Medical Claims Research Analyst Lead

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Medical Claims Research Analyst Lead serves as a functional lead for the Research Analyst team, providing guidance, support, and expertise in the resolution of complex claims research, provider inquiries, correspondence, and operational issues.

This role collaborates with internal departments, leadership, providers, clients, and external stakeholders to ensure timely, accurate, and compliant research outcomes while promoting operational excellence and continuous process improvement. The ideal candidate demonstrates strong leadership, analytical, communication, and problem-solving skills and serves as a subject matter expert for complex inquiries and escalations.

Your role in our mission

• Provide functional leadership and day-to-day guidance to the Research Analyst team, supporting complex inquiries, escalations, claims research, and correspondence while promoting consistency, quality, and timely resolution. • Support the investigation and resolution of routine to highly complex medical claims, provider, client, and operational inquiries using subject matter expertise, independent judgment, and…