Senior Medical Cost Analytics Advisor (Remote)

As a Senior Advisor , you’ll provide strategy and analytical support for the Payment Integrity team inclusive of evaluating the current payment integrity programs, from pre-payment and post-payment editing, clinical coding audits, and recovery. You will help translate the payment integrity program performance and results into actionable insights, business cases and identify new savings opportunities. In this role, you will and partner across finance, operations, clinical, network, claims, product and vendor teams to drive measurable progress toward enterprise affordability goals What You’ll Do: Support strategic medical cost analytics by identifying trends, risks, and affordability opportunities across cost containment and payment integrity programs.…