Data Mining Analyst

Job Summary

A company is looking for an Analyst, Payment Integrity (Data Mining).

Key Responsibilities

• Analyze and investigate claims data to identify incorrect payments
• Support quality review of claim findings from internal and external partners
• Utilize data analysis tools to develop accurate, quantitative analyses of issues

Required Qualifications

• 2+ years of experience in healthcare
• 2+ years of experience working with large claims data sets using Excel or a database language
• Some coding experience or exposure to database languages is a bonus
• 2+ years of related work experience in payment integrity data mining is a bonus
• Experience using SQL is a bonus