Healthcare Claims Operations Manager (Jackson, MS)

Summary

The Healthcare Claims Operations Manager position will be responsible for the following functions : Mailroom, data capture, scanning, adjustments, resolution, clinical, and change orders related to State Medicaid Programs. The manager will be required to work with other managers for the rest of the organization in support of the Medicaid contract. The manager will lead the daily activities of supervisors in the acceptance, control, and processing of all functions in areas of responsibility.

This position is required to be onsite at the Jackson office in Jackson, Mississippi each day for work.

Your role in our mission

• Ability to lead a multiple functional organization with competing demands
• Ability to establish objectives and plans for the organization’s operations
• Ability to write reports, business correspondence, and procedures
• Ability to interpret reporting requirements and report to client all customer support activities in as glowing terms as and where possible
• Ability to effectively present information and respond to questions for groups of managers, customers, providers, investigative agencies, and the general public
• Ability to define problems, collect data, establish fact, and reach conclusions
• Ability to evaluate the performance of subordinates as well as assisting direct reports in the evaluation of their subordinates
• Ability to understand Medicaid procedures and policies
• Ability to work in the best interest of the company as a whole (i.e., team player) and not protect own territory
• Ability to effectively motivate performance and to manage workflow in an operations and production environment with established quality and quantity standards.
• Ability to understand claims processing in an automated environment
• Ability to maintain strong internal controls and work with auditing teams (internal and external) to meet client and Gainwell requirements
• Ability to meet established corporate leadership requirements on personnel, budgets, and processes
• Ability to create budgets, outlook, maintain budget, and work with direct reports to do the same
• Ability to maintain staffing levels as budgeted and fill billable direct positions quickly

What we're looking for

What you should expect in this role

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The pay range for this position is $85,200.00 - $121,700.00 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 , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.