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48 fresh jobs found

Senior Payment Integrity Product Lead
Any city, TX, US, 99999

Gainwell Technologies

Clinical medical record review Payment integrity systems Bill audit Payment Integrity Technology Architecture Medical Record Review Analytical Techniques Posting Edge +27

Senior Full Time

USD 108K+

Healthcare Customer Service Conway, AR
Conway, AR, US, 72034-9501

Gainwell Technologies

Help desk software Help Desk Written and oral communication Microsoft Office Applications Service Level Agreements Processes Oral communication Medical Flexibility +16

Entry Mid Full Time

USD 27K+

Bilingual Healthcare Customer Service Representative Tallahassee, FL
Tallahassee, FL, US, 32301-5070

Gainwell Technologies

Help desk software Help Desk Written and oral communication Microsoft Office Applications Service Level Agreements Processes Oral communication Medical Bilingual +17

Entry Mid Full Time

USD 27K+

Clinical Claims Analyst - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Healthcare data systems Payment integrity analytics Analytic Solutions Predictive Analytics Edge Accuracy Data Strategy Processes Data Mining +37

USD 60K+

Payment Integrity Operations Advisor
Any city, FL, US, 99999

Gainwell Technologies

Delivery assurance Payment Integrity Office productivity tools Posting Edge Processes Data Mining Cross-functional Teams Tools +18

Senior Full Time

USD 88K+

Payment Integrity Operations Advisor
Any city, AK, US, 99999

Gainwell Technologies

Payment Integrity Office productivity tools Delivery assurance Posting Edge Processes Data Mining Cross-functional Teams Business Processes +18

Senior Full Time

USD 88K+

EDI Business Architect
Any city, TX, US, 99999

Gainwell Technologies

Business re-engineering Healthcare edi Edifecs Windows applications Re-engineering Business Architecture Posting Business Transformation Program Design +33

Senior Full Time

USD 86K+

ITIL Manager
Any city, TX, US, 99999

Gainwell Technologies

Service level management Posting IT Service Management Problem Management Business solutions Infrastructure Management Processes Issue Resolution Service Delivery +24

Senior Mid Full Time

USD 86K+

Senior Principal Product, Care Planning
Any city, CA, US, 99999

Gainwell Technologies

Population health management Re-engineering Posting Care Planning Processes Care management System design Information systems Operating Systems +25

Senior Mid Full Time

USD 145K+

Provider Services Representative- Remote USA
Any city, OH, US, 99999

Gainwell Technologies

Hospital claims support Healthcare call center Clinical customer support Utilization Review Service Level Agreements Processes PC Claims Medical +22

Entry Mid Full Time

USD 25K+

Solutions Architect - Mobile
KS Overland Park

API-first design Infrastructure as a service OData Api gateways Platform as a Service Software-As-a-Service Empower High Availability Bitbucket +22

Senior Mid Full Time

USD 109K+

Manager, General Ledger
Any city, TX, US, 99999

Gainwell Technologies

Month-end processes Posting S/4 HANA Account Reconciliation Processes Issue Resolution US GAAP Financial reporting Medical +23

Senior Full Time

USD 120K+

Clinical Education Specialist - Remote in US
Any city, FL, US, 99999

Gainwell Technologies

Clinical claims review Webinar delivery InterQual criteria DRG validation Medical record auditing Healthcare Policies Coding certification CCS Healthcare policy +39

Senior Full Time

USD 75K+

Clinical Ideation Product Specialist - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Claims data analysis Audit and review criteria Claims recovery Program performance Healthcare payment methodologies Claims auditing Regulatory monitoring Policy Documentation Payment methodologies +46

USD 90K+

SQL Database Application Administrator
Any city, TX, US, 99999

Gainwell Technologies

DML DDL Posting Database Security Performance Tuning Edge Processes Functions Database design +40

USD 88K+

Financial Customer Service Professional
AZ Remote

Internet Specifications Financial Industry Policies Empower Procedures Processes Call Center Financial Services Bilingual Coaching +6

Entry Mid Full Time

USD 36K+

Registered Financial Customer Service Professional
Colorado Remote

Financial Industry Policies Empower Procedures Processes Call Center Financial Services Attention to detail Customer service Training +3

Entry Mid Full Time

USD 41K+

Bilingual Financial Customer Service Professional
TX Remote

Internet Specifications Financial Industry Policies Empower Procedures Processes Call Center Financial Services Bilingual Coaching +6

Entry Mid Full Time

USD 38K+

Registered Bilingual Financial Customer Service Professional
TX Remote

Financial Industry Policies Empower Procedures Processes Process Management Call Center Financial Services Bilingual Attention to detail +5

Entry Mid Full Time

USD 40K+

Clinical Quality Nurse Reviewer, Sr. Specialist - (RN Remote in US)
Any city, NC, US, 99999

Gainwell Technologies

Clinical quality review InterQual criteria Chart Audits Clinical criteria guidelines Productivity standards Medical Record Review RN license InterQual Clinical Criteria +28

Senior Full Time

USD 64K+

Identity and Access Management (IAM) Architect
Any city, TX, US, 99999

Gainwell Technologies

Saviynt Authentication systems Ping Identity Role-Based Access Control CIS OIDC Access Management Security Architecture Processes +42

Senior Full Time

USD 113K+

Experienced Business Analyst - Medicaid Provider
Jackson, MS, US, 39157

Gainwell Technologies

ALM Tools MMIS Analytical Software Computer Programming Concepts Re-engineering Relational Database Software Computer Programming Application Lifecycle Management ALM +31

Entry Senior Full Time

USD 64K+

Prior Authorization Operations Manager
Any city, OH, US, 99999

Gainwell Technologies

NCPDP standards Specialty medications Medication pricing Electronic prior authorizations Pharmacy Claims NCPDP Clinical pharmacy Prior authorizations Clinical Criteria +24

Senior Mid Full Time

USD 113K+

Senior Project Manager
Remote- Seattle, WA

Social communities Cms platforms Digital Project Management Analytics Platforms Mobile technologies Processes Project management tools Web Technologies Methodologies +7

Senior Full Time

USD 90K+

Experienced BA - Medicaid - QNXT Configuration
Any city, KY, US, 99999

Gainwell Technologies

Qnxt Analytical Software Computer Programming Concepts Re-engineering Computer Programming Relational Database Software Process re-engineering Application Lifecycle Management ALM +31

Senior Mid Full Time

USD 69K+

Carrier Account Manager
Any city, TX, US, 99999

Gainwell Technologies

Micro Strategies CMS guidelines Microsoft Access Functions Processes Claims CMS Health Insurance Billing +30

USD 55K+

Casualty Case Management - Hybrid Albany, New York - Mostly Remote
Albany, NY, US, 12205

Gainwell Technologies

Third Party Liability Eligibility Microsoft Access Processes Functions Legal research Claims Claims management Proofreading +30

USD 37K+

Casualty Case Management - Hybrid- Tallahassee, Florida
Tallahassee, FL, US, 32301-5020

Gainwell Technologies

Third Party Liability Microsoft Access Eligibility Functions Processes Legal research Claims Proofreading Claims management +30

Entry Mid Full Time

USD 24K+

Casualty Case Management - Remote US
Any city, FL, US, 99999

Gainwell Technologies

Third Party Liability Eligibility Microsoft Access Processes Functions Legal research Claims Claims management Proofreading +29

Entry Mid Full Time

USD 24K+

Casualty Case Management - Remote, USA
Any city, FL, US, 99999

Gainwell Technologies

Third Party Liability Eligibility Microsoft Access Processes Functions Legal research Claims Claims management Proofreading +29

Entry Mid Full Time

USD 24K+

Associate Manager, Clinical Review Nurse (Remote)
Any city, TX, US, 99999

Gainwell Technologies

Clinical review judgment APR-DRG MS-DRG CCS Quality Metrics DRG CPC Clinical Criteria RN license +36

Senior Mid Full Time

USD 69K+

Casualty Case Management Specialist - Remote US
Any city, TX, US, 99999

Gainwell Technologies

Eligibility Microsoft Access Functions Processes Legal research Claims Claims management Proofreading Document review +28

Entry Mid Full Time

USD 26K+

Proposal Manager
Any city, TX, US, 99999

Gainwell Technologies

Scoring Proposal Management RFP Business solutions Processes Journalism Business Management Adobe PMP +33

USD 82K+

Manual Verification Specialist - Remote USA
Any city, OH, US, 99999

Gainwell Technologies

Manual Dexterity HIPAA Knowledge Eligibility Independent work Processes PC Medical HIPAA Flexibility +12

Entry Mid Full Time

USD 30K+

Medical Claims Auditor I (Remote, USA)
Any city, TX, US, 99999

Gainwell Technologies

RCM knowledge Document imaging Manual Dexterity Eligibility Medical claims CCS CPC CMS guidelines Coding Guidelines +38

Entry Mid Full Time

USD 50K+

Business Analyst - Medicaid Claims
Lakewood, CO, US, 80227

Gainwell Technologies

Claims Pricing Models Alternative Payment Methodology SDLC Process Computer Programming Concepts Fee for Service Model Healthcare Claims Medicaid claims Re-engineering Process re-engineering +37

Entry Mid Full Time

USD 55K+

Business Analyst - Medicaid Claims
Any city, CO, US, 99999

Gainwell Technologies

SDLC Process Fee for Service Model Claims Pricing Models Alternative Payment Methodology Claims Experience Medicaid claims Computer Programming Concepts Posting Re-engineering +40

Entry Mid Full Time

USD 55K+

Engagement Lead
Any city, TX, US, 99999

Gainwell Technologies

Operational model design Global delivery Delivery assurance Financial Compliance Performance Evaluation Edge Processes Service Delivery Supervisory +26

Senior Full Time

USD 127K+

DevOpsEngineer
Any city, DE, US, 99999

Gainwell Technologies

Poetry Memray Radon Bandit Pylint Pytest Team Player Processes Edge +32

Entry Senior Full Time

USD 69K+

Senior Analyst Investment Reporting
Colorado Remote

Wings annual statement software Investment reporting Statutory naic Empower Financial statements Wealth Management Alteryx Processes Advanced Excel +15

Senior Mid Full Time

USD 80K+

Technical Program Manager
Any city, TX, US, 99999

Gainwell Technologies

Scaled Agile KPI Reporting Processes Edge Cross-functional Team Leadership Resource Management Tools Agile Methodology Stakeholder communication +24

Senior Full Time

USD 86K+

Application Business Analyst
Any city, TX, US, 99999

Gainwell Technologies

Systems Testing Process re-engineering Business Process Re-engineering Batch processing Computer Programming Technical Reviews Team Player Written and oral communication Processes +32

Entry Mid Full Time

USD 55K+

Coding and Bill Audit Product Specialist - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Audit criteria Posting Claims recovery Program performance Healthcare payment methodologies Payment methodologies Policy Documentation APC Regulatory monitoring +47

USD 69K+

Experienced Business Analyst - Claims Configuration - QNXT
Any city, TX, US, 99999

Gainwell Technologies

Configuration Principles Medicaid Policies Claims Configuration MMIS X12 transactions Medicaid claims Qnxt Test Case Creation Stored Procedures +58

Entry Senior Full Time

USD 69K+

Program Director - Third Party Liability (TPL)
Any city, NJ, US, 99999

Gainwell Technologies

Technology leverage Processes Functions Client Management Quality Management Contract management Stakeholder communication Public health Government +26

Exec Mid Full Time

USD 120K+

Advisor Business Analyst - Claims Lead
Any city, TX, US, 99999

Gainwell Technologies

Requirements translation Relational Database Software Relational database Business Process Re-engineering Technical Requirements Processes Edge Claims Business Processes +22

Senior Full Time

USD 86K+

Experienced Business Analyst - RHIT
Any city, KS, US, 99999

Gainwell Technologies

Coding Systems Relational Database Software Relational database Processes CPT codes Healthcare Knowledge Claims CPT Business Processes +21

Entry Mid Full Time

USD 69K+

Experienced Business Analyst - RHIT
Topeka, KS, US, 66619-1448

Gainwell Technologies

Coding Systems Relational Database Software Processes Relational database CPT codes Healthcare Knowledge CPT Claims Business Processes +23

Entry Mid Full Time

USD 69K+

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