About this role

Deliver actionable business intelligence and financial reporting for Special Investigations and Payment Integrity teams. Analyze healthcare claims data to identify fraud, waste, and abuse, and drive operational improvements. Develop dashboards and reports to support investigations and executive decision-making.

What we are looking for

6

Partner with SIU, Payment Integrity, Clinical, Finance, and operational stakeholders
Design, develop, and maintain dashboards, scorecards, and reports
Analyze healthcare claims, provider, member, audit, and investigation data
Develop recurring and ad hoc financial and operational reporting
Design and execute statistically valid random sampling methodologies
Communicate analytical findings to business partners and leadership

Work authorization

No visa sponsorship is available.
Must be authorized to work without sponsorship.