Senior Analyst, Payment Integrity

Job Summary

A company is looking for a Senior Analyst, Payment Integrity Data Mining.

Key Responsibilities

• Conduct quality reviews of claims and collaborate with partners to deliver solutions
• Utilize data analysis tools to create quantitative analyses of issues
• Identify opportunities to reduce incorrect payments through data mining and process monitoring

Required Qualifications

• Bachelor's degree or 4+ years of relevant experience
• 2+ years of experience in claims auditing or healthcare payment integrity
• 2+ years of experience working with large data sets using Excel or a database language
• 1+ years of experience in deriving business insights from datasets
• 1+ years of experience in healthcare and collaborating with stakeholders