Payment Integrity Investigator, Senior Analyst

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. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Job Summary: We are seeking an experienced healthcare fraud, waste, and abuse (FWA) investigator and certified coder to support our Program Integrity Audit Unit. The Payment Integrity Investigator, Senior Analyst role conducts professional audits and investigations of Medicaid claims, identifies overpayments and potential fraud, and prepares clear, defensible audit findings for clients. The ideal candidate has strong investigative skills, excellent written documentation abilities, and confidence communicating audit results directly with clients and providers. Your role in our mission: - ·...