Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development.
Requirements
- 7+ years of Healthcare Payment Integrity, Data Mining, or Advanced Analytics experience
- Demonstrated experience in healthcare payment integrity data mining, including validation of claims data accuracy and payment accuracy
- Proven experience applying CMS regulations, State/Federal guidelines, coding standards, and reimbursement policies to claims analytics
- Strong experience translating business and policy requirements into technical and analytical solutions
- Hands-on experience with AI/ML-driven analytics, such as predictive modeling, anomaly detection, pattern recognition, or NLP applied to healthcare or financial data
Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance