SummaryWe are seeking a Manager, Credit Balance Audits to lead and oversee audit operations focused on identifying and recovering healthcare overpayments. This role is responsible for managing audit teams, ensuring compliance with healthcare reimbursement regulations, driving operational performance, supporting client satisfaction initiatives, and maintaining strong provider and stakeholder relationships. The ideal candidate combines healthcare revenue cycle expertise with proven leadership, process improvement, and financial management experience.
Your role in our mission- Leads, coaches, and develops Credit Balance Audit staff, including hiring, performance management, mentoring, and professional development.
- Oversees daily audit operations to ensure compliance with client requirements, organizational standards, and applicable healthcare reimbursement regulations.
- Monitors departmental performance, productivity, revenue targets, and budget objectives; implements corrective actions when necessary.
- Develops, improves, and implements operational processes to enhance efficiency, quality, risk mitigation, and client satisfaction.
- Provides training, guidance, and subject matter expertise to audit staff, internal stakeholders, and external partners.
- Reviews audit findings and ensures accurate reporting of results through written reports, presentations, and stakeholder communications.
- Establishes and maintains strong relationships with providers, clients, and internal business partners to support successful audit outcomes and customer satisfaction.
- Collaborates with operational, compliance, finance, and client teams to address business needs and achieve contract goals.
- Oversees client implementations and startup activities, including staffing plans, training programs, workflow development, and documentation of client-specific requirements.
- Ensures compliance with HIPAA requirements and organizational policies related to audit activities and protected health information.
- Supports departmental budgeting activities and monitors revenue performance against established goals.
- Identifies opportunities for continuous improvement and operational excellence through data analysis and performance monitoring.
- Performs other duties as assigned.
What we're looking for- Bachelor's degree in Business, Healthcare Administration, Accounting, Finance, or a related field.
- 5+ years of leadership experience managing healthcare audit, revenue cycle, reimbursement, claims, or credit balance teams.
- Strong knowledge of healthcare reimbursement, revenue cycle management, credit balance audits, and claims processing.
- Experience managing operational performance, productivity metrics, budgets, and revenue goals.
- Experience building and maintaining provider and client relationships while leading teams in a healthcare environment.
What you should expect in this role- Video cameras must be used during all interviews, as well as during the initial week of orientation.
- To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
- To test your internet speed, go to Google and search for "Internet Speed Test."
- Primarily remote or office-based work environment depending on business needs.
- Occasional travel (up to 15%) for client meetings, provider visits, training, or operational support.
- Extended periods of sitting and working on a computer.
- Fast-paced environment requiring management of multiple projects, priorities, and deadlines.
The deadline to submit applications for this posting is
June 17, 2026.
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The pay range for this position is $98,800.00 - $141,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All 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 variety of leadership and technical development academies to help build your skills and capabilities.
