Onsite Claims Data Lead – Medi-Cal Operations

Gainwell Technologies LLC; West Sacramento (CA); On-site; USD 85,000 - 121,000; Full time

Benefits offered by this job

Education assistance

Leadership development academies

Flexible vacation policy

Job summary

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

You will oversee performance, coach supervisors, partner with clients and internal stakeholders, and drive improvements to increase accuracy, efficiency, and service delivery. This onsite role offers growth opportunities and a path to leadership within our healthcare operations.

Qualifications

• Bachelor’s degree or 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.

Responsibilities

• 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.

Skills

Claims data entry

Leadership

KPI management

Education

Bachelor’s degree

Job description

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

You will oversee performance, coach supervisors, partner with clients and internal stakeholders, and drive improvements to increase accuracy, efficiency, and service delivery. This onsite role offers growth opportunities and a path to leadership within our healthcare operations.