Payment Integrity Operations Advisor

$88,800 - $126,900/Yr

Gainwell Technologies - Anchorage, AK

Full-time - Mid Level

Remote - Anchorage, AK

Professional, Scientific, and Technical Services

About the position

As a Payment Integrity Operations Advisor at Gainwell, you will play a crucial role in coordinating operational aspects of pre-pay data mining and other solution development. This position focuses on improving the health and well-being of vulnerable communities by leveraging technology and innovative solutions. You will work closely with various stakeholders to ensure that operational needs are met and that new products are effectively implemented.

Responsibilities

• Coordinate operational aspects of pre-pay data mining and other solution development.
• Interface with product managers, business developers, account managers, and executive management on operationalization of new products.
• Oversee implementation of prepay data mining and other new products to ensure operational needs are met.
• Advise on staffing and resource needs, implementation timelines, and create operational workflows.
• Assist management in researching existing business environment including trends and best practices.
• Facilitate special projects to drive incremental revenue growth within current PI contracts.
• Participate in business development discussions across cross-functional teams and internal and external executive managements.
• Identify business requirements and evaluate concepts to ensure delivered solutions meet performance expectations.

Requirements

• 7+ years of payment integrity experience with 5 or more years in data mining.
• Experience managing, analyzing, and presenting complex healthcare data.
• Strong communication skills, with experience communicating with clients, peers, and executive management.
• Experience coordinating products with cross-functional teams.
• Familiarity with company products and services, business processes, and project management.
• Experience with office productivity tools and industry standards on deliverables.

Nice-to-haves

• Experience with SQL is a plus.

Benefits

• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership and technical development academies