Senior Payment Integrity Product Professional

Summary

As an ​Senior Payment Integrity Product Professional 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

• Works on and provides knowledge of products or families, pre- and post-sales, on larger or more complex projects typically involving multi-product or multiple computer environments, where designs are complex to ensure client business needs are met.
• Analyzes customer business requirements and product objectives to develop and ensure that application designs in products meet customer specifications. Ensures that appropriate company resources are assigned to projects to complete project tasks according to plan.
• Establishes criteria concerning deliverability, performance, maintenance, design and cost to deliver products to client in a timely and cost-efficient manner. Estimates time frames and quality and quantity of resources required to implement project; develops plans incorporating project variables to ensure that projects are completed in timely and cost effective manners.
• Conducts and reviews periodic status checks with customers and teams to assess projects against plan; performs re-forecasts of project variables as necessary to maintain final product quality.
• Identifies potential uses for product and technologies, investigates and resolves matters of significance and designs strategies to ensure that products meets business needs. Works closely with and provides subject matter expertise to internal stakeholders to ensure that product design and deployment meet company guidelines.
• Recommends specific product configurations to assist with overall product design and integration. Selects, oversees and implements product components, ensuring that solutions address business concerns.
• Identifies and recommends products, technologies and vendors that meet the budgetary constraints of the project/program. 
• Acts as liaison between client and company stakeholders; provides insight and advice to customers and company stakeholders concerning applicability of specific products/technologies, responsible for proposal content for assigned products, marketing collateral development, and pipeline analysis and partnership with sales
• Informs management of relevant matters of significance and considerations involved in selecting vendors and provides information on best practices, innovations and trends for products to ensure that company products meet competitive market demands.
•  Provides insight, advice, and new product development oversight of specific Payment Integrity products/technologies 

What we're looking for

• 5+ years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit
• 6+ years of experience in product development, technical support, or consulting, preferably in a Payment Integrity market
• Experience working with technical products, vendors, and families of technologies, preferably in a Payment Integrity market
• Experience working with the product development life cycle and business processes as they impact overall product plans
• Experience working with technology architecture, mainframes, and other related technologies.

What you should expect in this role

• Fully Remote Opportunity

Note

• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• The deadline to submit applications for this posting is 5/31/2024.