Healthcare Investigations Analyst - Montgomery, AL

Gainwell Technologies•Montgomery, AL

34d•$28,500 - $40,700•Onsite

About The Position

The Healthcare Investigations Analyst supports Gainwell operations by reviewing, validating, and documenting healthcare and insurance-related information to ensure accuracy, compliance, and data integrity. This role requires strong analytical skills, attention to detail, and the ability to review and interpret multiple documents efficiently while collaborating with internal teams and external partners, including attorneys and healthcare stakeholders. This is a fully onsite role supporting Alabama-based accounts in a fast-paced, data-driven environment.

Requirements

High School Diploma or equivalent
Prior experience in healthcare insurance
Strong analytical and problem-solving skills
High attention to detail with strong documentation accuracy
Ability to read, interpret, and process multiple documents efficiently
Comfortable working in a data-driven, metrics-based environment
Self-motivated and able to work both independently and as part of a team
Adaptable to changing priorities and investigative requirements

Responsibilities

Conduct investigative reviews and validations of healthcare and insurance-related cases
Review, analyze, and interpret multiple documents quickly and accurately
Validate information related to injuries, insurance coverage, and medical authorizations
Update and maintain case data in internal systems, including Maestro
Perform insurance verification and ensure proper documentation is on file
Work closely with attorneys and internal teams to support investigations
Ensure all case documentation meets quality, compliance, and audit standards
Maintain accurate system documentation with minimal data entry but high verification requirements
Support Alabama accounts and adhere to program-specific guidelines
Meet productivity, quality, and performance metrics