Data Mining Specialist (Payment Integrity)

The Data Mining Specialist role will require a high level of expertise in identifying, developing, and implementing effective data mining queries. This individual must have extensive knowledge across multiple lines of business, including Medicare, Medicaid, and Commercial claims, as well as experience navigating multiple claims payment systems. The role also requires the ability to analyze complex claims, identify payment anomalies and new recovery opportunities, and translate findings into accurate, actionable data mining concepts. These capabilities are critical to maintaining a strong pipeline of opportunities and adapting concepts and query logic across different client environments.
*Base Pay Range: $93,900 - $134,100/yr

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Originally posted on Himalayas