Chiropractic Consultant

Job not on LinkedIn

🔥 1 minute ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $90.9k - $129.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Review Medicaid chiropractic prior authorizations based on medical necessity, eligibility, State policy guidelines, and accepted dental practices • Review and evaluate prior authorization submissions using multiple computer systems • Seek additional information or clarification from requesting providers when appropriate • Enter prior authorization outcomes into the Medicaid Management Information System (MMIS) • Participate in monthly meetings with Gainwell leadership, operational staff, clinical peers, and State stakeholders • Provide assistance and education to providers regarding specific prior authorization submissions • Analyze and recommend process improvements to Gainwell and State leadership related to dental program administration and application • Review communications to providers and members regarding new or revised policies • Serve as a clinical subject matter expert or liaison for internal Gainwell entities • Work in a non-patient-facing role in a fast-paced environment

🎯 Requirements

• Current Chiropractic Degree (DC) or equivalent certification/license in the state of Wisconsin, or license from another state with ability to obtain Wisconsin license before the position start date • Extensive experience in the Chiropractic field, including provision, delivery, pricing, and coding of requested services • Knowledge of and/or experience working with the Wisconsin Medicaid program or other state Medicaid programs • Excellent interpersonal, oral, and written communication skills • Ability to meet deadlines and manage priorities with minimal direct supervision • Experience working with various partners or team members toward shared goals • Ability to communicate effectively and interpret policies and procedures • Availability to work weekends as needed to support operational requirements

🏖️ Benefits

• Flexible hours/work flexibility • Work-life balance • Continuous learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Opportunity for career growth