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Data Mining Consultant
Job Summary
A company is looking for a Data Mining Consultant (Client Lead).
Key Responsibilities
- Lead a team in identifying audit opportunities and enhancing systems automation
- Review payment-related data to ensure accuracy and compliance, while performing audits to identify discrepancies
- Participate in client meetings and manage team training and development
Required Qualifications, Training, and Education
- 5+ years of experience in direct claim processing and reimbursement
- 3+ years of management experience in claims processing is preferred
- Experience in developing auditing rules and conducting business case analysis
- Knowledge of healthcare data synthesis and payment integrity reporting
- Prior experience in claims auditing or consulting in a healthcare environment is desirable
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COMPLETE JOB DESCRIPTION
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Company Overview
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