Director, Payment Integrity Implementation

Date: Dec 3, 2025

Location:

Any city, TX, US, 99999

Req ID: 33885

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As the Director of Payment Integrity (PI) Implementation at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Lead PI product architect and project management areas to include process design, requirement gathering, product implementation, and project financials across PI for project delivery.
Provides direction and oversight for project execution to ensure both client and company business and revenue objectives are met.
Partners and collaborates with senior leaders, internal clinical and business stakeholders, and/or external clients to ensure plan and scope is aligned with project objectives.
Play critical role in project leadership team, formal departmental reporting, performance metrics, and driving the quality and timely execution of project deliverables.
Contribute directly to projects, assist assigned team by providing direction and deadlines to ensure quality, timely completion of tasks, risk mitigation, and meeting internal/external go-live commitments.
Strengthen, develop and implement scalable project management strategies, methodologies, models and best practices resulting in timely project delivery, client satisfaction, and meeting/exceeding internal revenue goals.
Assist in key inputs and oversight related to capacity and PI product pricing models.
Assist in SOW review and input, working collaboratively with Legal, Sales, and/or Account Management.
Establish and maintain strong relationships with clients, serving as a contact for process-related discussions and inquiries.

What we're looking for

Bachelor’s Degree or equivalent work experience
Minimum five (5) years previous account management experience in the healthcare industry
Minimum five (5) years of experience with project governance, including adherence to standards, change management, requirements management.
Minimum ten (10) years of experience in healthcare audit recovery environment preferred
Minimum four (4) years working collaboratively with Information Technology and multiple organizational departments
Ability to present and communicate ideas clearly and persuasively at all levels to both internal and external audience
This role requires strong leadership, project management, and process optimization skills

What you should expect in this role

Fully remote opportunity with the option to work anywhere within the United States.

The deadline to submit applications for this posting is December 19, 2025.

The pay range for this position is $137,100.00 - $195,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.