Data Mining Content Ideation Project Management

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