Senior Payment Integrity Product Lead

$108,500 - $155,000/Yr

Gainwell Technologies - Dallas, TX

Full-time - Senior

Remote - Dallas, TX

Professional, Scientific, and Technical Services

About the position

As a Senior Payment Integrity Product Lead at Gainwell, you will play a crucial role in developing and enhancing Payment Integrity products that aim to improve the health and well-being of vulnerable communities. This position involves leading product development, overseeing product lifecycle management, and ensuring that product designs meet client and company standards. You will collaborate with cross-functional teams to drive innovative solutions in healthcare, while also maintaining strong relationships with clients and stakeholders.

Responsibilities

• Lead the development of new Payment Integrity product ideas and enhancement of existing products
• Oversee the design, pricing, and marketing of Payment Integrity products and services throughout their lifecycle
• Develop or lead the creation of technical models to guide Payment Integrity project engagements of various complexities
• Gather, analyze, and prioritize Payment Integrity product and customer requirements; define product vision; and work with IT to oversee product design, enhancements, and quality
• Establish milestones, manage deliverables, and coordinate completion for all product-related deliverables
• Act as the Payment Integrity contact for customer product and operational requirements, maintaining relationships with customers, brand management, and development teams
• Serve as a subject matter expert, ensuring Payment Integrity product design and deployment adhere to client and company guidelines
• Work with cross functional teams, consultants, and professional services to enhance client relationships and product sales
• Lead efforts to influence client expectations and ensure satisfaction in product-related issues
• Maintain revenue forecast information, identify financial fluctuations, adjust strategies, and ensure financial commitments are met
• Track market trends, evaluate competitive offerings, and analyze the competitive landscape to shape Payment Integrity product direction
• Lead business cases for optimizing existing Payment Integrity products or creating new product generations
• Collaborate with research and development to define and validate new products

Requirements

• 8+ years in product management, technical support, or consulting with Payment Integrity systems
• 5+ years in Payment Integrity audit and recovery, including Data Mining, Clinical Medical Record Review, and Bill Audit
• Familiar with technology architecture, business operations, and client-specific Payment Integrity processes
• Proficient in development tools, analytical techniques, problem-solving, and decision-making
• Skilled in prioritizing and balancing multiple tasks effectively

Benefits

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