Payment Integrity Analyst - Data Mining

Jobgether

United States
On-site
Data mining for claim discrepancies
Healthcare payment integrity analysis
Contract and reimbursement data validation
The Payment Integrity Analyst - Data Mining position at Jobgether involves analyzing healthcare claims to ensure payment accuracy and compliance. The role requires strong analytical skills and attention to detail, as well as the ability to work collaboratively in a data-driven environment

Job Summary

  • This role safeguards healthcare payment accuracy by identifying and resolving complex claim payment discrepancies.
  • You will independently analyze claims, contracts, and reimbursement data to ensure compliance with established policies.
  • Your work directly contributes to reducing healthcare waste and improving system-wide efficiency.

Matching Summary

Match Score: 85

The Payment Integrity Analyst - Data Mining position at Jobgether involves analyzing healthcare claims to ensure payment accuracy and compliance. The role requires strong analytical skills and attention to detail, as well as the ability to work collaboratively in a data-driven environment.

Skills & Requirements

Must-have

  • Data mining for claim discrepancies
  • Healthcare payment integrity analysis
  • Contract and reimbursement data validation
  • Complex problem-solving skills
  • High-volume data-driven environment

Nice-to-have

  • Turning complex data into actionable insights
  • Collaborative cross-team communication
  • Refining audit concepts and detection logic
  • Reducing false positives in audits

Key Requirements

  • Strong attention to detail
  • Structured problem-solving abilities
  • Experience with medical claims analysis

Work Rights

Not specified

Tailored Resume

Cover Letter