Call Center Representative - Remote NV

Date: Jan 21, 2026

Location:

Any city, NV, US, 99999

Req ID: 34437

Work Mode: Virtual (Exception only)

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 Call Center Representative - Remote NV 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

Support Gainwell’s mission to improve health and human services outcomes by serving in the Nevada Medicaid Medical Management Prior Authorization (PA) Call Center.
Respond to client inquiries related to prior authorizations, level of care determinations, PASRR screenings, and personal care service intakes, escalating complex issues as appropriate.
Resolve client issues through effective problem-solving, accurate documentation, and follow-up to ensure timely resolution.
Meet service level agreements (SLAs) and production targets while completing call and non-call tasks, including PASRR portal support, email inquiries, and limited provider appeals.
Collaborate with team members and management, assist with cross-training, and recommend workflow improvements to increase efficiency and effectiveness.

What we're looking for

2 or more years of customer service experience in any industry
Knowledge of basic help desk software, computer software and Microsoft Office applications
Strong problem-solving skills to bring inquiries to effective resolution
Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally
Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries

What you should expect in this role

The call center operates M-F, 8 am to 5 pm PST. In addition to the Gainwell required background check. Nevada requires an additional FBI/fingerprint background check. The out-of-pocket costs for the BI are approximately $100, but as part of the onboarding process reimbursement submitted. Both background checks must be done prior to first day of employment and prior to obtaining log in and security credentials.

#LI-REMOTE #LI-SA1

The pay range for this position is $29,100 - $41,600 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. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.