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Conlan Analyst - West Sacramento, CA - Hybrid

Gainwell Technologies · US

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...

Job 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. Summary: As a Conlan Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve. In this role you will be assisting with reviewing incoming correspondence and processing Conlan Reimbursement Claims for the Member community of Medi-Cal. This combines your passion for helping others with purpose, teaming with people who thrive on finding innovative solutions. Your role in our mission: - Process Conlan Claims in accordance with existing Court Order Guidelines. - Ensure all Member Reimbursement request letters, incomplete, approvals, and denials are reviewed for completeness, accuracy, and compliance prior to release. - Conduct Letter Review and Analysis for received correspondence. - Generate acknowledgment and claim s...