Payment Integration Product Solution Architect

Role Description

As a Payment Integration Product Solution Architect at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

• Support Director of Implementation driving Payment Integrity growth strategy, accelerating implementation and revenue recognition, and implementation staff development.
• Oversee multiple projects, providing mentorship and guidance to implementation team members ensuring departmental guardrails are being met timely and accurately.
• Training, quality assurance, and development of departmental guides and standard operating procedures.
• Rapid escalation and problem solving of client project customizations, issues, and delays of project portfolio.
• New product deployment and operational readiness plans documenting and execution of platform builds.
• Interfaces across multiple applications areas to ensure that the appropriate platform capabilities and functionalities are accounted for in the product process design.
• Facilitate and lead client product design discussions.
• Obtain, document, and finalize all aspects of client and HMS product process design, file requirements, and other items related to the Payment Integrity product suite.
• Ensures the adherence to standards and guidelines set forth in the Payment Integrity product and implementation guardrails.
• Communicate raw data source product requirements to the client and facilitate internal analysis partnering with the HMS data team.
• Work with IT Application, Implementation, and Operations team members to confirm and/or develop requirements specifications for product implementation or new application functionality and customizations.
• Maintain documentation and crucial artifacts required for an implementation and any applicable hand-off to Operations.
• Partners and provides assistance, as needed, with the Implementation Project Management Team, Account Management, and IT.
• Acts as an internal consultant, advocate, and mentor.
• Tracks, reports, and acts on applicable internal metrics for Implementation activities.
• Works with key business leaders to ensure alignment of product and platform features and capabilities.

Qualifications

• 8+ years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, COB, and Bill Audit.
• 8+ years of experience in healthcare, preferably a claim payment or audit recovery environment.
• 8+ years of external client facing experience.
• 4+ years working collaboratively with Information Technology and multiple organizational departments.
• Experience with MS Project, Visio and MS Office Products.
• Experience with new product deployment and operational readiness plans documenting and execution of platform builds.
• Experience in requirements gathering, systems integrations, data onboarding, process flow design and project management.
• Ability to present and communicate ideas clearly and persuasively at all levels to both internal and external audience.

Requirements

• Fully remote opportunity with the option to work anywhere within the United States.
• Opportunities to travel through your work (0-10%).
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• The Deadline to submit applications for this posting is June 24, 2026.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• Leadership and technical development academies to help build your skills and capabilities.