Payment Integrity Analyst

Job Summary

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