Senior Data Mining & Payment Integrity Analyst
Gainwell TechnologiesHouston, Texas, United States
Posted May 30, 2026
69400 - 99200 USD
Full Time
About the Company
Gainwell Technologies has been serving the federal Medicaid program for over 50 years, focusing on improving health outcomes for vulnerable populations. With a strong commitment to innovation, Gainwell offers comprehensive cloud-enabled services that drive cost savings and enhance patient/provider experiences across all stages of modernization in public health.
Job Description
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. As a Senior Data Mining & Payment Integrity Analyst, you will design and develop data mining concepts that identify improper payments and improve claims accuracy across dental, medical, and pharmacy billing.
Requirements
- 5 years of Healthcare Payment Integrity and/or Data Mining experience.
- At least 3 years of Domain Specific experience in Medical, Dental, or Pharmacy claims analysis.
- Experience in Healthcare Auditing, including Reviewing and Validating the Accuracy of Claims Data and the Accuracy of Claims Payment, is preferred.
- Experience Applying Published Healthcare Guidelines such as CMS Regulations and Coding Guidelines to Healthcare Claims Data. Recovery audit experience is preferred.
Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies