Lead Research Analyst: Prepayment Fraud & Waste

Socket.dev; West Sacramento (CA); On-site; USD 63,000 - 77,000; Full time

Benefits offered by this job

Vacation policy

401(k) employer match

Health benefits

Educational assistance

Leadership and development academies

Job summary

Gainwell Technologies seeks a Prepayment Fraud, Waste and Abuse Research Analyst to support providers, clients, and internal stakeholders through targeted research, issue resolution, and operational support.

The role requires leadership, strong analytical and communication skills, and the ability to work independently while coordinating with multiple teams. Hybrid work is offered with in-office and remote opportunities, and a clear emphasis on career development.

Qualifications

• Three or more years of experience in healthcare operations, claims processing, or related fields.
• Strong analytical, problem-solving, and organizational abilities.
• Excellent written and verbal communication with cross-functional collaboration.

Responsibilities

• Provide functional leadership and day-to-day guidance to the research analyst team.
• Gather documentation, provider information, and data for reviews and decision-making.
• Collaborate with cross-functional teams to investigate leads and ensure policy compliance.
• Conduct root-cause analysis of anomalies related to system defects or billing errors.
• Create comprehensive research summaries and documentation for consultant review.

Skills

Leadership

Analytical skills

Communication skills

Tools

Microsoft Office

Job description

Gainwell Technologies seeks a Prepayment Fraud, Waste and Abuse Research Analyst to support providers, clients, and internal stakeholders through targeted research, issue resolution, and operational support.

The role requires leadership, strong analytical and communication skills, and the ability to work independently while coordinating with multiple teams. Hybrid work is offered with in-office and remote opportunities, and a clear emphasis on career development.