About The Position
We are seeking a Behavioral Health (BH) Claims Domain subject matter Expert in our CRE – Concept research & exploratory team within our Datamining COE for exploratory claims analysis and support the development of advanced data mining capabilities. This role will focus on identifying claims patterns, anomalies, and potential overpayments across Medicare, Medicaid and commercial platforms, while translating deep operational insight into actionable analytics concepts and solutions. The ideal candidate brings extensive hands-on BH claims experience and can “reverse engineer” claims behavior to inform data-driven strategies, tools, and controls.
Requirements
- Behavioral Health (BH) Claims Domain subject matter Expert
- extensive hands-on BH claims experience
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
