SummaryWorking at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, flexibility, learning, and career development. You'll have the opportunity to add to your technical credentials and certifications while enjoying a great company culture above all. We are looking for a talented Senior Professional, Program Management who will support program leadership in delivering high-quality services and deliverables for assigned commercial clients while contributing to operational performance and client satisfaction.
Your role in our missionThis role supports client operations, client satisfaction, and the quality, accuracy, and timely delivery of client deliverables in a dynamic, fast-paced environment. The position collaborates with cross-functional teams, managers, and client partners; contributes to the development and application of controls, procedures, systems, and techniques; performs analyses, investigations, and quality assurance reviews; and coordinates assigned projects of moderate complexity.
- Support client inventory management activities by applying established controls and quality assurance procedures to monitor program status, validate client deliverables, and confirm alignment with client requirements.
- Coordinate with client engagement, operations, and technical/product teams to support issue resolution, communicate status, and follow up with internal and external partners as needed.
- Apply working knowledge of operations and products to communicate relevant client updates and perform analyses that support service quality and operational performance.
- Maintain knowledge of assigned client inventory management processes and use data analysis and reporting to monitor performance, identify trends, and recommend improvements.
- Assist with troubleshooting pre- and post-implementation issues, product utilization, and inventory fallout for assigned work.
- Perform quality assurance reviews of recurring and ad hoc client deliverables for accuracy, completeness, consistency, and timeliness; document findings, coordinate corrections, track resolution, and help identify preventive process improvements.
- Collaborate with client engagement teams and clients to support the development and execution of assigned project and implementation plans that meet agreed-upon expectations.
- Apply knowledge of coordination of benefits (COB) processes to support internal and client discussions.
- Share process knowledge, product knowledge, and lessons learned with team members to support a collaborative learning environment.
What we're looking for- 6+ years of experience in health insurance, government, client service/business-to-business, or health policy, including experience with coordination of benefits processes, challenges, and solutions
- 2+ years of project management or project coordination experience using Agile, Waterfall, Lean, or similar methodologies to support timely delivery
- Bachelor's degree in business administration, health care, or a related field
- Experience working with medical claims, eligibility data, and databases
- Experience performing quality assurance reviews, validating data and deliverables, documenting defects, and coordinating corrective actions
- Working knowledge of SQL and Python for data analysis, validation, automation, or reporting is desired
What you should expect in this role- Fully Remote
- Up to 10% Travel
This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis. #LI-LM1
#LI-REMOTE
The pay range for this position is $69,400 - $99,200 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.
