Apply now »

Claims Manager - Anchorage, AK - Hybrid

Date:  Feb 11, 2024
Location: 

Anchorage, AK, US, 99503

Req ID:  19878

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

The Claims Manager position is responsible for, at a minimum, the following functions: mailroom, data entry, scanning, adjustments, resolution, and change orders related to the HMS, a Gainwell Technologies Company, Alaska Fiscal Agent contract. This is a new contract which will require the building of an operations team and implementing of business requirements and operational procedures. The Claims Manager will be required to work with other managers and the client for organizational support of the Medicaid contract. The manager will lead the daily activities of supervisors in the acceptance, control, and processing of all functions in assigned areas of responsibility.

Your role in our mission

  • Leads a multi-functional organization with competing demands and establishes objectives and plans for the organization’s operations.
  • Builds and implements operational processes and teams.
  • Writes/Reviews reports, business correspondence, and procedures.
  • Interprets reporting requirements and reports to client all customer support activities in as glowing terms as and where possible.
  • Effectively presents information and responds to questions from internal leadership, customers, providers, investigative agencies, and the public.
  • Effectively motivate performance and to manage workflow in an operational and production environment with established quality and quantity standards.
  • Maintain strong internal controls and work with auditing teams (internal and external) to meet client and company requirements.
  • Evaluate the performance of subordinates as well as assist with direct reports in the evaluation of their subordinates.

What we're looking for

  • Strong communication skills, including written communication and ability to speak in front of groups.
  • Excellent project management and planning skills.
  • Medicaid and customer service experience in healthcare environment preferred.
  • Three (3) years of claims leadership preferred, or a minimum of two (2) years of formal leadership experience.
  • Use various software applications, including the Microsoft Office Suite.
  • Understand Medicaid procedures and policies and claims processing in an automated environment.

What you should expect in this role

  • Opportunities to travel through your work (0-10%)
  • This is a hybrid position: In-Office (Anchorage, AK) and Work-from-Home environment.
  • In order to effectively work from home, with Gainwell (HMS), employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.  Greater speeds will of course provide better performance.
  • To Test your internet download and upload speed:
  • Go to Google 
  • Search for Internet Speed Test or click here

 

 

 

#LI-LS1

#LI-HYBRID

 

The pay range for this position is $92,800.00 - $132,600.00 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.


Nearest Major Market: Alaska
Nearest Secondary Market: Anchorage

Apply now »