Senior Data Mining Auditor

A company is looking for a Senior Data Mining Auditor who will identify medical cost savings for healthcare insurance clients through data mining strategies and enhancements. Key Responsibilities Support the development and maintenance of operational reports and dashboards for the Payment Integrity team Produce detailed data mining reports and extract critical information to inform stakeholders Develop quality control processes and utilize data analytics to reveal business insights and savings opportunities Required Qualifications Seven years of medical claims investigation or data mining experience, with five years in a leadership role Relevant medical billing and coding certification and a bachelor's degree in a relevant field are preferred Minimum of a high school diploma or GED Experience with software platforms such as MS SQL Server and Power BI Proficiency in medical terminology and knowledge of coding guidelines and healthcare regulations

Apr 30, 2025 - 22:49

A company is looking for a Senior Data Mining Auditor who will identify medical cost savings for healthcare insurance clients through data mining strategies and enhancements. Key Responsibilities Support the development and maintenance of operational reports and dashboards for the Payment Integrity team Produce detailed data mining reports and extract critical information to inform stakeholders Develop quality control processes and utilize data analytics to reveal business insights and savings opportunities Required Qualifications Seven years of medical claims investigation or data mining experience, with five years in a leadership role Relevant medical billing and coding certification and a bachelor's degree in a relevant field are preferred Minimum of a high school diploma or GED Experience with software platforms such as MS SQL Server and Power BI Proficiency in medical terminology and knowledge of coding guidelines and healthcare regulations