Claims Data Entry Manager - Onsite - West Sacramento, CA

Socket.dev; West Sacramento (CA); On-site; USD 85,000 - 121,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies in West Sacramento, CA is seeking an experienced Claims Data Entry Manager to lead the intake and data entry operations for California’s Medi-Cal program. You will oversee high-volume processing, drive accuracy, efficiency, and service levels while developing supervisors, managing performance, and partnering with clients and stakeholders to improve outcomes.

The role requires strong leadership, KPI-driven management, and a commitment to compliance, audits, and process

Qualifications

• Nine or more years of experience in healthcare claims intake, claims processing, data entry operations, or related field.
• Five or more years of leadership or supervisory experience, including leading supervisors or teams.
• Knowledge of healthcare claims processing, insurance terminology, and regulatory requirements.
• Strong leadership, analytical, organizational, and communication skills to manage multiple priorities.

Responsibilities

• Lead claims intake and data entry operations, ensuring accurate and timely processing while meeting contractual and service level requirements.
• Coach and develop supervisors and team leads to foster accountability and continuous improvement.
• Monitor KPIs, SLAs, inventory, turnaround times, and quality; implement action plans to improve performance.
• Partner with clients and internal stakeholders to resolve challenges and strengthen relationships.
• Support audits and regulatory initiatives to ensure compliance in claims intake operations.
• Collaborate with IT and Operations to automate processes and reduce costs.

Skills

Leadership

Analytical skills

Organizational skills

Communication skills

Education

Bachelor's degree in business administration/healthcare administration or related field

Job description

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

Gainwell Technologies is seeking an experienced Claims Data Entry Manager to lead claims intake and data entry operations supporting California’s Medi-Cal program at our West Sacramento office.

In this role, you will oversee high-volume claims intake and data entry operations, helping ensure claims information is captured accurately, timely, and in accordance with contractual, regulatory, and operational requirements.

You will lead and develop supervisors, manage operational performance and inventory, partner with clients and internal stakeholders, and drive improvements designed to increase accuracy, efficiency, consistency, and overall service delivery.

Your role in our mission

• Lead claims intake and data entry operations, ensuring information is processed accurately and timely while meeting established contractual requirements and service levels.
• Lead, coach, and develop supervisors while fostering accountability, collaboration, employee development, and continuous improvement across the operation.
• Monitor claims volumes, inventory, turnaround times, productivity, quality, KPIs, and SLAs and implement action plans to address operational performance issues.
• Partner with clients, leadership, and internal stakeholders to resolve operational challenges, strengthen relationships, and achieve established business outcomes.
• Support internal and external audits and help ensure claims intake operations comply with established policies, procedures, contractual requirements, and applicable regulations.
• Partner with Information Technology and Operations teams to automate manual processes, standardize procedures, improve operational consistency, increase efficiency, and reduce costs.

What we're looking for

• Bachelor’s degree or an equivalent combination of education and relevant experience; a degree in business administration, insurance, healthcare administration, or a related field is preferred.
• Nine or more years of experience in healthcare claims intake, claims processing, data entry operations, healthcare operations, or a related function.
• Five or more years of leadership or supervisory experience, including experience leading supervisors, team leads, or operational teams.
• Experience managing high-volume operational performance through KPIs, SLAs, workforce planning, inventory management, budgets, client relationships, and continuous process improvement.
• Knowledge of healthcare claims processing, claims intake, insurance or medical terminology, policies and procedures, and applicable regulatory requirements.
• Strong leadership, analytical, organizational, problem-solving, and communication skills with the ability to manage multiple priorities and effectively partner with clients and senior leadership.

What you should expect in this role

• This is a 100% onsite position at our West Sacramento, CA office. Remote or hybrid work is not available for this role.
• You will lead a high-volume, metrics-driven claims intake and data entry operation supporting California’s Medi-Cal program.
• You will be responsible for operational performance, including productivity, quality, inventory, turnaround times, service levels, and employee performance.
• This position requires regular collaboration with supervisors, clients, business leaders, Information Technology, Operations, and other internal stakeholders.
• You will support process improvement, automation, audit, and regulatory initiatives designed to improve operational performance and consistency.

This posting is being used to build a pipeline of qualified candidates for current and future opportunities.

#LI-ONSITE

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The pay range for this position is $84,600 - $120,800 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 Technologiesis 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.