Consultant II Data Mining
Sagility(1 month ago)
About this role
A Payment Integrity Data Mining Consultant II at Sagility is a client-facing specialist focused on identifying incorrect payments and audit opportunities within healthcare claims data. The role combines domain expertise in payment integrity with data mining and reporting to support recoveries and improve processes. It involves partnering with clients and internal teams to translate analytics into automation and enhanced audit capabilities.
Required Skills
- Audit Rules
- Business Analysis
- Pricing
- COB
- Platform Analytics
- Rule Validation
- Payment Auditing
- Fraud Prevention
- Data Integration
- Managed Care
+10 more
Qualifications
- High School Diploma
- BA/BS in Business Administration (Preferred)
About Sagility
sagilityhealth.comSagility delivers end-to-end healthcare BPO, revenue cycle management, and clinical support services for providers and payers. Explore our full-service model.
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