Healthcare Investigations Analyst - Montgomery, AL
About The Position
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 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. Your role in our mission
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
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
