Payment Integrity Analytics - (Indiana Residents Only) jobs in United States
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Gainwell Technologies · 1 day ago

Payment Integrity Analytics - (Indiana Residents Only)

Gainwell Technologies is a company focused on improving the health and well-being of vulnerable communities through technology. As a Payment Integrity Analytics, Senior Analyst, you will conduct statistical analyses of healthcare data and provide insights to enhance payment integrity models.

Health CareInformation Technology
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H1B Sponsor Likelynote

Responsibilities

Responsible for planning and conducting statistical and epidemiological analysis of health care data in support of the Gainwell Technologies LLC Mission, Vision, Key Quality Strategies, and Values
Design and conduct analysis of health care databases using SQL, PowerBI, or other statistical analysis software and other relevant tools for multiple health care projects
Serve as an analytic resource within multi-disciplinary project teams
Provide statistical and analytical input to payment integrity model design, sampling methodology, analysis, and reporting to assure desired outcome
Work may focus on more complex projects
Develop data formatting and cleaning criteria for data from various sources and evaluates relevant data
Coordinate across data platforms and teams to ensure data accuracy and proper data analysis results
Prepare reports and presentations documenting analytic methods and results
Conduct ad hoc analyses of data as requested by hospitals, clinicians, and internal customers
Mentor more junior team members

Qualification

Statistical analysisSQLPowerBIHealthcare claims dataMedicaid programsReport preparationData analysisMentoring

Required

4+ years Apply statistical and analytical methods to identify potential FWA activity using healthcare claims data
Experience with Medicaid programs for State of Indiana
4+ years Prepare reports and presentations documenting analytic methods and results for internal and external customers
4+ years Work on complex projects to identify and validate new FWA detection models and methods including the analysis of data inputs and outputs

Benefits

Generous, flexible vacation policy
A 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
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)

Funding

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

Leadership Team

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Paul N. Saleh
President and Chief Executive Officer
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Gary Call
Chief Medical Officer
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Company data provided by crunchbase