Gainwell Technologies LLC
Vice President, Payment Integrity
US · Exec · Full-time
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odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
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About the role
- Working at Gainwell carries its rewards.
- You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development.
- You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance.
Responsibilities
- Responsible for developing, managing and attaining revenue and expense budget goals.
- Partnering with technical development partners to manage overall product portfolio development plan progress in alignment with client need and revenue budgeting and forecasting process.
- Advanced financial analysis and forecasting techniques to project and optimize revenue.
- Work with Gainwell SGMs and HMS SVP Client Management to collaboratively design solutions which align within the HMS product portfolio and roadmap.
- Partner with clinical operations team on demand, capacity, and assuring compliance with client SLAs and contract requirements.
- Manage staffing planning and WFM tools across entire delivery team to ensure revenue goals are exceeded and there are zero production days lost due to lack of staffing.
- Manage close coordination with product implementation team accountable for solution architecture design and end to end project management of new implementations.
- Leads PI delivery teams by developing an environment of engagement and participation by all team members through regular communication, recognition and quarterly Town Hall meetings.
- Directs development and training of leadership skills within the team to assist team members in increasing their skill sets, developing bench strength and appropriate success plans.
Requirements
- At least five years of leadership experience required in payment integrity operations.
- Strong strategic management, product management, planning, operational and analytical skills with proven experience working in complex organizations.
- Becomes a Talent Management champion by participating in required talent and succession management review sessions.
Nice to have
- Familiarity with AI interventions leading to revenue acceleration and cost reduction strongly preferred.
Compensation
- Collaborating with VP Product and tracking opportunities for product expansion and in support of annual product revenue expansion targets.
Company info
- 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.
- Your role in our mission - Pre-payment and post-payment versions of the following solutions: Clinical Claim Reviews (DRG Audit, Itemized Bill Review, Place of Service, Utilization Review) and Payment Analytics/Data Mining.
This listing is sourced directly from Gainwell Technologies LLC's careers page and normalized into a canonical job model.