Payment Integrity Analytics, Senior Analyst
Gainwell TechnologiesHouston, Texas, United States
Posted May 27, 2026
69400 - 99200 USD
Full Time
About the Company
Gainwell is an industry leader that values collaboration, innovation, and inclusion in making healthcare work better for everyone.
Job Description
The Payment Integrity Analytics, Senior Analyst plays a critical role in supporting state Medicaid agencies by applying existing fraud, waste, and abuse (FWA) analytic models to Medicaid claims data and delivering monthly, prequalified FWA lead referrals.
Requirements
- Extensive experience analyzing Medicaid claims and encounter data to identify fraud, waste, and abuse (5+ years)
- Deep knowledge of Medicaid program integrity, including common FWA schemes, audit methodologies, and investigative workflows (5+ years)
- Prepare reports and presentations documenting analytic methods and results for internal and external customers (4+ years)
Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance