Payment Integrity Specialist
Aidoos
Payment Integrity Specialist
New
Skills
Collaboration Software Dashboard Development Data Analysis Data Visualization Excel Fraud Detection Healthcare Claims Processing Reporting Tools SQL Statistical Analysis
The Payment Integrity Analytics Specialist will play a crucial role in analyzing healthcare claims, recoveries, and vendor performance for PacificSource. This position focuses on developing advanced dashboards and comprehensive reporting to support fraud prevention efforts, audits, and enhance healthcare operations.
Key Responsibilities
- Analyze healthcare claims and vendor performance data.
- Develop and maintain dashboards for reporting insights.
- Support fraud prevention initiatives and audits.
- Collaborate with healthcare operations teams to improve processes.
- Identify trends and recommend actionable solutions.
Required Skills & Qualifications
- Strong analytical and problem-solving skills.
- Proficiency in data visualization tools (e.g., Tableau, Power BI).
- Experience with healthcare claims processing.
- Knowledge of fraud detection methodologies.
- Excellent communication and collaboration abilities.
Job Type: Remote
Salary: Not Disclosed
Experience: Entry
Duration: Months
Vacancy posted 5 days ago
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