State Hearing Analyst - Roseville, CA - Hybrid at Gainwell Technologies LLC

Roseville, California, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Jan, 26

Salary

66900.0

Posted On

20 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Time Management, Critical Thinking, Verbal Communication, Written Communication, Medi-Cal Dental Program Experience, Dental Radiographs, Claim Processing, TAR Processing

Industry

IT Services and IT Consulting

Description

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. 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 As a Correspondence Specialist is responsible for but is not limited to, researching, and analyzing incoming Member Complaints, Member Reimbursement requests, Billing and Enrollment inquiries, miscellaneous member correspondences, etc. and determining appropriate paths to follow, creating supporting documentation, processing claims/TARs on final determinations, and extensive communication with members, providers, and additional internal and external customers Your role in our mission Research member appeals and grievances and obtain additional information. Create various types of written communication including letters, emails, and memos. This requires a strong command of language and an understanding of the target audience. Each piece must be tailored to reflect the appropriate tone and context. Handle queries from clients, stakeholders, and team members in a professional and timely manner. This requires not only excellent writing skills but also the ability to remain composed under pressure. Providing prompt responses builds trust and rapport with stakeholders. Adhere to organizational policies and legal requirements regarding communication and correspondence. This includes understanding privacy regulations and confidentiality agreements. Compliance protects the organization from potential liabilities. Oversee the flow of correspondence to ensure timely responses and follow-ups. This includes prioritizing urgent messages and routing them to the appropriate parties. A well-managed communication system enhances the organization’s efficiency. What we're looking for Excellent time management skills Ability to think critically to problem-solve Excellent verbal and written communication skills. Medi-Cal Dental Program experience needed Ability to read dental radiographs. Medi-Cal Dental Claim/TAR processing preferred. What you should expect in this role Must be a resident of the state of California. Hybrid role requires reporting onsite for meetings, special training requests, or other business needs. The office is in Roseville, Ca. #LI-HYBRID #LI-LS2 #LI-CM1 The pay range for this position is $46,800.00 - $66,900.00 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.

Responsibilities

Research and analyze member appeals and grievances, creating tailored written communications. Oversee correspondence flow to ensure timely responses and compliance with organizational policies.