Payment Integrity Analyst

A company is looking for a Payment Integrity Analyst, Post Pay.

Key Responsibilities

Research customer-specific value opportunities and present findings to leadership

Improve existing data models and identify automation opportunities for repetitive tasks

Support the payment integrity team with processing medical insurance claim overpayments

Required Qualifications

1+ years of SQL programming / queries and advanced Excel experience

1+ years of experience auditing medical claims for improper payments

1+ years of experience performing data analytics with large data sets

Bachelor's degree in business or healthcare-related field preferred

1+ years of experience in healthcare, claims processing, or fraud detection preferred