Remote Prepayment Fraud Research Analyst

Gainwell Technologies; West Sacramento, Northern (CA, KY); Hybrid; USD 63,000 - 77,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies in West Sacramento, CA is seeking a Research Analyst in Prepayment Fraud, Waste and Abuse. The role emphasizes in-depth investigative research, evidence gathering, and clear documentation to support decision-makers.

You will collaborate across teams, analyze complex leads, and contribute to program improvements. The successful candidate will have 3+ years in healthcare operations or related fields, strong analytical skills, and excellent communication abilities to work with

Qualifications

• Three+ years in healthcare operations or related field, with fraud/waste/abuse experience preferred.
• Strong analytical and organizational skills to research complex issues and provide solutions.
• Excellent written and verbal communication tailored to diverse audiences.

Responsibilities

• Analyze routine to complex inquiries related to potential fraud, waste and abuse leads.
• Gather supporting documentation and system data for research and review.
• Collaborate with cross-functional teams to investigate leads and ensure policy compliance.
• Conduct root cause analysis to identify system defects or training gaps affecting findings.
• Create comprehensive research summaries and case documentation for consultant review.

Skills

Analytical thinking

Research

Problem solving

Communication

Cross-functional collaboration

Tools

Microsoft Office

Job description

Gainwell Technologies in West Sacramento, CA is seeking a Research Analyst in Prepayment Fraud, Waste and Abuse. The role emphasizes in-depth investigative research, evidence gathering, and clear documentation to support decision-makers.

You will collaborate across teams, analyze complex leads, and contribute to program improvements. The successful candidate will have 3+ years in healthcare operations or related fields, strong analytical skills, and excellent communication abilities to work with