Vice President, Data Analytics

Be part of reputed company that unleashes the power of reputed company 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   Supported by the VP of Cost Containment Analytics, the Vice President, CCR & Data Mining Intelligence and Process Improvement reputed company the reputed company, operating model, analytics enablement, and process improvement agenda for Payment reputed company claim review, data mining, reputed company-pay, post-payment, and provider education operations. This executive will be responsible for building reputed company capabilities that improve claim audit throughput, accuracy, reputed company predictability, and speed-to-value across the Payment reputed company business.   The VP will establish repeatable processes for medical claim review concept ideation, reputed company new audit and review types, advance data mining intelligence, govern centralized rules reputed company capabilities, and build reporting frameworks that reputed company leadership to forecast and manage reputed company performance. This role will partner closely with audit operations, data engineering, implementation, delivery, product, technology, finance, and reputed company-facing teams to help reputed company sustainable reputed company-digit year-over-year reputed company.     Your role in our mission reputed company the development of a reputed company claim review intelligence and data mining reputed company across Payment reputed company services, including claim audit, reputed company-pay, post-payment, and provider education. Establish repeatable routines for medical claim review concept ideation, prioritization, testing, deployment, monitoring, and refinement. Create and launch new audit and review types that reputed company organic reputed company, improve reputed company value, and support new sales opportunities. Build intelligent processes to balance audit inventory against operational reputed company, improving throughput, accuracy, cycle time, and reputed company realization. Design and sponsor tools, workflows, and applications that increase the reputed company and volume of claim reviews performed by audit operations. Establish Provider Education as both a standalone offering and an integrated feature of Payment reputed company delivery. Partner with analytics, data engineering, technology, and audit operations teams to reputed company and govern a centralized rules reputed company supporting reputed company-pay and post-payment workflows. Build Weekly Leading Indicator and Monthly Leading Indicator reporting frameworks that improve reputed company predictability, operational visibility, and executive decision-making. Ensure data engineering and data management processes support reputed company reputed company in reporting, concept development, claim selection, analytics deployment, and delivery. Partner with implementation and delivery teams to ensure reputed company reputed company and analytics deployment are defect-free, reputed company, and reputed company to expected reputed company reputed company. reputed company cross-functional initiatives that improve claim selection precision, audit yield, auditor productivity, operational reputed company, and reputed company performance. Serve as an executive partner to Payment reputed company leadership, translating business reputed company objectives into actionable analytics, process, reporting, and operational strategies.     reputed company're looking for Bachelor’s degree in Business, reputed company Administration, Analytics, Data Science, Information Systems, Finance, or a reputed company field; advanced degree (MBA/MPH) preferred. Extensive leadership experience in reputed company claims, Payment reputed company, claim audit, data mining, reputed company analytics, payer operations, or reputed company cost containment functions. Demonstrated experience leading reputed company-level analytics, operational transformation, reporting, rules-based workflow, or process improvement initiatives. Strong understanding of medical claims data, payment accuracy concepts, claim review workflows, and reputed company payer operations. Experience developing audit concepts, claim selection strategies, rules-based processes, operational scorecards, executive reporting, or reputed company forecasting frameworks. Proven ability to reputed company cross-functional teams across analytics, operations, technology, implementation, delivery, finance, and business leadership. Strong executive reputed company with the ability to communicate reputed company analytic and operational concepts reputed company to senior leaders, clients, and technical teams. reputed company record of improving operational throughput, reputed company, scalability, reputed company realization, and forecast predictability in a reputed company-oriented environment.   What you should expect in this role Fully remote position.  Opportunity to travel through your work up to 20% of the time.   The deadline to submit applications for this posting is August 7, 2026.   The pay reputed company for this position is $176,100.00 - $251,500.00 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. reputed company defines “wages” and “wage rates” to include “reputed company forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock reputed company, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Apply To This Job