Director, Payment Integrity Implementation

Gainwell Technologies

3d • Remote

About The Position

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.

Requirements

• 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

Responsibilities

• 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.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees