Role Description Responsible for accurate, detailed, and thorough medical billing processes. Working in coordination with the team Lead, the Supervisor, and Management. The coordinator will work collaboratively with patients and office team members to ensure that billing practices are complete and accurate. The ideal candidate will be someone who has a strong desire to work individually while meeting the needs of a national organization. An important key requirement is the self-accountability to drive success in a virtual team environment. This position is a remote role with the ability to sit within any US locality. Key Responsibilities - Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, clinics, patients, and team members as needed. - Maintain current information on correct and lawful practices for billing payers. - Participate in the daily RCM processes, monitoring for accurate and timely completion of team duties. - Maintain up-to-date information on RCM process with National SOPs, processes, and policies. - Utilize all available job aids, websites, programs, and resources provided. - Support leadership with daily, weekly, monthly reporting needs as required. - Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership. - Identify and communicate with Team Lead / Supervisor any issues including system access, payor behavior, account work-flow inconsistencies or any other RCM related opportunities. - Other duties as needed. Qualifications - High school diploma or GED equivalent required. - Minimum of two years of medical facility or medical office billing experience. - Ability to work both in a team environment and independently. - Experience utilizing Microsoft Office products including Outlook, Excel, and Teams. - Experience with automated billing systems preferred. - Knowledgeable of full revenue cycle processes, with insurance companies, Medicare, and Medicaid. - Strong attention to detail. - Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture. Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk, and hear. - The employee is frequently required to walk. - The employee must be able to lift and/or move objects up to 25 pounds. - Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Benefits - Medical, dental, and vision insurance. - AD&D, short and long-term disability, and life insurance. - 401k retirement savings with employer match. - Paid parental leave. - Paid time off. - Holiday pay. - Employee Assistance Program.

Role Description An ECM Coordinator III supports department staff with administrative tasks related to a member’s medical condition(s), department case work, communication with internal and external stakeholders, and manage audits. This role will engage with members to offer support and resources related to their medical condition(s) through Allied Care. Essential Functions - Facilitate reviews, referrals, and outreach for referral-based proprietary strategies as well as engaging with members across Medical Management products. - Document all engagement accurately and concisely within the Microsoft Customer Relationship Management (CRM) system. - Manage escalated and time sensitive case management questions received from members, broker relationships, and internal and external Allied stakeholders. - Collaborate with strategic vendor partners to provide supportive services and support to members. - Lead and facilitate claims auditing in conjunction with ECM Coordinators. - Complete department auditing related to daily tasks to ensure accuracy and identify escalations. - Identify impactful scenarios through appropriate closing summaries in timely fashion. - Share impactful scenarios with the department’s leadership team to deliver to internal departments, such as Sales, Operations, and Executive leadership. - Identifying escalations for department leadership team, as appropriate. - Other duties as assigned. Qualifications - Bachelor’s Degree or equivalent work experience, required. - At least 3-5 years of administrative support experience required. - Focus on patient-provider engagement, needs assessments, coordination of care, and or patient treatment adherence within the healthcare or social service industry preferred. - Understanding of intermittent medical terminology such as CPT, HCPC, and diagnostic codes. - Understanding of basic benefit plan design terminology such as deductible, out-of-pocket, prescription drugs, physical medicine services, etc. - Strong verbal and written communication skills. - Strong analytical and problem-solving skills. Requirements - Accountability. - Communication. - Customer Service Orientation. - Functional/Technical Skills. - Quality Focus. - Time and Task Management. Physical Demands This is a standard desk role requiring extended sitting and computer work. Work Environment Remote. Benefits - Competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance. - Generous Paid Time Off. - Tuition Reimbursement. - EAP. - Technology Stipend.

Role Description Gainwell Technologies is seeking a Medicaid Case Management Supervisor to support day-to-day operational performance, lead team members, and drive process improvements across assigned business areas. This role is responsible for helping formulate operational strategies, improving team performance, securing compliance with policies and procedures, and ensuring resources are used effectively to meet business objectives. The Operations Supervisor will serve as a key leader for the team, providing guidance, coaching, and support while identifying opportunities to improve quality, efficiency, and customer service. This position requires strong people management skills, critical thinking, and the ability to anticipate operational challenges and implement practical solutions. - Supervise, train, mentor, and support employees to ensure operational goals and service expectations are met. - Help formulate and execute strategies that improve departmental performance and operational effectiveness. - Monitor day-to-day activities to ensure compliance with operational policies, procedures, and business requirements. - Identify opportunities to reduce operational costs while maintaining quality and service standards. - Procure, coordinate, and manage materials, tools, and resources needed to support team operations. - Track progress of administrative duties and ensure work is completed accurately and timely. - Promote best practices across all levels of the team to improve consistency, productivity, and service quality. - Build strong teams by encouraging collaboration, teamwork, accountability, and a positive workplace culture. - Anticipate potential issues that may impact successful outcomes and recommend creative, practical solutions. - Support employee engagement by providing clear direction, regular feedback, and ongoing coaching. - Partner with leadership and cross-functional teams to support business objectives and operational priorities. - Ensure customer service standards are met by identifying process gaps and implementing improvements. Qualifications - Paralegal or bachelor’s degree preferred. - At least one year of experience in a supervisory, team lead, or people leadership role. - Prior experience managing, mentoring, or overseeing team members in a professional work environment. - Experience working with, reading, or reviewing legal documents. - Medicaid experience required. - Ability to monitor team performance, create reports, track SLAs/BPIs, and support operational reporting needs. Requirements - Remote position open to candidates located anywhere in the U.S. - Must be willing to work an Eastern Standard Time (EST) schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m. - 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. - The deadline to submit applications for this posting is August 3, 2026. Benefits - The pay range for this position is $50,600.00 - $72,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. - Generous, flexible vacation policy. - 401(k) employer match. - Comprehensive health benefits. - Educational assistance. - A variety of leadership and technical development academies to help build your skills and capabilities.

Role Description The ECM Nutritionist delivers member-centered nutrition support that reduces risk, improves outcomes, and removes barriers to accessing evidence-based lifestyle support. This role partners closely with case management, utilization management, pharmacy, behavioral health, and other internal partners to advance chronic disease prevention and management (e.g., diabetes, hypertension, obesity) through nutrition education, health literacy, benefits navigation, and digital care tools. The ideal candidate is an empathetic advocate who blends nutrition science with practical, culturally competent care strategies. Essential Functions - Provide nutrition education via phone and digital platforms for members with diabetes, prediabetes, hypertension, obesity, CKD, and CVD risk to enhance understanding of the relationship between diet, chronic conditions, and overall wellness. - Develop culturally appropriate meal plans and dietary recommendations tailored to members’ health conditions, preferences, and socioeconomic factors. - Collaborate with case managers, pharmacists, behavioral health clinicians, and other partners to align goals, reconcile care plans, and optimize medication/lifestyle synergy. - Refer members to available tools and resources to support lifestyle management. - Maintain accurate and timely documentation, including care goals, interventions, progress, follow-up, and referrals. - Other duties as assigned. Qualifications - Bachelor’s degree in health education, health promotion, food science, nutrition, or a related health program required. - Lifestyle Management and/or Wellness Coaching certifications strongly preferred. Requirements - 3-5 years’ experience working with individuals with chronic conditions and lifestyle-related comorbidities. - Demonstrated ability to create culturally sensitive nutrition plans and communicate effectively with diverse populations. Position Competencies - Accountability - Analytical Thinking - Collaboration - Communication - Customer Focus - Functional Expertise - Initiative Physical Demands This is a standard desk role requiring extended periods of sitting and computer work. Work Environment Remote Benefits - Medical, Dental, Vision, Life and Disability Insurance - Generous Paid Time Off - Tuition Reimbursement - EAP - Technology Stipend