Senior Claims Data Entry Lead - Medi-Cal Operations

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

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