Gainwell Technologies · 21 hours ago
Healthcare Claims Operations Manager (Jackson, MS)
Jackson, MS, US, 39157
Full-time
Onsite
Mid, Senior Level
$85K/yr - $122K/yr
5+ years expGainwell Technologies is a company that values contributions and promotes career development. The Healthcare Claims Operations Manager will oversee the mailroom, data capture, and claims processing related to State Medicaid Programs while leading a team of supervisors.
HealthcareInformation TechnologyHealth Care
Responsibilities
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
Qualification
Required
Bachelor's degree (BA or BS) required; RN degree is preferred, but not necessary
Excellent project management and planning skills with the ability to communicate in writing as well as speak in front of groups required
Medicaid and customer service experience in a health care environment required
Preferred
Five (5) or more years of medical claims leadership preferred
Strong skills in use of technology, mailroom processes (document/data processing), medical claims, and clinical functional areas
Benefits
Health (medical, dental, vision) benefits start on day 1 of employment.
Company match 401K and other benefits available within months of starting.
New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment.
Company provided computer for work use.
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase