Claims Lead

August 14, 2024

Gainwell Technologies LLC

Anchorage

FULL TIME

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

HMS is seeking a Claims Leader to oversee the activities of the Claims Specialists team to help support our Alaska Medicaid client. The Claims Lead works with Claims Supervisor and other leads in Claims Processing area in reporting inventories and strategizing process improvements. They assist in setting goals for the teams and monitor daily productivity.

Your role in our mission

Reviews daily production reports
Reports any production issues to Claims Supervisor
Assigns daily work to Claims Specialists
Assists employees with claims processing questions and issues
Creates corporate required reports
Is a first point of contact for claims processing questions from other departments
Oversees the training of the new Claims Specialists
Performs quality analysis of Claims Specialists daily production
Creates quality analysis reports
Assist Claims Supervisor in creating employee improvement plan for Claims Specialists as needed
Assists in creating and approves changes or operating procedures for the team

What we're looking for

Minimum of one year experience of leading a small team
Experience working with claims; experience working with client services.

Strong leadership skills, organization skills to independently balance and prioritize work, and ability to work independently and as part of a team.

Strong communication skills for interacting with personnel; strong interpersonal, time management, and organizational skills.

Computer proficiency and technical aptitude with the ability to use MS Office, including Excel spreadsheets.

What you should expect in this role

Work-from-home (WFH); or Hybrid model including in-office and WFH days to be defined. For positions assigned to WFH, reliable high-speed internet connectivity is required. Employees working-from-home may be required to report to the office, at times.to support work efforts.

In order to effectively work remotely with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance.
- To Test your internet download and upload speed:
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  - Search for Internet Speed Test
  - #LI-LS2
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The pay range for this position is $46,800 - 66,900 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 HMS, a Gainwell Company. 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 HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.

HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

We regret to inform you that this job opportunity is no longer available