Reference Analyst- Hybrid Williston, VT

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 Reference Analyst- Hybrid Williston, VT, 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

• Liaison with the Department of Vermont Health Access (DVHA) to support coding, pricing, and claims processing reviews.
• Update and maintain reference file screens and claims processing system attributes to ensure compliance with Correct Coding requirements.
• Set up and maintain relationship and limitation audits as directed by DVHA.
• Partner with the Systems team to implement, test, and verify high-volume reference file updates and system changes.
• Review claims processing data for compliance, recommend necessary changes, update resolution instructions, and maintain documentation of all system updates.

What were looking for

• Strong oral and written communication skills with the ability to work effectively independently and as part of a team.
• Knowledge of Vermont Medicaid policies and proficiency in Professional and Institutional claims billing processes.
• Strong attention to detail with the ability to analyze information, prioritize tasks, and make informed decisions.
• Ability to manage multiple priorities and competing deadlines while meeting SLA and departmental requirements.
• Proficiency in Microsoft Word, Microsoft Excel, and other PC-based systems; CPC certification preferred but not required.

What you should expect in this role

• Hybrid Williston, VT
• Training is on-site
• #LI-REMOTE
• #LI-LS2

"The deadline to submit applications for this posting is 10/20/2026."

The pay range for this position is $43,800.00 - $62,500.00 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. 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.