Work From Home/Ticket Sales

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 We are seeking a talented individual for a Manger of Clinical Review to provide leadership and management for our clinical claim review teams which include: Utilization Management, Utilization Review, Prior Authorization, Coding and DRG Validation to ensure that contract goals are achieved and quality of service is maintained.

Your role in our mission Oversees clinical claim review activities for assigned accounts to maximize team performance, meet or exceed contractual

obligations, and deliver customer satisfaction consistent with established operating policies and procedures. Continually works to improve efficiency, productivity, quality, and reduce operational costs.

Works with the Medical Director and Clinical Policy team, to develop internal review guidelines, clinical review processes and procedures to ensure compliance with client deliverables while maintaining high quality and performance standards across all contracts. In coordination with the Quality Management Committee, develops and maintains quality policies and standards to ensure compliance with Utilization Review Accreditation Committee (URAC) accreditation requirements. Serves as the

SME in evaluating new business opportunities, responding to requests for proposal, and implementing new clients or products.

What we’re looking for Bachelor’s degree in Nursing, Healthcare Administration, Business Administration, or related field required 10+ year’s healthcare/insurance experience with increasing responsibility required 3+ year’s management or supervisory experience required What you should expect in this role Remote (Work from Home) In order to effectively work as a remote worker (work from home) with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24 MBS download and 8 MBS upload. Greater speeds will of course provide better performance.

To Test your internet download and upload speed: Go to Google. Search for Internet Speed Test or click here. Up to 20% Travel Video cameras must be used during all interviews, as well as during the initial week of orientation if hired. #LI-NB1 #LI-REMOTE 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), interactionual 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. For more details: jobs-search. org/marketing_tennessee-r782084/manager-clinical-review-work-from-home-united-states_i1978412617

progress, as well as write novel conversations in order to teach them what to say. Benefits: ● This is a full-time or part-time REMOTE position● You’ll be able to choose which projects you want to work on● You can work on your own schedule● Projects are paid hourly, starting at $20 USD per hour, with bonuses for high-quality and high-volume work Responsibilities: ● Come up with diverse conversations over a range of topics● Write high-quality answers when given specific prompts● Compare the performance of different AI models● Research and fact-check AI responses Qualifications: ● Fluent in English● A bachelor's degree (completed or in progress)● Excellent writing and grammar skills● Strong research

and fact-checking skills to ensure accuracy and originality● Previous experience as a Freelance Writer, Content Writer, Editor, Copywriter, Copy Editor, or those with experience in journalism and/or media is preferred but not required Note: Data Annotation payment is made via Pay Pal.

We will never ask for any money from you. Pay Pal will handle any currency conversions from USD. If you are applying from any country outside of the US, Canada, the UK, Ireland, Australia, or New Zealand and sign up, please note that you will NOT receive a link as we are NOT taking applicants outside of those countries at this time. If you are applying from within those countries, it is possible to experience

a 2 week delay, as we are currently receiving a significant number of applications, and work and pay can fluctuate based on project availability and the skillsets found in the backssment.

Additional information: Salary: 20 Frequency: Per hour Employment type: Full-time For more details: jobs-search. org/other-jobs_mississippi-r782066/job_i1979123686