Senior Manager Credit Balance Audits
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
We 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.
#LI-REMOTE #LI-JA1 #LI-CM1
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.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Summary
We 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.
#LI-REMOTE #LI-JA1 #LI-CM1
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.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.