Payment Integrity Analyst

Job Summary

A company is looking for a Payment Integrity Analyst to identify and develop cost-saving opportunities in medical claims.

Key Responsibilities

• Identify, develop, and deploy cost-saving initiatives to improve claims payment accuracy
• Create and translate SQL code for automated deployment against claims data
• Generate financial reports and support operational tasks related to payment integrity

Required Qualifications

• 2+ years of expert-level SQL proficiency and healthcare claims analysis experience
• BA/BS degree or equivalent experience with 5+ years in data and analytics
• 2+ years of experience in healthcare data, preferably Medicare related
• Experience with GitHub protocols and move-to-production processes
• Working knowledge of CMS rules and regulations