Program Management Lead Analyst

A company is looking for a Program Management Lead Analyst to support the AAPS program focused on claim accuracy and cost reduction. Key Responsibilities Leverage expertise to identify overpayment cases and develop edit rules Oversee edit lifecycles and implement corrective actions as necessary Prepare business cases for edits, including financial and operational impact assessments Qualifications Bachelor's degree or higher preferred, or equivalent work experience required 3+ years of medical claim processing experience required 2+ years of experience with claim systems, particularly Proclaim, Facets, or PMHS required Proficiency in Microsoft Office applications preferred Ability to work independently with minimal supervision