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FI Operations Director

Date:  Jul 9, 2024
Location: 

Roseville, CA, US, 95747-6645

Req ID:  25220

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

As a ​FI Operations Director at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Outstanding service delivery is one of Gainwell’s great strengths. Play a vital role in achieving that as we deliver better health and human services outcomes.

  • Manage and oversee account service delivery team operations to ensure Gainwell products and services are delivered according to project schedule
  • Look ahead as you work with account teams to develop demand forecasts and assist functional areas or departments in proposing, planning and delivering end-to-end services, including workload requirements
  • Navigate complex relationships between delivery and client groups to ensure stronger client relationships 
  • Create more satisfied clients by identifying service improvements
  • Support proposal teams to integrate new, enhanced and existing service offerings for current and new accounts
  • Bolster our workforce by selecting and hiring employees to support your team; train them to enhance their performance, development and work products

What we're looking for

 

  • A minimum of four years’ experience managing fiscal intermediary or healthcare claims processing operations and personnel with a government or private sector healthcare payer, including a minimum of two years’ MMIS experience.
  • Supervisory/administrative experience in the execution and/or evaluation of program policies.
  • Excellent verbal, written and presentation communications skills.
  • Heavy emphasis on
    1. Claims adjudication and troubleshooting
    2. Identifying and implementing operational efficiency
    3. Leadership
    4. Customer Service

Education:

  • A Bachelor's degree in related field
    1. Additional relevant management experience may substitute for the degree on a two for one basis, e.g., 8 years claims management experience = Bachelor’s degree

Responsibilities:

  • Principal Officer over the claims processing operations

What you should expect in this role

  • Hybrid Schedule with Tuesday and Wednesday in office at our Roseville location.

 

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 Gainwell. 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 Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies 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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