Location: Any city
Company: Gainwell Technologies
career development. Summary As a Carrier Account Manager 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 Prepares, monitors, and manages budget and revenue expectations for all assigned carriers. Supports collaboration with all internal partners Presents business reviews on progress against team goals/objectives and strategic plans. Works
with CR team to develop materials for carrier presentations. Oversees platform enhancements and billing file fixes/updates Resolves and reworks any denials that can be resubmitted Determines best course of action for all unprocessed claims.
Responsible for building relationships with the top revenue generating commercial insurance carriers and internal staff to ensure carrier objectives are met. Performs analytical work including data analysis of carrier performance. Identifies trends and issues, evaluates and presents solutions for issues identified. This includes working with programming to develop technical solutions that improve financial performance of carriers. Analysis on carriers
includes but is not limited to: analysis of top carrier, procedure codes, bill types, and claims types.
The building of technical solutions requires working with Programming, IT, and Cycle Operations to ensure developed solutions meet and exceed transformation expectations. Manages carrier billing process and ensures cycles go out the door, are accepted by carriers, and lastly follows claims through carrier payment processes through the receipt of remittances. Performs data analysis on any underperforming results, recommends corrective action, or takes action when results are less than anticipated. Is focused on improving cost of processing with each assigned carrier.
Ensuring that we are continually removing claims that carriers would not reimburse, as well as working towards ensuring all transactions are performed electronically. What we're looking for Experience in developing strategic account relationships Ability to be careful and thorough about detail Ability to perform data analysis to benchmark results again plan and use logic and process to address issues and problems Ability to work proficiently with MS Office Ability to work proficiently with SQL or other databases Ability to negotiate and collaborate What you should expect in this role Fully remote (within the US) #LI-LM1 #LI-REMOTE The pay range for this position is $55,600.00 - $79,400.00 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), interactionual 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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Sales & Business Development jobs involve strategies, tasks, and processes aiming at attracting new clients and penetrating existing markets to drive revenue growth. Professionals in this field focus on relationship-building, understanding customer needs, identifying business opportunities, and negotiating deals. They frequently collaborate with marketing, customer service, and management, and require skills such as communication, persuasion, strategic planning, and market analysis. These roles are critical for company expansion and often come with performance-based incentives, making them dynamic and results-oriented careers.
Sales & Business Development jobs involve strategies, tasks, and processes aiming at attracting new clients and penetrating existing markets to drive revenue growth. Professionals in this field focus on relationship-building, understanding customer needs, identifying business opportunities, and negotiating deals. They frequently collaborate with marketing, customer service, and management, and require skills such as communication, persuasion, strategic planning, and market analysis. These roles are critical for company expansion and often come with performance-based incentives, making them dynamic and results-oriented careers.
