Gainwell Technologies

Contract Compliance Manager

Gainwell Technologies • $108K — $155K *
Wrangell, AK 99929In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Ability to build trust with leadership and staff at all levels.
  • Expertise in improving process efficiency and customer relations.
  • Strong leadership and collaboration skills across functions.
  • Demonstrated seasoned judgment in business matters.
  • Results-oriented with a focus on accountability.
  • Independent judgment in achieving objectives.
  • Exceptional interpersonal communication skills; fluent in English.
  • Preferred experience in healthcare or insurance, especially Medicare/Medicaid.

Responsibilities

  • Oversee contract compliance and audit activities including external audits and KPI reporting.
  • Develop and coordinate performance standards and reports with State customers.
  • Manage contractual issues and ensure timely resolution with relevant stakeholders.
  • Collaborate with leadership to enhance contract language and reporting processes.
  • Conduct regular meetings with contract managers and leadership for project updates.
  • Support development of client references for new business initiatives.
  • Monitor and report on contract performance and compliance expectations.
  • Train staff on contract compliance importance.
  • Produce monthly status reports on contract monitoring activities.
  • Lead security audits and ensure compliance with security standards.
  • Identify opportunities for contract optimization and staff development.

Benefits

  • Flexible vacation policy for work-life balance.
  • 401(k) employer matching for retirement savings.
  • Comprehensive health benefits for well-being.
  • Educational assistance for career growth.
  • Leadership and technical development academies available.
Full Job Description
Your role in our mission

  • Responsible for the oversight of all contract compliance and audit activities including but not limited to any external audits required by contract, KPI Reporting, CMS Certification and the development and execution of any contract deliverables (Daily, Weekly, Monthly, Quarterly or Annual).
  • Develop and coordinate contract monitoring performance standards and management reporting with State customer for fiscal agent contract.
  • Responsible for oversight of contractual issues and follow-up required with State and Gainwell staff to resolve identified issues such as policy clarifications impacting claims processing; and timely completion of Corrective Action Plans. Track issue to closure and State-approval.
  • Work with State and Gainwell Leadership on management areas to improve contract verbiage, reporting processes, monitor and report on SLA and KPI adherence and communication to impacted entities and staff.
  • Meet with Fiscal Agent Contract Manager and State leadership on a periodic basis to highlight work completed, project status updates, and upcoming implementation schedules and planned communication for policy and system changes. Includes updates by other Gainwell Leaders as appropriate.
  • Assist Account General Manager (AGM) and Client Delivery Leader (CDL) on Client References and statistics needed for new business pursuits for Gainwell.
  • Provide contract performance and compliance monitoring of contract Performance Expectations.
  • Train and re-enforce understanding of importance of contract compliance to new staff and leadership.
  • Produce monthly status reports that outline activities and tasks performed by contract monitoring.
  • Work directly with Security Compliance Gainwell staff to support secure operations and represent GAINWELL in Security Audits as the lead/or Co-Lead.
  • Champion contract optimization and help plug gaps in contract.
  • Recruits and supports development of direct staff member when applicable.
  • Applies advanced subject matter knowledge to manage staff activities in solving common and complex business/technical issues within established policies.
  • Provides guidance on process improvements and recommends changes in alignment with business tactics and strategy for area of responsibility.
  • Protects the confidentiality, integrity, and availability of organizational and client data in accordance with regulations, standards, and best practices.


What we're looking for

Required Skills and Qualifications:
  • Ability to build trust and positive relationships with leadership and staff within client and Gainwell, recognized as a valued resource for consultation by executive management.
  • Expertise in creating positive changes in how customers and the team perceive and achieve process improvement, customer relationships, and contract compliance.
  • Effectively leads, collaborates, builds relationships and influences team members to work toward common objectives across functions and groups.
  • Demonstrates seasoned judgment in business matters and leadership.
  • Results oriented; promotes accountability.
  • Routinely exercises independent judgment in developing methods, techniques and criteria for achieving multiple objectives.
  • Must have exceptional interpersonal communication skills (writing, listening, speaking, presenting) and be fluent in English.
  • Healthcare or insurance industry experience is preferred. Prior Medicare/Medicaid State experience is a plus.


Education and Experience Required:
  • Bachelor's/Master's degree in accounting, Business Management, Computer Sciences, or equivalent.
  • Audit, Compliance, Lean Six Sigma certifications or other preferred training.
  • At 6+ years of Audit/Compliance experience preferred.


What you should expect in this role

  • Remote position (US only)
  • Opportunities to travel through your work (0-10%)
  • Video cameras must be used during all interviews, as well as during the initial week of orientation
  • The deadline to submit applications for this posting is 6/30/2026


The pay range for this position is $108,500.00 - $155,000.00 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.

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

Stay Connected with Gainwell Technologies Careers

Join the Team

Discover open positions that align with your skills and interests. Gainwell Technologies is on the lookout for passionate, curious, and creative professionals who are driven to find solutions and excel in their careers. SEARCH GAINWELL TECHNOLOGIES JOBS

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Learn more about Gainwell Technologies
Size
10,001 employees
Industry
Information Technology
* Ladders Estimates

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