Case Management Specialist

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 As a Case Management Specialist at Gainwell Technologies, you will support healthcare recovery operations by managing cases from initiation through resolution. This role involves researching third-party liability, coordinating with legal and healthcare stakeholders, and ensuring timely and accurate case progression. You will work in a structured, deadline-driven environment where attention to detail, communication, and analytical skills are essential to achieving successful recovery outcomes. Your role in our mission Manage and maintain a caseload from creation through recovery, ensuring accurate and timely documentation Communicate with attorneys, court staff, healthcare providers, recipients, and internal stakeholders via phone and written correspondence Research and validate third-party liability, probate matters, and beneficiary assets Prepare and process claims, liens, and related legal documentation to support case progression Negotiate and resolve claim or lien settlements in accordance with contract guidelines Review and analyze case documentation to determine status and ensure workflow progression Track and prioritize case deadlines, including legal and revenue-impacting milestones Conduct follow-ups on case status, disputes, and payment resolution Compile and analyze information from multiple sources to support decision-making and case outcomes What we're looking for High school diploma or GED required; Associate degree preferred Experience in a legal office, Medicaid environment, or case management role preferred (e.g., paralegal, legal assistant, caseworker) Strong proficiency in Microsoft Office (Excel, Word, Outlook) Bilingual (English/Spanish) is a plus Strong analytical, organizational, and problem-solving skills What you should expect in this role Fully remote work environment (equipment and connectivity requirements apply) Up to 10% travel may be required depending on business needs 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 May 8, 2026. #

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#LI-JA1 #LI-CM1 The pay range for this position is $24,700.00 - $35,300.00 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.