Disability Reviewer

Gainwell Technologies

. Review and analyze complex medical, psychological, developmental, and functional information for children applying for or participating in Wisconsin’s Katie Beckett Medicaid program .

Posted 9/25/2026full-timeRemote • Wisconsin • United StatesMid-LevelSenior💰 $50,700 - $72,400 per yearWebsite

About the role

Key responsibilities & impact

Review and analyze complex medical, psychological, developmental, and functional information for children applying for or participating in Wisconsin’s Katie Beckett Medicaid program
Develop disability determination recommendations using medical evidence, functional limitations, Social Security Act requirements and disability criteria, policies, regulations, procedures, and quality standards
Evaluate medical terminology, disease processes, diagnostic testing, treatment practices, physical and mental impairments, and other relevant evidence
Identify when additional medical information is necessary to complete a review
Prepare electronic case documentation, written review requests, case summaries, determination records, and required notifications
Maintain confidentiality and comply with applicable regulations and program requirements
Independently manage an assigned disability caseload
Collaborate with reviewers, clinical consultants, supervisors, and operational partners to research discrepancies, resolve complex cases, and reach logical and objective conclusions
Travel quarterly to Madison, Wisconsin for meetings or other business needs

Requirements

What you’ll need

Professional experience working with children who have disabilities and/or complex medical needs
Experience evaluating medical, emotional, psychological, developmental, and functional conditions
Experience reviewing and analyzing medical, psychological, developmental, clinical, or other evidentiary records
Ability to develop logical, objective, and well-supported recommendations
Strong analytical, critical-thinking, written communication, organizational, and attention-to-detail skills
Ability to independently manage priorities, deadlines, and a disability-related caseload accurately and timely
Bachelor’s degree in a human services-related field with relevant clinical experience, or an associate degree in a human services-related field with equivalent relevant experience
Backgrounds in nursing, psychology, social work, human services, or related therapies preferred
Strong computer skills
Ability to work effectively with electronic medical and evidentiary records
Experience with CARES Worker Web (CWW) preferred
Must reside within Wisconsin
Ability to work 40 hours per week
Availability Monday through Friday during Wisconsin Department of Health Services core hours of 9:00 a.m.–3:00 p.m. Central Time
Maintain a private, distraction-free workspace
Reliable hard-wired high-speed internet with minimum 25 Mbps download and 10 Mbps upload; Wi-Fi is not permitted as the primary connection

Benefits

Comp & perks

Medical, dental, and vision benefits
401(k) options
401(k) employer match
Flexible vacation policy
Educational assistance
Leadership and technical development academies
Flexible work hours
Career development and continuous learning opportunities
Work-life balance