Vice President, Data Analytics

Role Description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-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.

• Supported by the VP of Cost Containment Analytics, lead the strategy, operating model, analytics enablement, and process improvement agenda for Payment Integrity claim review, data mining, pre-pay, post-payment, and provider education operations.
• Responsible for building scalable capabilities that improve claim audit throughput, accuracy, revenue predictability, and speed-to-value across the Payment Integrity business.
• Establish repeatable processes for medical claim review concept ideation, develop new audit and review types, advance data mining intelligence, govern centralized rules engine capabilities, and build reporting frameworks.
• Partner closely with audit operations, data engineering, implementation, delivery, product, technology, finance, and client-facing teams to help deliver sustainable double-digit year-over-year growth.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Analytics, Data Science, Information Systems, Finance, or a related field; advanced degree (MBA/MPH) preferred.
• Extensive leadership experience in healthcare claims, Payment Integrity, claim audit, data mining, healthcare analytics, payer operations, or related cost containment functions.
• Demonstrated experience leading enterprise-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 healthcare payer operations.
• Experience developing audit concepts, claim selection strategies, rules-based processes, operational scorecards, executive reporting, or revenue forecasting frameworks.
• Proven ability to lead cross-functional teams across analytics, operations, technology, implementation, delivery, finance, and business leadership.
• Strong executive presence with the ability to communicate complex analytic and operational concepts clearly to senior leaders, clients, and technical teams.
• Track record of improving operational throughput, quality, scalability, revenue realization, and forecast predictability in a growth-oriented environment.

Requirements

• 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 range for this position is $176,100.00 - $251,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

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