{"schemaVersion":"jobsearcher.job.v1","id":"1ea46345305587f99d02f148","url":"https://jobsearcher.com/jobs/1ea46345305587f99d02f148","canonicalUrl":"https://jobsearcher.com/jobs/1ea46345305587f99d02f148","title":"Advisor Data Sciences","description":"Overview\nIn this role you will lead the design, development, and scaling of data mining and AI-enabled analytics to identify improper payments and improve claims accuracy across healthcare domains. You will act as a content authority, product owner, and delivery leader, guiding cross-functional teams to deliver high-impact payment integrity solutions for Gainwell clients. You will translate regulations and policies into scalable audit rules and analytics, while advancing AI/ML techniques in a mission-driven healthcare technology environment. This position offers remote work, growth through academies, and the chance to shape strategies that safeguard healthcare resources for vulnerable populations.\n\nCompensation / Benefitsgenerous, flexible vacation policyeducational assistance401(k) employer matchcomprehensive health benefitsleadership and technical development academiesremote work-friendly\nResponsibilitiesAct as Product Owner, Delivery Lead, and Implementation Manager for data mining and analytics initiativesDesign and implement advanced data mining and AI-driven analytics to detect overpayments and improper paymentsSupport and contribute to client RFP responses with analytics contentTranslate healthcare regulations and reimbursement policies into scalable audit algorithmsLead the incorporation of AI, machine learning, and advanced analytics into payment integrity solutions\nKey requirements7+ years in Healthcare Payment Integrity, Data Mining, or Advanced AnalyticsExperience validating claims data and payment accuracy in healthcareProven ability applying CMS regulations, state/federal guidelines, coding standards, and policies to claims analyticsStrong ability translating business and policy requirements into technical solutionsHands-on experience with AI/ML analytics (predictive modeling, anomaly detection, pattern recognition, or NLP) in healthcare or financial dataleadership and delivery managementcross-functional collaborationcommunication and stakeholder managementAI/ML-driven analyticspredictive modelinganomaly detection","company":"Gainwell","rawCompany":"gainwell","city":"Brooklyn","state":"NY","isRemote":false,"isActive":false,"createdAt":"2026-09-22T04:01:48.237Z","occupations":[{"code":"15-2051.00","title":"Data Scientists","slug":"data-scientists"},{"code":"15-1243.01","title":"Data Warehousing Specialists","slug":"data-warehousing-specialists"},{"code":"15-1211.01","title":"Health Informatics Specialists","slug":"health-informatics-specialists"}],"industries":[{"code":"541690","title":"Other Scientific and Technical Consulting Services","slug":"other-scientific-and-technical-consulting-services"},{"code":"524298","title":"All Other Insurance Related Activities","slug":"all-other-insurance-related-activities"},{"code":"541618","title":"Other Management Consulting Services","slug":"other-management-consulting-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Advisor Data Sciences","description":"Overview\nIn this role you will lead the design, development, and scaling of data mining and AI-enabled analytics to identify improper payments and improve claims accuracy across healthcare domains. You will act as a content authority, product owner, and delivery leader, guiding cross-functional teams to deliver high-impact payment integrity solutions for Gainwell clients. You will translate regulations and policies into scalable audit rules and analytics, while advancing AI/ML techniques in a mission-driven healthcare technology environment. This position offers remote work, growth through academies, and the chance to shape strategies that safeguard healthcare resources for vulnerable populations.\n\nCompensation / Benefitsgenerous, flexible vacation policyeducational assistance401(k) employer matchcomprehensive health benefitsleadership and technical development academiesremote work-friendly\nResponsibilitiesAct as Product Owner, Delivery Lead, and Implementation Manager for data mining and analytics initiativesDesign and implement advanced data mining and AI-driven analytics to detect overpayments and improper paymentsSupport and contribute to client RFP responses with analytics contentTranslate healthcare regulations and reimbursement policies into scalable audit algorithmsLead the incorporation of AI, machine learning, and advanced analytics into payment integrity solutions\nKey requirements7+ years in Healthcare Payment Integrity, Data Mining, or Advanced AnalyticsExperience validating claims data and payment accuracy in healthcareProven ability applying CMS regulations, state/federal guidelines, coding standards, and policies to claims analyticsStrong ability translating business and policy requirements into technical solutionsHands-on experience with AI/ML analytics (predictive modeling, anomaly detection, pattern recognition, or NLP) in healthcare or financial dataleadership and delivery managementcross-functional collaborationcommunication and stakeholder managementAI/ML-driven analyticspredictive modelinganomaly detection","datePosted":"2026-09-22T04:01:48.237Z","dateModified":"2026-09-22T04:01:48.237Z","hiringOrganization":{"@type":"Organization","name":"Gainwell","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Brooklyn","addressRegion":"NY","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"1ea46345305587f99d02f148"},"url":"https://jobsearcher.com/jobs/1ea46345305587f99d02f148"}}