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Healthcare Claims Operations Team Lead - Washington, DC (On-site)
Gainwell Technologies
Washington, DC
Category
Finance
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Job Description
Join the Healthcare Claims Operations Team Lead at Gainwell, overseeing end-to-end healthcare claims operations, including claims adjudication, complex issue resolution, payment accuracy, and compliance with CMS guidelines.
Requirements
5–7+ years of experience in medical claims, healthcare claims, or health insurance operations
Strong experience working with Medicaid and/or Medicare claims
Experience with end-to-end claims lifecycle, including adjudication, processing, and resolution
Knowledge of claims-related financial processes, including reconciliation, payments, and adjustments
Proven experience leading or supervising teams in a healthcare claims or insurance environment
Benefits
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
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