Data Sciences Advisor

Gainwell Technologies

. Act as Product Owner, Delivery Lead, and Implementation Manager for complex data mining and analytics initiatives .

Posted 9/18/2026full-timeRemote • United StatesSeniorLead💰 $99,200 - $141,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Healthcare Payment Integrity and Advanced Analytics, with a strong focus on AI and machine learning applications for data mining and payment accuracy. Proven ability to translate complex healthcare regulations into actionable analytics solutions while leading cross-functional teams to successful project delivery.

Highest-signal resume keywords

Healthcare Payment IntegrityData MiningAI/ML-Driven AnalyticsClaims AnalyticsRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data MiningAdvanced AnalyticsPredictive ModelingAnomaly DetectionPattern RecognitionNatural Language ProcessingClaims Data ValidationPayment Accuracy AnalysisAudit Algorithm DesignAnalytic Rule Development

Soft Skills

Strategic LeadershipCross-Functional CollaborationClient EngagementTechnical CommunicationImplementation Management

Industry Keywords

Healthcare RegulationsReimbursement MethodologiesCMS RegulationsState/Federal GuidelinesCoding Standards

About the role

Key responsibilities & impact

Act as Product Owner, Delivery Lead, and Implementation Manager for complex data mining and analytics initiatives
Design, develop, and implement advanced data mining and AI-driven analytics concepts to identify overpayments and improper payments
Support and lead responses to client RFPs, contributing written content related to data mining, AI, and payment integrity capabilities
Translate healthcare regulations, reimbursement methodologies, and clinical policies into scalable audit algorithms and analytic rules
Lead the incorporation of AI, machine learning, and advanced analytics techniques into payment integrity solutions
Provide strategic and technical leadership in designing, implementing, and scaling advanced data mining and AI-enabled analytics solutions
Guide cross-functional teams through complex implementations and ensure successful delivery of payment integrity solutions
Partner with engineering, clinical, operations, and client teams to safeguard healthcare resources

Requirements

What you’ll need

7+ years of Healthcare Payment Integrity, Data Mining, or Advanced Analytics experience
Demonstrated experience in healthcare payment integrity data mining, including validation of claims data accuracy and payment accuracy
Proven experience applying CMS regulations, State/Federal guidelines, coding standards, and reimbursement policies to claims analytics
Strong experience translating business and policy requirements into technical and analytical solutions
Hands-on experience with AI/ML-driven analytics, such as predictive modeling, anomaly detection, pattern recognition, or NLP applied to healthcare or financial data
Video cameras must be used during all interviews and during the initial week of orientation

Benefits

Comp & perks

Work flexibility
Learning and career development
Technical credentials and certifications
Generous, flexible vacation policy
Educational assistance
Leadership and technical development academies
Occasional travel opportunities (0-10%)
401(k) employer match
Comprehensive health benefits