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
Tada, Andhra Pradesh, India · Remote OK
Summary As a SharePoint Administrator - SharePoint & Project Server (AWS) at Gainwell, you will be responsible for administering, supporting, and maintaining enterprise SharePoint Server and Project Server (PWA) environm…
Skills: SharePoint Server, Project Server, AWS, PWA, EC2
Perry County, Ohio, United States · Remote Solely
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: Provider Enrollment, Credentialing, Regulatory Compliance, Microsoft Office, Issue Resolution
Perry County, Ohio, United States · Remote Solely
$115k–$150k/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 evaluations, Medication therapy review, Prior authorization, Peer-to-peer discussions, Clinical consultations
Frankfort, Kentucky, United States · Remote Solely
$60k–$80k/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: Unix, C, SQL, PL/SQL, Oracle
Oklahoma City, Oklahoma, United States · On-site
$35k–$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, Call center, Data entry, Technical support, Multitasking
Perry County, Ohio, United States · Remote Solely
$78k–$88k/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: Utilization Review, Prior Authorization, InterQual, MCG, Clinical Documentation
Perry County, Ohio, United States · Remote OK
$38k–$55k/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: Pharmacy claims processing, Pharmacy dispensing systems, Medicaid, Medicare Part D, Prior authorization
Indianapolis, Indiana, United States · Hybrid
$61k–$87k/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: Provider relations, Healthcare operations, Team leadership, Customer service, Regulatory compliance
Perry County, Ohio, United States · Remote Solely
$47k–$67k/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: Coordination of benefits, Medicaid reclamation, Claims processing, Training facilitation, Curriculum development
Muskingum County, Ohio, United States · Remote OK
$48k–$69k/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: Instructional design, Corporate training, Adult learning principles, Project management, Course design
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: Cloud architecture, Big data, Database architecture, Python, Java
Perry County, Ohio, United States · Remote OK
$60k–$86k/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: Corporate training, Facilitation, Instructional design, Curriculum development, Needs assessment
Perry County, Ohio, United States · Remote Solely
$29k–$42k/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: Customer service, Problem-solving, Data entry, Help desk software, Microsoft Office
Perry County, Ohio, United States · Remote Solely
$54k–$78k/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: Research, Problem-solving, Communication, Customer satisfaction, Relationship building
Muskingum County, Ohio, United States · Hybrid
$58k–$83k/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: Oral Maxillofacial Surgery, Clinical Review, Treatment Authorization, Claims Adjudication, Medi-Cal Dental Policies
Muskingum County, Ohio, United States · Remote Solely
$128k–$183k/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: Strategic planning, Financial analysis, Pharmacy program management, Market surveillance, Business development
Bangalore South, Karnataka, India · On-site
Summary Your role in our mission Essential Job Functions Assists the project team with gathering requirements from a business perspective.Assists in designing and implementing new methods, procedures, and systems (both a…
Skills: Accounting, Data modeling, Process improvement, Requirements gathering, Analytical skills
Perry County, Ohio, United States · Hybrid
$44k–$63k/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: Insurance Subrogation, Healthcare Claims, Call Center Operations, Data Entry, Microsoft Excel
Warwick, Rhode Island, United States · Hybrid
$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: Customer service, Data processing, Healthcare administration, Provider enrollment, Analytical skills
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Manage legal cases from creation to recovery, including researching third-party liability and preparing legal documents. Handle communications with attorneys and stakeholders to negotiate claim settlements and resolve disputes.
Requires a High School Diploma or GED and a Paralegal certificate or equivalent experience. A minimum of three years of experience in legal support, healthcare claims, or case management is required.
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 a Legal Case Specialist - Irving, TX 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. Here are the details on this position.
Health benefits (medical, dental, and vision) begin on Day 1 of employment.
401(k) with company match and additional benefits become available within the first few months.
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.
Career growth and advancement opportunities are encouraged and supported.
A company-provided computer is supplied for work use.
This posting is intended for pipelining. We will accept applications on an ongoing basis.
#LI-HYBRID #LI-JA1 #LI-CM1
The pay range for this position is $42,000 - $47,850 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
