Professional Claims Analyst

Gainwell Technologies

. Assist the Claims Manager with day-to-day Claims Team operations .

Posted 5/21/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $47,000 - $67,200 per yearWebsite

About the role

Key responsibilities & impact

Assist the Claims Manager with day-to-day Claims Team operations
Provide training and guidance to team members
Resolve claims issues by researching claim situations
Generate required client reporting and support audits
Assist with special projects and related team goals
Research and analyze paid and denied claims, POS system issues, and pricing discrepancies

Requirements

What you’ll need

Bachelor’s degree in insurance, business administration, or related field
Minimum three years of claims experience
Experience with industry-standard claims processing systems and investigative tools
Knowledge of claims processing procedures and documentation standards
Ability to work under tight deadlines, manage multiple responsibilities, and work independently
Strong analytical, organizational, and problem-solving skills
Required understanding of pharmacy claims payment configuration processes and systems
Required pharmacy claims processing knowledge
Medicaid experience preferred
Strong written and verbal communication skills
General computer proficiency including Microsoft Office and Excel
Nationally Certified Pharmacy Technician certification

Benefits

Comp & perks

Access to Gainwell’s comprehensive benefits package in accordance with eligibility guidelines
medical
dental
vision
401(k)
other employee programs
flexible vacation policy
educational assistance
various leadership and technical development academies

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingclaims documentation standardspharmacy claims payment configurationpharmacy claims processinganalytical skillsproblem-solving skillsorganizational skills

Soft Skills

trainingguidancecommunication skillsability to work under tight deadlinesability to manage multiple responsibilitiesindependence

Certifications

Bachelor’s degreeNationally Certified Pharmacy Technician