Related skills
auditing sql data visualization data mining payment integrity📋 Description
- Subject matter expert for data mining workflows and rules.
- Identify issues in data mining programs; outline remediation steps.
- Identify post-payment errors; drive recovery and future accuracy.
- Represent data mining solutions in policy discussions; document changes.
- Provide training to team members on data mining processes.
- Audit with internal/external tools; ensure compliance with laws.
🎯 Requirements
- 3+ years in claims processing, auditing or health care 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.
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