Claims Appeals Supervisor - Onsite - West Sacramento, CA
for section headings. Use - for any list of duties/requirements/benefits. Use
for prose. Remove boilerplate, navigation, EEO, etc. Include only sections with real specific content.
Let's parse content:
- Intro paragraph: "Great companies need great teams...". That's generic fluff but maybe part of about the role? Could be considered "About the role" or "Overview". We need to preserve substantive information. The intro is somewhat generic but still part of posting. We'll keep as
maybe under About the role.
- "Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office." That's summary.
- "In this role, you will oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels. You will provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process."
That's responsibilities.
- "Your role in our mission Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times. Oversee the review and adjudication of provider appeals and help ensure accurate and timely resolution in accordance with established policies and procedures. Ensure adherence to standard operating procedures (SOPs), regulatory requirements, service level agreements (SLAs), and client-specific performance standards. Lead, coach, train, and develop Appeals Examiners and support staff while managing employee performance and supporting team development. Monitor operational performance, including productivity, accuracy, turnaround times, backlog levels, and other key performance indicators, and implement action plans when improvement is needed. Analyze appeal trends, identify root causes, and partner with clients and internal stakeholders to identify opportunities to reduce provider appeals and improve operational performance."
That's more responsibilities.
- "What We're Looking For" bullet list: three or more years experience..., five or more years supervisory..., experience managing operational performance..., strong analytical..., strong written..., ability to manage multiple priorities...
That's requirements/qualifications.
- "What You Should Expect In This Role": This is a 100% onsite position at our West Sacramento, CA office. Remote or hybrid work is not available for this role. You will lead employees supporting provider appeals for California’s Medi-Cal program. You will work in a fast-paced, high-volume environment with responsibility for productivity, quality, turnaround times, backlog management, and service-level performance. This position requires regular interaction with employees, clients, leadership, and other internal stakeholders. You will be responsible for coaching, developing, and managing employees while supporting operational and process improvements. This posting is being used to build a pipeline of qualified candidates for current and future opportunities.
That's schedule/location and expectations.
- "The pay range for this position is $59,400 - $84,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors."
That's pay.
- "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."
That's benefits.
- Then more fluff: "We believe nothing is impossible..." etc. That's generic marketing, maybe can be omitted as boilerplate? It's not specific to role, but could be considered about company. Might be considered boilerplate; but it's not EEO. However it's generic marketing. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not exactly those categories, but it's generic fluff. Might be considered boilerplate? Not sure. Safer to keep only substantive sections: About the role (summary), Responsibilities, Requirements/Qualifications, Benefits, Pay, Schedule (onsite). We'll avoid duplicate content.
We need headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. But we should only include sections that have real specific content. We can combine Requirements and Qualifications maybe. But we need to follow instruction: Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use those headings if we have content.
We have content for About the role (summary/intro). Responsibilities (duties). Requirements/Qualifications/Skills (experience, supervisory, analytical, communication, etc). Benefits (vacation, 401k, health, educational assistance, academies). Pay (range). Schedule (onsite, 100% onsite, no remote/hybrid). We'll not include Skills separate if we combine with Requirements.
We must not repeat job title as heading. Good.
We must not put Job ID/requisition numbers as headings — none present.
We must preserve ALL substantive information; do not invent or summarize away detail. So we need to keep details like years of experience, location, pay range, benefits specifics.
We need to use - for any list of duties/requirements/benefits. So for responsibilities we can list bullet points. For requirements we can list bullet points. For benefits we can list bullet points.
We must use
for prose.
We need to output only HTML fragment, no /, no markdown fences.
Let's craft.
First, maybe an opening
for introductory paragraph: "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."
Then
About the role
then Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office.
Then Responsibilities
then - Oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels.
- Provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process.
- Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times.
- Oversee the review and adjudication of provider appeals and help ensure accurate and timely resolution in accordance with established policies and procedures.
- Ensure adherence to standard operating procedures (SOPs), regulatory requirements, service level agreements (SLAs), and client-specific performance standards.
- Lead, coach, train, and develop Appeals Examiners and support staff while managing employee performance and supporting team development.
- Monitor operational performance, including productivity, accuracy, turnaround times, backlog levels, and other key performance indicators, and implement action plans when improvement is needed.
- Analyze appeal trends, identify root causes, and partner with clients and internal stakeholders to identify opportunities to reduce provider appeals and improve operational performance.
But note some duplication: first two bullets similar to later ones. We must preserve all substantive information; we can keep them even if similar. It's okay.
Then Requirements
maybe combine Requirements, Qualifications, Skills. We'll list bullet points:
- Three or more years of experience in healthcare operations, healthcare claims, claims appeals, provider services, Medicaid/Medi-Cal, or a related healthcare function.
- Five or more years of supervisory or people leadership experience, including responsibility for coaching, developing, and managing employee performance.
- Experience managing operational performance through KPIs, SLAs, productivity, quality, turnaround-time, or backlog metrics.
- Strong analytical and problem-solving skills with the ability to interpret operational data, identify trends, and drive process improvements.
- Strong written and verbal communication skills with the ability to work effectively with employees, clients, leadership, and internal stakeholders.
- Ability to manage multiple priorities, meet deadlines, and lead employees in a fast-paced, high-volume, metrics-driven environment.
We could also include "What You Should Expect In This Role" as Schedule/Location.
Let's make Schedule
with This is a 100% onsite position at our West Sacramento, CA office. Remote or hybrid work is not available for this role.
plus maybe also mention you will lead employees supporting provider appeals for California’s Medi-Cal program, fast-paced high-volume environment etc. But those are more responsibilities. We'll keep schedule just location.
Then Pay
The pay range for this position is $59,400 - $84,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Then Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Variety of leadership and technical development academies to help build skills and capabilities
We might also include "Put your passion to work at Gainwell..." but that's similar to intro; we already have intro. Could add as 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.
but that's duplicate of intro. Might be considered boilerplate? It's repetitive. We'll omit to avoid duplication.
We must not include the EEO paragraph at end. Good.
Check for any duplicated lines: we have responsibilities list includes some overlapping but it's okay.
Now ensure we didn't include any navigation, cookie, legal, etc. We removed the EEO and marketing fluff.
Now output HTML fragment.
Let's construct:
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.
About the role
Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office.
Responsibilities
- Oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels.
- Provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process.
- Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times.
- Oversee the review and adjudication of provider appeals
for prose. Remove boilerplate, navigation, EEO, etc. Include only sections with real specific content. Let's parse content: - Intro paragraph: "Great companies need great teams...". That's generic fluff but maybe part of about the role? Could be considered "About the role" or "Overview". We need to preserve substantive information. The intro is somewhat generic but still part of posting. We'll keep as
maybe under About the role. - "Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office." That's summary. - "In this role, you will oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels. You will provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process." That's responsibilities. - "Your role in our mission Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times. Oversee the review and adjudication of provider appeals and help ensure accurate and timely resolution in accordance with established policies and procedures. Ensure adherence to standard operating procedures (SOPs), regulatory requirements, service level agreements (SLAs), and client-specific performance standards. Lead, coach, train, and develop Appeals Examiners and support staff while managing employee performance and supporting team development. Monitor operational performance, including productivity, accuracy, turnaround times, backlog levels, and other key performance indicators, and implement action plans when improvement is needed. Analyze appeal trends, identify root causes, and partner with clients and internal stakeholders to identify opportunities to reduce provider appeals and improve operational performance." That's more responsibilities. - "What We're Looking For" bullet list: three or more years experience..., five or more years supervisory..., experience managing operational performance..., strong analytical..., strong written..., ability to manage multiple priorities... That's requirements/qualifications. - "What You Should Expect In This Role": This is a 100% onsite position at our West Sacramento, CA office. Remote or hybrid work is not available for this role. You will lead employees supporting provider appeals for California’s Medi-Cal program. You will work in a fast-paced, high-volume environment with responsibility for productivity, quality, turnaround times, backlog management, and service-level performance. This position requires regular interaction with employees, clients, leadership, and other internal stakeholders. You will be responsible for coaching, developing, and managing employees while supporting operational and process improvements. This posting is being used to build a pipeline of qualified candidates for current and future opportunities. That's schedule/location and expectations. - "The pay range for this position is $59,400 - $84,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors." That's pay. - "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." That's benefits. - Then more fluff: "We believe nothing is impossible..." etc. That's generic marketing, maybe can be omitted as boilerplate? It's not specific to role, but could be considered about company. Might be considered boilerplate; but it's not EEO. However it's generic marketing. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not exactly those categories, but it's generic fluff. Might be considered boilerplate? Not sure. Safer to keep only substantive sections: About the role (summary), Responsibilities, Requirements/Qualifications, Benefits, Pay, Schedule (onsite). We'll avoid duplicate content. We need headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. But we should only include sections that have real specific content. We can combine Requirements and Qualifications maybe. But we need to follow instruction: Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use those headings if we have content.
We have content for About the role (summary/intro). Responsibilities (duties). Requirements/Qualifications/Skills (experience, supervisory, analytical, communication, etc). Benefits (vacation, 401k, health, educational assistance, academies). Pay (range). Schedule (onsite, 100% onsite, no remote/hybrid). We'll not include Skills separate if we combine with Requirements.
We must not repeat job title as heading. Good.
We must not put Job ID/requisition numbers as headings — none present.
We must preserve ALL substantive information; do not invent or summarize away detail. So we need to keep details like years of experience, location, pay range, benefits specifics.
We need to use - for any list of duties/requirements/benefits. So for responsibilities we can list bullet points. For requirements we can list bullet points. For benefits we can list bullet points.
We must use
for prose.
We need to output only HTML fragment, no /, no markdown fences.
Let's craft.
First, maybe an opening
for introductory paragraph: "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."
Then
About the role
then Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office.
Then Responsibilities
then - Oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels.
- Provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process.
- Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times.
- Oversee the review and adjudication of provider appeals and help ensure accurate and timely resolution in accordance with established policies and procedures.
- Ensure adherence to standard operating procedures (SOPs), regulatory requirements, service level agreements (SLAs), and client-specific performance standards.
- Lead, coach, train, and develop Appeals Examiners and support staff while managing employee performance and supporting team development.
- Monitor operational performance, including productivity, accuracy, turnaround times, backlog levels, and other key performance indicators, and implement action plans when improvement is needed.
- Analyze appeal trends, identify root causes, and partner with clients and internal stakeholders to identify opportunities to reduce provider appeals and improve operational performance.
But note some duplication: first two bullets similar to later ones. We must preserve all substantive information; we can keep them even if similar. It's okay.
Then Requirements
maybe combine Requirements, Qualifications, Skills. We'll list bullet points:
- Three or more years of experience in healthcare operations, healthcare claims, claims appeals, provider services, Medicaid/Medi-Cal, or a related healthcare function.
- Five or more years of supervisory or people leadership experience, including responsibility for coaching, developing, and managing employee performance.
- Experience managing operational performance through KPIs, SLAs, productivity, quality, turnaround-time, or backlog metrics.
- Strong analytical and problem-solving skills with the ability to interpret operational data, identify trends, and drive process improvements.
- Strong written and verbal communication skills with the ability to work effectively with employees, clients, leadership, and internal stakeholders.
- Ability to manage multiple priorities, meet deadlines, and lead employees in a fast-paced, high-volume, metrics-driven environment.
We could also include "What You Should Expect In This Role" as Schedule/Location.
Let's make Schedule
with This is a 100% onsite position at our West Sacramento, CA office. Remote or hybrid work is not available for this role.
plus maybe also mention you will lead employees supporting provider appeals for California’s Medi-Cal program, fast-paced high-volume environment etc. But those are more responsibilities. We'll keep schedule just location.
Then Pay
The pay range for this position is $59,400 - $84,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Then Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Variety of leadership and technical development academies to help build skills and capabilities
We might also include "Put your passion to work at Gainwell..." but that's similar to intro; we already have intro. Could add as 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.
but that's duplicate of intro. Might be considered boilerplate? It's repetitive. We'll omit to avoid duplication.
We must not include the EEO paragraph at end. Good.
Check for any duplicated lines: we have responsibilities list includes some overlapping but it's okay.
Now ensure we didn't include any navigation, cookie, legal, etc. We removed the EEO and marketing fluff.
Now output HTML fragment.
Let's construct:
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.
About the role
Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office.
Responsibilities
- Oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels.
- Provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process.
- Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times.
- Oversee the review and adjudication of provider appeals
for prose. We need to output only HTML fragment, no /, no markdown fences. Let's craft. First, maybe an opening
for introductory paragraph: "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." Then
About the role
thenSummary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office.
ThenResponsibilities
then- Oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels.
- Provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process.
- Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times.
- Oversee the review and adjudication of provider appeals and help ensure accurate and timely resolution in accordance with established policies and procedures.
- Ensure adherence to standard operating procedures (SOPs), regulatory requirements, service level agreements (SLAs), and client-specific performance standards.
- Lead, coach, train, and develop Appeals Examiners and support staff while managing employee performance and supporting team development.
- Monitor operational performance, including productivity, accuracy, turnaround times, backlog levels, and other key performance indicators, and implement action plans when improvement is needed.
- Analyze appeal trends, identify root causes, and partner with clients and internal stakeholders to identify opportunities to reduce provider appeals and improve operational performance.
Requirements
maybe combine Requirements, Qualifications, Skills. We'll list bullet points: - Three or more years of experience in healthcare operations, healthcare claims, claims appeals, provider services, Medicaid/Medi-Cal, or a related healthcare function. - Five or more years of supervisory or people leadership experience, including responsibility for coaching, developing, and managing employee performance. - Experience managing operational performance through KPIs, SLAs, productivity, quality, turnaround-time, or backlog metrics. - Strong analytical and problem-solving skills with the ability to interpret operational data, identify trends, and drive process improvements. - Strong written and verbal communication skills with the ability to work effectively with employees, clients, leadership, and internal stakeholders. - Ability to manage multiple priorities, meet deadlines, and lead employees in a fast-paced, high-volume, metrics-driven environment. We could also include "What You Should Expect In This Role" as Schedule/Location. Let's makeSchedule
withThis is a 100% onsite position at our West Sacramento, CA office. Remote or hybrid work is not available for this role.
plus maybe also mention you will lead employees supporting provider appeals for California’s Medi-Cal program, fast-paced high-volume environment etc. But those are more responsibilities. We'll keep schedule just location. ThenPay
The pay range for this position is $59,400 - $84,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
ThenBenefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Variety of leadership and technical development academies to help build skills and capabilities
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.
but that's duplicate of intro. Might be considered boilerplate? It's repetitive. We'll omit to avoid duplication. We must not include the EEO paragraph at end. Good. Check for any duplicated lines: we have responsibilities list includes some overlapping but it's okay. Now ensure we didn't include any navigation, cookie, legal, etc. We removed the EEO and marketing fluff. Now output HTML fragment. Let's construct: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.
About the role
Summary Gainwell Technologies is seeking an experienced Claims Appeals Supervisor to support operations for California’s Medi-Cal program at our West Sacramento office.
Responsibilities
- Oversee the daily operations of a team responsible for reviewing and adjudicating provider appeals, helping ensure accurate and timely responses in accordance with program requirements, regulatory standards, and established service levels.
- Provide direct leadership to Appeals Examiners and support staff, monitor operational performance, address escalations, and partner with clients and internal stakeholders to improve quality, productivity, turnaround times, and the overall appeals process.
- Supervise day-to-day provider appeals operations, including workflow, inventory, staffing priorities, productivity, quality, and turnaround times.
- Oversee the review and adjudication of provider appeals