Senior Data Mining & Payment Integrity Lead (Remote)

Gainwell Technologies; Town of Texas (WI); On-site; USD 69,400 - 99,200; Full time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking a Senior Data Mining & Payment Integrity Analyst to improve claims accuracy and identify improper payments. This key role involves developing innovative data mining concepts, collaborating with cross-functional teams, and mentoring junior analysts. Candidates should have substantial experience in healthcare payment integrity and claims analysis.

The position offers a remote option and includes a competitive salary ranging from $69,400 to $99,200 per year, alongside a robust benefits package.

Qualifications

• 5 years of experience in Healthcare Payment Integrity and/or Data Mining.
• 3 years of Domain Specific experience in Medical, Dental, or Pharmacy claims analysis.
• Experience applying CMS Regulations and Coding Guidelines to Healthcare Claims Data.

Responsibilities

• Develop and implement new data mining opportunities.
• Mentor lower-level analysts.
• Research industry standards and develop payment algorithms.

Skills

Healthcare Payment Integrity

Data Mining

Claims Analysis

Healthcare Auditing

Job description

Gainwell Technologies is seeking a Senior Data Mining & Payment Integrity Analyst to improve claims accuracy and identify improper payments. This key role involves developing innovative data mining concepts, collaborating with cross-functional teams, and mentoring junior analysts. Candidates should have substantial experience in healthcare payment integrity and claims analysis.

The position offers a remote option and includes a competitive salary ranging from $69,400 to $99,200 per year, alongside a robust benefits package.