Analyst, Payment Integrity (Data Mining) - Remote

Overview

The Analyst, Payment Integrity will review claims data to identify incorrect payments, supporting the quality control process for payment integrity.

In Short

• Analyze and investigate claims data.
• Support quality review of claims and findings from partners.
• Utilize data analysis skills and tools for quantitative analyses.
• Identify opportunities to reduce incorrect payments.
• Mediate errors with stakeholders.
• Ensure compliance with laws and regulations.
• Perform other assigned duties.

Requirements

• 2+ years of experience in healthcare.
• 2+ years of experience with large claims data sets using Excel or a database language.

Benefits

• Employee benefits including medical, dental, and vision.
• 11 paid holidays and paid sick time.
• Paid parental leave and 401(k) plan participation.
• Paid wellness time and reimbursements.