Payment Integrity Operations Advisor @ Gainwell Technologies | Jobright.ai
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Payment Integrity Operations Advisor jobs in Florida, United States
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Gainwell Technologies · 6 hours ago

Payment Integrity Operations Advisor

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Health CareInformation Technology
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Responsibilities

As a member of the PI Operations team, coordinates operational aspects of pre-pay data mining and other solution development.
Interfaces with product managers, business developers, account managers, and executive management on operationalization of new products.
Oversees implementation of prepay data mining and other new products to ensure operational needs are met.
Advises on staffing and resource needs, implementation timelines, and creates operational workflows.
Assists management in researching existing business environment including trends and best practices to ensure that company services match business trends.
Facilitates special projects to drive incremental revenue growth within current PI contracts.
Interfaces and participates in business development discussions across cross-functional teams and internal and external executive managements to ensure consistency in solution development and implementation.
Identifies business requirements; evaluates concepts such as market timing, compelling event and problem identification to ensure that delivered solutions meet both short and long term company and client business performance expectations.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Payment Integrity ExperienceData MiningHealthcare Data AnalysisSQLProject ManagementOffice Productivity Tools

Required

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

Preferred

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

Company

Gainwell Technologies

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Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.

H1B Sponsorship

Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (37)
2022 (101)
2021 (55)
2020 (2)

Funding

Current Stage
Late Stage
Total Funding
$1M
2023-06-08Grant· $1M

Leadership Team

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Paul N. Saleh
President and Chief Executive Officer
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Jacob Sims
EVP and Chief Technology Officer
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Company data provided by crunchbase
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