Job Details

A company is looking for a Payment Integrity Analyst - Data Mining & Savings Reporting.Key ResponsibilitiesBuild, maintain, and enhance data pipelines for payment integrity and savings analysisAnalyze healthcare claims data to identify improper payments and cost reduction opportunitiesPrepare and present savings reports and recommendations to stakeholdersRequired QualificationsBachelor's degree in healthcare administration, business, data science, or related field, or 5 years of equivalent experience3+ years of experience in healthcare data analysis or related fields preferredStrong experience with SQL or modern data tools (e.g., Snowflake, dbt, Looker, Python)Experience with claims and payment integrity, especially in Medicare Advantage or New York Medicaid is a plusIntermediate knowledge of health insurance laws and regulations is a plus