Data Mining Content Ideation Senior Professional
Gainwell TechnologiesHouston, Texas, United States
Posted January 16, 2026
69400 - 99200 USD
Full Time
About the Company
Gainwell Technologies has been serving the federal Medicaid program for over 50 years, focusing on improving health outcomes for vulnerable populations. With a strong commitment to innovation, Gainwell offers comprehensive cloud-enabled services that drive cost savings and enhance patient/provider experiences across all stages of modernization in public health.
Job Description
As a Data Mining Content Ideation Senior Professional, you will design and develop data mining concepts that identify improper payments and improve claims accuracy across dental, medical, and pharmacy billing. Using your expertise in healthcare reimbursement, regulations, and data analysis, you will translate complex policies into scalable audit and analytics solutions.
Requirements
- 5 years of Healthcare Payment Integrity and/or Data Mining experience
- At least 3 years of Domain Specific experience in Medical, Dental, or Pharmacy claims analysis
- Experience in Healthcare Auditing, including Reviewing and Validating the Accuracy of Claims Data and the Accuracy of Claims Payment, is preferred
- Experience Applying Published Healthcare Guidelines such as CMS Regulations and Coding Guidelines to Healthcare Claims Data. Recovery audit experience is preferred
Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies