About this role
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
Gainwell Technologies makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people can access the care they need—today and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, improve quality, and meet compliance goals. At Gainwell, you’ll build valuable skills, advance your career, and make a meaningful difference in people’s lives.
Your role in our mission
- Answer inbound calls and provide courteous, accurate, and efficient customer service.
- Follow established quality and compliance standards for every interaction.
- Verify caller identity and ensure all security and confidentiality procedures are followed.
- Access and review program details using internal systems (e.g., DE) to answer inquiries within program guidelines.
- Communicate clear and accurate information in every interaction.
- Provide knowledgeable responses to general client questions; escalate complex cases as needed.
- Document all interactions accurately in the system and follow up on pending inquiries.
- Meet or exceed productivity and service-level agreements (SLAs).
- Collaborate with team members, management, and clients to resolve issues effectively.
- Recommend improvements to processes or workflows to enhance efficiency.
What we're looking for
- High school diploma or GED required; additional education preferred.
- 2+ years of call center or customer service experience preferred.
- Experience in a healthcare or insurance environment is a plus.
- Strong customer service orientation with excellent verbal and written communication skills.
- Proficient in Microsoft Outlook, Word, and Excel; familiarity with help desk or CRM systems is a plus.
What you should expect in this role
- This is a remote position in the USA.
- This position operates Monday through Friday, with shifts scheduled within our standard office hours of 6:50 AM to 6:30 PM CST.
- Specific shift assignments will fall within this time range based on business needs.
- Requires ability to communicate clearly via phone and computer; manual dexterity for office equipment use.
- Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.
- Video cameras must be used during all interviews, as well as during the initial week of orientation.
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. - To test your internet speed, go to Google and search for “Internet Speed Test.”
The deadline to submit applications for this posting is December 23, 2025.
#LI-REMOTE #LI-JA1 #LI-CM1
The pay range for this position is $25,300.00 - $36,200.00 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’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.
Other facts
About Gainwell Technologies LLC
For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus.
Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies.
Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.
What you'll do
- The role involves answering inbound calls and providing accurate customer service while following quality and compliance standards. Additionally, representatives must document interactions and collaborate with team members to resolve issues.
Ready to join Gainwell Technologies LLC?
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