Program Manager

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

We are looking for a talented Program Manager, who will be responsible for the creation of client deliverables, reporting, invoices, and/or collection related activities. This individual will have a strong background in TPL, auditing/compliance, and collections. 

The right candidate will have the ability to manage a detailed operational “collection process” according to client protocols, which involves interfacing with HMS and client systems to gather data, update the HMS Collections Case Tracking System with all collections/adjustments made, track and record all interactions with providers, develop/generate weekly deliverables according to schedule, and ensure compliant file transfers with the client.

Your role in our mission

Essential Job Functions

• Subject matter expert in regards to contracts, strong knowledge of state codes as well as State/Federal Legislations
• Ability to lead client meetings and engage various stakeholders while having strong presentation skills
• Introduces, negotiates, and implements new projects to expand scope of engagement
• Serves as a liaison with clients, and is responsible for overall client satisfaction
• Engages in the strategy and development of TPL and collection related activities, specific to assigned account(s)
• Works with Operations and IT resources as well as leaders to ensure key client deliverables, SLAs, and mitigate risks 
• Identifies sources of revenue through process improvements, client relationships, local policy initiatives, and strategic agendas and partnerships
• Monitors competitor landscape through constant review of competitor activity or wins. Tracks legislative and regulatory initiatives through consistent reporting
• Establishes and implements short- and long-term strategies to deliver services to customers within reasonable schedules and budgets
• Establishes and communicates goals and objectives, defines methodologies, while communicating broadly to help ensure overall coordination for cross-functional teams

What we're looking for

• 6+ years of account management experience (Health Insurance or Healthcare)
• 5+ years project management experience
• 5+ years Medicaid experience 
• 3+ years in finance, accounting, or a related field
• Active PMP - OR willing to obtain within 1 year of employment-

What you should expect in this role

• Remote
• 10-15% travel to Albany, NY required

The deadline to submit applications for this posting is 1/3/2025.

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The pay range for this position is $82,700.00 - $118,100.00 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), sexual 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.