Provider Services Unit Lead - Remote US

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

The Provider Services Unit Lead - Remote position provides operational leadership and expert support to the Help Desk team. This role involves overseeing healthcare and insurance consultancy, resolving escalated provider issues, and ensuring compliance with state and federal regulations. The Lead fosters team development and enhances overall service delivery in a high-volume call center environment.

Your role in our mission

Help create the power in Gainwell's processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

• Provide operational leadership to ensure effective service delivery and resolution of complex issues.
• Work efficiently in a high-volume call center, maintaining professionalism and accuracy.
• Assist callers with coverage-related questions, policy interpretation, and claims processing accuracy.
• Conduct research and follow up to resolve disputed claims promptly.
• Document calls clearly and consistently while keeping resource information updated.
• Mentor team members, sharing knowledge to enhance individual and team performance.
  
  

What we're looking for

• 3 years of customer contact operations experience in healthcare, healthcare technology, or Medicaid [MMIS]-related fields.
• Proficiency with Microsoft Office suite and software tools like CxOne, Verint, and Avaya.
• Strong analytical and problem-solving skills; detail-oriented with the ability to manage multiple priorities.
• Excellent written and oral communication skills for professional client interactions.
• Ability to navigate multiple screens efficiently while typing and talking simultaneously.
• Understanding of HIPAA requirements and a commitment to maintaining confidentiality.
  
  

What you should expect in this role

• Full-time (40 hours per week) remote position with a flexible work schedule.
• Video cameras required during interviews and the first week of orientation.
• Comprehensive benefits package starting on the first day of employment.
• Dedicated home office setup with Broadband Internet (minimum 24 Mbps download and 8 Mbps upload speed).
• Opportunities for professional development and career advancement.
• Collaborative and supportive virtual team environment
  
  

The pay range for this position is $33,500.00 - $47,900.00 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.