Job summary
Job post source
This job is directly from Gainwell Technologies
Job overview
The Claims Analyst role involves analyzing pre-payment pharmacy claims data to identify overpayments and ensure accurate claims processing, contributing to the company's mission in healthcare solutions.
Responsibilities and impact
Daily tasks include auditing pharmacy claims, analyzing data trends for process improvements, reviewing claims for accuracy, and communicating with stakeholders to resolve claims issues.
Compensation and benefits
The salary range is $47,000.00 - $67,200.00 per year, with benefits including flexible vacation, a 401(k) match, comprehensive health benefits, and educational assistance.
Experience and skills
Candidates should have a Bachelor's or Master's degree in a related field and at least 2 years of experience in claims analysis or processing, with proficiency in pharmacy claims systems and MS Office.
Career development
Gainwell offers opportunities for career growth through leadership and technical development academies, emphasizing continuous learning.
Work environment and culture
The company values work-life balance, collaboration, innovation, and inclusion, fostering a supportive work environment.
Company information
Gainwell Technologies is an industry leader in healthcare solutions, committed to making healthcare work better for everyone and promoting diversity and inclusion.
Job location and travel
This position is remote within the US, allowing for flexible work hours.
Unique job features
The role offers unique opportunities to work on special projects and develop training materials, enhancing both personal and professional growth.
Company overview
Gainwell Technologies is a leading provider of technology solutions primarily focused on the healthcare sector, offering services such as Medicaid Management Information Systems (MMIS), analytics, and consulting to state and local governments. They generate revenue through long-term contracts with public sector clients, leveraging their expertise to improve healthcare delivery and operational efficiency. Established in 2020 after a divestiture from DXC Technology, Gainwell has rapidly grown by focusing on innovative, client-centric solutions, and maintaining a strong commitment to public health and welfare.
How to land this job
Position your resume to showcase your experience in claims analysis, particularly in the healthcare sector, emphasizing your ability to analyze pharmacy claims data and identify overpayments.
Highlight your proficiency with pharmacy claims payment configuration systems and MS Office, especially Excel and Access, as these are critical for the role.
Apply through multiple platforms including Gainwell Technologies' corporate site and LinkedIn to enhance your visibility and application chances.
Connect with professionals in the claims or pharmacy divisions at Gainwell Technologies on LinkedIn to gather insights about the role and the company culture.
Potential ice breakers for your outreach could include asking about their experience at Gainwell, inquiring about specific projects they have worked on, or discussing recent industry trends.
Optimize your resume for ATS by incorporating keywords from the job description such as 'claims analysis', 'root cause analysis', and 'pharmacy claims', which will help your application stand out during initial screenings.
Utilize Jennie Johnson's Power Apply feature to streamline your application process, ensuring your resume is tailored, the best channels are identified for applying, and networking opportunities are maximized.
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