Analyst, Payment Integrity – Data Mining

📋 Description

• Analyze claims data to pinpoint erroneous payments

• Assist in maintaining payment integrity quality control for mistakes identified by both internal and external sources

• Apply data analysis skills and tools for precise, quantitative assessments of issues

• Highlight key areas for reducing incorrect payments

• Resolve errors in collaboration with key stakeholders

• Ensure adherence to applicable laws and regulations

• Carry out additional responsibilities as needed

⛳️ Requirements

• Minimum of 2 years of experience in the healthcare field

• At least 2 years of experience managing large claims data sets using Excel or a database language

🏝️ Benefits

• Health insurance

• Participation in a 401(k) plan

• Accrual of paid vacation at a rate of 15 days per year

• Paid sick time

• Paid parental leave

• Life and disability insurance

• Wellness time and reimbursement benefits

• 11 paid holidays