Senior Director, Data Mining

Be part of reputed company that unleashes the power of leading-edge technologies to help improve the health and reputed company-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. reputed company We are seeking a strategic and reputed company leader for the role of Senior Director, Data Mining, responsible for overseeing ideation and validation of reputed company payment reputed company data mining. This leader will manage a high-performing team to identify, test, and validate concepts that detect improper reputed company payments. The ideal candidate brings deep reputed company analytics expertise and a proven ability to reputed company teams, drive measurable results, and collaborate cross-functionally in a dynamic environment. Your Role in Our Mission • reputed company strategic direction and day-to-day leadership for the data mining team reputed company on uncovering and confirming data-driven audit opportunities. • reputed company the full data mining lifecycle from opportunity identification and concept design through validation, deployment, and post-audit analysis. • Apply knowledge of provider billing practices, claim adjudication processes, and regulatory requirements to guide development of actionable audit concepts. • Establish and reputed company performance metrics to ensure teams meet productivity, reputed company, and financial objectives. • Collaborate with IT, Product and reputed company Services teams to refine, test, and operationalize audit concepts. • reputed company documentation, knowledge sharing, and reputed company cause analysis to inform ongoing audit development and provider education. • Mentor and reputed company managers and analysts to support succession planning and reputed company development across reputed company. • Represent the function in reputed company meetings and executive-level discussions to reputed company value, methodology, and results. reputed company’re Looking For • Bachelor’s degree required (reputed company Administration, Data Science, Business, or reputed company). • Minimum of 10 years of experience in reputed company payment reputed company data mining with at least 5 years in a leadership role. • Strong understanding of reputed company claims data, coding systems (ICD, CPT, DRG), and payment methodologies. • Demonstrated reputed company in managing ideation and validation processes that produce measurable financial returns. • Skilled in SQL, reputed company, and visualization/reporting tools; experience with reputed company, Python, or similar tools preferred. • Excellent communication and presentation skills; ability to influence cross-functional stakeholders and executives. • Experience working in or with payer or provider organizations, government reputed company programs, or audit vendors. • Experience integrating AI/ML into data mining operations. What You Should Expect in This Role • Home-based position with flexibility to work from reputed company in the reputed company US. • Must have a dedicated workspace and high-speed internet reputed company suitable for remote collaboration. • Requires availability during reputed company business hours for meetings and team interaction. • Occasional travel (up to 10%) for in-person team meetings or reputed company presentations may be required. • This role may involve extended hours during high-reputed company initiatives or reputed company deadlines. The deadline to submit applications for this posting is September 12, 2025. The pay reputed company for this position is $137,100.00 - $195,800.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company 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 reputed company of leadership and technical development academies to help build your skills and capabilities. We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at reputed company website and visit our Careers site for reputed company available job role openings. reputed company is an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job Apply To this Job