohio, United States · Remote Solely
$95k–$136k/yr
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’ll h…
Skills: Application Architecture, Technical Documentation, CMS Interoperability, FHIR, HL7
Tada, Andhra Pradesh, India · Remote OK
Summary As a Technical Writer at Gainwell, you will be responsible for creating, updating, and maintaining technical documentation, including manuals, system guides, online help systems, and developer guides. You will ha…
Skills: Technical Writing, MadCap Flare, Version Control, Agile Methodology, Software Development Lifecycle
Bangalore South, Karnataka, India · Remote OK
Summary As a C Unix Developer at Gainwell, you will be performing design, development, testing activities. Supporting the full life cycle of development processes for creating services. Investigating and resolve complex …
Skills: C, Unix/Linux, Oracle SQL, PL/SQL, Batch Development
Oklahoma City, Oklahoma, United States · On-site
$29k–$41k/yr
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’ll h…
Skills: Customer Service, Technical Support, Multitasking, Oral Communication, Written Communication
Perry County, Ohio, United States · Remote OK
$63k–$90k/yr
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’ll h…
Skills: Quality Assurance Strategy, Defect Analysis, Quality Metrics, Software Test Science, Project Management
Perry County, Ohio, United States · Remote OK
$63k–$90k/yr
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’ll h…
Skills: Quality Assurance Strategy, Defect Analysis, Quality Metrics, Software Test Science, Project Management
Indianapolis, Indiana, United States · Hybrid
$86k–$124k/yr
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your car…
Skills: Claims Adjudication, Claims Processing, Medicaid Regulations, Team Leadership, Operational Reporting
Bangalore South, Karnataka, India · Remote OK
Summary As a C - Unix Developer (C, SQL, UNIX) at Gainwell, you will be performing design, development, testing activities. Supporting the full life cycle of development processes for creating services. Investigating and…
Skills: C, SQL, Unix, Linux, Oracle PL/SQL
Muskingum County, Ohio, United States · Remote OK
$35k–$50k/yr
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 opport…
Skills: Medical Claims Processing, Claims Resolution, Analytical Thinking, Problem Solving, Microsoft Office
Muskingum County, Ohio, United States · Hybrid
$45k–$70k/yr
Put your passion to work and grow your career by learning from healthcare innovators and mentors. By joining our team, you’ll work with industry pioneers who do incredible things to move healthcare forward. From day one,…
Skills: Technical Writing, Editing, Research, Microsoft Word, Microsoft Excel
Perry County, Ohio, United States · Remote Solely
$95k–$136k/yr
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’ll h…
Skills: Product Ownership, Backlog Management, Agile/Scrum, Requirements Gathering, Stakeholder Communication
Muskingum County, Ohio, United States · Remote Solely
$95k–$136k/yr
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’ll h…
Skills: Product Ownership, Business Analysis, Agile/Scrum, Backlog Management, Requirements Gathering
Madison, Wisconsin, United States · Remote Solely
$86k–$105k/yr
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your car…
Skills: Clinical Review, Medical Record Analysis, Fraud Detection, Medicaid Compliance, Medical Necessity Criteria
Perry County, Ohio, United States · Remote OK
$56k–$79k/yr
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’ll h…
Skills: Business Analysis, Requirements Facilitation, SDLC, SQL, Microsoft Excel
Irving, Texas, United States · Hybrid
$31k–$44k/yr
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 opport…
Skills: Case Management, Legal Documentation, Negotiation, Customer Service, Microsoft Outlook
West Sacramento, California, United States • On-site
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Review and analyze provider appeals using approved guidelines to ensure accurate determinations. Resubmit and adjust claims with proper documentation while maintaining quality and production standards.
Requires at least two years of experience in medical claims and appeals along with knowledge of medical terminology. Proficiency in Microsoft Office products and a high level of accuracy are essential.
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.
As Appeals Examiner - West Sacramento, CA (On-site), 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. Here are the details on this position.
#LI-ONSITE
The pay range for this position is $37,500.00 - $53,500.00 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’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.
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’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.
Gainwell Technologies 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 “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.
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does. We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.
Offices: United States, US
