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Healthcare Investigations Analyst - Montgomery, AL jobs in United States
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Gainwell Technologies · 1 day ago

Healthcare Investigations Analyst - Montgomery, AL

Gainwell Technologies is a company focused on enhancing operations in the healthcare sector. The Healthcare Investigations Analyst role involves reviewing and validating healthcare and insurance-related information to ensure compliance and data integrity while collaborating with various stakeholders.
Health CareInformation Technology

Responsibilities

Conduct investigative reviews and validations of healthcare and insurance-related cases
Review, analyze, and interpret multiple documents quickly and accurately
Validate information related to injuries, insurance coverage, and medical authorizations
Update and maintain case data in internal systems, including Maestro
Perform insurance verification and ensure proper documentation is on file
Work closely with attorneys and internal teams to support investigations
Ensure all case documentation meets quality, compliance, and audit standards
Maintain accurate system documentation with minimal data entry but high verification requirements
Support Alabama accounts and adhere to program-specific guidelines
Meet productivity, quality, and performance metrics

Qualification

Healthcare insurance experienceAnalytical skillsDocumentation accuracyData-driven environmentProblem-solving skillsAttention to detailTeam collaborationAdaptability

Required

High School Diploma or equivalent
Prior experience in healthcare insurance
Strong analytical and problem-solving skills
High attention to detail with strong documentation accuracy
Ability to read, interpret, and process multiple documents efficiently
Comfortable working in a data-driven, metrics-based environment
Self-motivated and able to work both independently and as part of a team
Adaptable to changing priorities and investigative requirements

Benefits

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.

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