Claims Supervisor Claims (Hybrid Anchorage, Alaska)

HMS Anchorage , AK 99501

Posted 1 week ago

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Supervisor at Gainwell, you will be a part of an innovative product company with a mission to serve the healthcare needs of our communities. You will use your supervisory and analytical skills to drive your team's consistent improvement and success while maintaining the highest quality standards throughout the service lifecycle. Most importantly, you'll have the chance to grow and develop as a professional through our exceptional developmental opportunities.

Your role in our mission

Gainwell empowers you through innovative technologies and solutions to deliver better health and human services outcomes. When joining Gainwell, you will:

  • Build, develop, and lead a team(s) of individual contributors, supporting employees and the execution of day-to-day operations.

  • Establish and effectively lead routines at a regular cadence and utilize tools and reporting to drive team performance; train and provide ongoing coaching (account-specific metrics, AHT, APT, Occupancy, Utilization, Quality scores, etc.) to ensure employee engagement while maintaining client satisfaction.

  • Participate in client-related activities, including project planning and client calibration sessions; ensure employee adherence to company, client, and regulatory policies.

  • Work with employees and operational leaders to achieve Client Service Level Agreements (SLAs); serve as a point of escalation and support team members by handling escalated calls and customer inquiries.

  • Create conditions for success by removing obstacles and championing change to drive employee awareness and a connection to their work and contributions.

What we're looking for

  • 4 or more years of supervisory experience and healthcare, healthcare technology and delivery, or MMIS business process outsourcing.

  • Proficient with Microsoft Office suite and hardware and software applications to manage contact center and back-office operations (Cxone, Verint, Avaya, etc.).

  • Knowledge of two or more MMIS business operational areas such as Claims Processing, Authorized Services, Customer Centers, Mailroom, Pharmacy, Provider Enrollment, or Provider Relations SURS is also preferred.

  • Strong analytical and problem-solving skills to interpret and effectively utilize data to support your team.

  • Strong written and oral communication skills to work effectively with team members, customers, and clients.

  • Ability and discernment to make decisions and proactively solve challenges in a fast-paced environment.

What you should expect

  • Hybrid position with home office in Alaska.

  • Opportunities to travel through your work (up to 25%)

#LI-HYBRID


#LI-LS2


The pay range for this position is $54,200 - $77,400 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 HMS, a Gainwell Company. 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 HMS, a Gainwell Company, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.

HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.


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