Behavioral Health Claims Team Lead- Anchorage, AK (Hybrid)

Gainwell Technologies LLC•Anchorage, AK

24d•Hybrid

About The Position

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. SummaryHMS is seeking a Behavioral Health Claims Team Lead to oversee the activities of the Claims Specialists team to help support our Alaska Medicaid client. The Behavioral Health Claims Team Lead works with Claims Supervisor and other leads in Claims Processing area in reporting inventories and strategizing process improvements. They assist in setting goals for the teams and monitor daily productivity.

Requirements

Minimum of three years experience of leading a small team
Experience working with claims; experience working with client services.
Behavioral health experience strongly preferred
Strong leadership skills, organization skills to independently balance and prioritize work, and ability to work independently and as part of a team.
Strong communication skills for interacting with personnel; strong interpersonal, time management, and organizational skills.
Computer proficiency and technical aptitude with the ability to use MS Office, including Excel spreadsheets.

Nice To Haves

Behavioral health experience strongly preferred

Responsibilities

Reviews daily production reports
Reports any production issues to Claims Supervisor
Assigns daily work to Claims Specialists
Assists employees with claims processing questions and issues
Creates corporate required reports
Is a first point of contact for claims processing questions from other departments
Oversees the training of the new Claims Specialists
Performs quality analysis of Claims Specialists daily production
Creates quality analysis reports
Assist Claims Supervisor in creating employee improvement plan for Claims Specialists as needed
Assists in creating and approves changes or operating procedures for the team