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 career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Summary
Gainwell Technologies is seeking a CLTS Waiver Quality Assurance Representative to join our team supporting the Children’s Long-Term Support (CLTS) Waiver Program. In this role, you will be responsible for conducting comprehensive verification reviews of incoming provider enrollment applications submitted through the CLTS Waiver Provider Registry. Your attention to detail and collaborative approach will support both internal operations and partnerships with the Wisconsin Department of Health Services (DHS) and other stakeholders.
Your role in our mission
-
Conduct full verification reviews of provider applications submitted to the CLTS Waiver Provider Registry.
-
Validate provider credentials and enrollment data using third-party tools and external resources.
-
Contact providers directly to resolve incomplete or inaccurate application information.
-
Approve eligible providers for listing on the CLTS Waiver Provider Directory.
-
Collaborate daily with DHS Bureau of Children’s Services, Field Representatives, and Contact Center staff.
-
Ensure quality and timeliness standards are met in accordance with program guidelines.
What we're looking for
-
Bachelor’s degree or equivalent work experience in administrative or quality assurance roles.
-
Prior experience with Medicaid or Home and Community-Based Services (HCBS) programs preferred.
-
Ability to interpret and apply written policies, procedures, and technical guidance.
-
Strong attention to detail and ability to manage work independently with minimal oversight.
-
Excellent written and verbal communication skills with a customer service mindset.
-
High proficiency in Microsoft Office, SharePoint, and other Windows-based tools.
What you should expect in this role
-
Full-time, Monday - Friday, 8:00 am. - 5 pm. CT, remote position supporting Wisconsin’s CLTS Waiver Program.
-
Collaboration with state officials and internal teams to ensure accurate provider data.
-
Structured onboarding and training to set you up for success.
-
Mission-driven work environment focused on improving services for children with long-term needs.
-
Opportunity to contribute to a growing and meaningful healthcare support program.
-
Access to Gainwell’s full suite of employee benefits and support tools
#LI-REMOTE
#LI-JT1
#LI-CM1
The pay range for this position is $35,000.00 - $50,000.00 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.
