Provide SME in data mining workflows and program rules.
Identify issues in payment integrity solutions and remediation steps.
Identify post-payment errors and facilitate recovery and accuracy.
Represent data mining solutions in policy discussions; document policies or changes.
Provide training to team members and aid audits with tools.
Ensure compliance with all applicable laws and regulations.

🎯 Requirements

3+ years in claims processing, auditing, or healthcare operations.
3+ years building or supporting data mining payment integrity solutions.
Proven ability to work independently to drive projects to completion.
Some coding experience or database language exposure.

🎁 Benefits

Base pay: $87,188 - $114,434 per year.
Medical, dental, vision; 11 holidays; sick time; parental leave; 401(k).
Unlimited vacation program.
Annual performance bonuses.

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