Remote Medical Claims Research Lead - CA

Gainwell Technologies LLC; United States; A distancia; USD 70.000 - 80.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health benefits

401(k) match

Paid vacation

Educational assistance

Descripción de la vacante

Gainwell Technologies LLC is seeking a Medical Claims Research Analyst Lead to guide the Research Analyst team in resolving complex claims research, provider inquiries, and operational issues. You will collaborate with internal stakeholders and clients to ensure accurate, compliant outcomes and drive process improvements.

Ideal candidates have 3+ years in healthcare operations, strong leadership and analytical skills, and the ability to mentor staff while maintaining high service quality.

Formación

• Three or more years of experience in healthcare operations or related field.
• Experience with medical claims processing and provider inquiries.
• Strong leadership, mentoring, and communication skills.
• Ability to analyze data and resolve complex issues with stakeholders.

Responsabilidades

• Provide functional leadership and day-to-day guidance to the Research Analyst team.
• Investigate and resolve routine to complex medical claims and provider inquiries.
• Collaborate with clients, leadership, and cross-functional teams to resolve escalated issues.
• Develop best practices, document issue resolution, and mentor staff.
• Identify process improvements to increase efficiency, service quality, and customer satisfaction.

Conocimientos

Healthcare operations

Medical claims processing

Provider support

Leadership

Analytical skills

Descripción del empleo

Gainwell Technologies LLC is seeking a Medical Claims Research Analyst Lead to guide the Research Analyst team in resolving complex claims research, provider inquiries, and operational issues. You will collaborate with internal stakeholders and clients to ensure accurate, compliant outcomes and drive process improvements.

Ideal candidates have 3+ years in healthcare operations, strong leadership and analytical skills, and the ability to mentor staff while maintaining high service quality.