Carrier Account Manager (Remote in USA)

May 23, 2026

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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 Carrier Account Manager 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. Your role in our mission <ul type="disc"> <li style="font-family:arial, helvetica, sans-serif">Understand and Build relationships with commercial insurance carriers.</li> <li style="font-family:arial, helvetica, sans-serif">Prepares, monitors, and manages budget and revenue expectations for all assigned carriers.</li> <li style="font-family:arial, helvetica, sans-serif">Foster collaboration between the Carrier Relations team and all other Gainwell departments.</li> <li style="font-family:arial, helvetica, sans-serif">Report progress towards strategic carrier growth and identify opportunities to management.</li> <li style="font-family:arial, helvetica, sans-serif">Coordinate, conduct, and maintain regular communication with multiple health insurance payors and vendors.</li> <li style="font-family:arial, helvetica, sans-serif">Understand CMS guidelines and State DRA’s, articulating them effectively with carrier and vendor contacts.</li> <li style="font-family:arial, helvetica, sans-serif">Oversee platform enhancements and manage billing file fixes, 835 remits, checks, and Explanation of Benefits.</li> <li style="font-family:arial, helvetica, sans-serif">Analyze claims data, procedure codes, bill types, and claim types.</li> <li style="font-family:arial, helvetica, sans-serif">Identify and continually seek new sources of recoveries, recommending and presenting strategies for increased recoveries or new revenue opportunities.</li> <li style="font-family:arial, helvetica, sans-serif">Manage the carrier billing process, ensuring cycles are completed and accepted by carriers. Follow claims through the carrier payment processes to receipt of remittances.</li> <li style="font-family:arial, helvetica, sans-serif">Oversees platform enhancements and billing file fixes/updates.</li> <li style="font-family:arial, helvetica, sans-serif">Resolves and reworks any denials that can be resubmitted.</li> </ul> What we're looking for <ul type="disc"> <li style="font-family:arial, helvetica, sans-serif">Experience in developing strategic relationships with multiple payors and insurance carriers with excellent negotiation and collaboration skills.</li> <li style="font-family:arial, helvetica, sans-serif">Knowledge of Medicaid and Medicare and working understanding of HIPAA privacy and security rules.</li> <li style="font-family:arial, helvetica, sans-serif">Experience working with compliance and legal departments.</li> <li style="font-family:arial, helvetica, sans-serif">Familiarity with the Health insurance Explanation of Benefits (EOB) generation process.</li> <li style="font-family:arial, helvetica, sans-serif">Proficiency in data analysis using Microsoft Excel, Word, Access, PowerPoint, SQL, Micro Strategies, and company databases to pose data-related questions and perform root cause analysis.</li> </ul> What you should expect in this role <ul type="disc"> <li style="font-family:arial, helvetica, sans-serif">This is a full-time, permanent salaried (W-2) employee position. This is not a contract or short-term position.</li> <li style="font-family:arial, helvetica, sans-serif">Health benefits (medical, dental, vision) and paid time off benefits start on day 1 of employment.</li> <li style="margin-top:0.0px;margin-bottom:0.0px;vertical-align:middle;font-family:arial, helvetica, sans-serif;font-size:12.0pt">Company match 401K and other benefits available within months of starting.</li> <li style="margin-top:0.0px;margin-bottom:0.0px;vertical-align:middle;font-family:arial, helvetica, sans-serif;font-size:12.0pt">New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment. Any exception requires manager approval prior to employee's Gainwell start date.</li> <li style="font-family:arial, helvetica, sans-serif">Company provided computer.</li> <li style="font-family:arial, helvetica, sans-serif">Monday through Friday work schedule. <ul type="circle"> <li style="font-family:arial, helvetica, sans-serif">Employees in this role will work from home and must be within the continental US when working.</li> <li style="font-family:arial, helvetica, sans-serif">Work location must be free of distractions, loud noises, recording devices, and private.</li> </ul> </li> <li style="font-family:arial, helvetica, sans-serif">For remote (work from home) positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance.</li> <li style="font-family:arial, helvetica, sans-serif">Video cameras on phone, tablet, or computer must be used during all interviews. The camera on the company provided laptop must be on during the initial week of orientation, if hired.</li> <li style="font-family:arial, helvetica, sans-serif">This position will remain posted until at least May 29, 2026, to take applications. Only fully qualified applicants that meet all requirements will be contacted. </li> </ul> #LI-DNI The pay range for this position is $55,600.00 - $79,400.00 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 <a href="https://jobs.gainwelltechnologies.com/content/benefits/?locale=en_US">401(k) employer match, comprehensive health benefits</a>, 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 <a href="https://www.gainwelltechnologies.com/">company website</a> and visit our <a href="https://jobs.gainwelltechnologies.com/">Careers site</a> 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.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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