Manager– Data Mining & Exploratory Intelligence

Ex; Hyderabad; On-site; INR 1,200,000 - 2,000,000; Full time

Job summary

Ex in Hyderabad is seeking a claims analytics specialist with deep Medicare, Medicaid, or commercial health program experience to strengthen payment integrity.

You will review large claims datasets, identify patterns and anomalies, and collaborate with analytics, product, strategy, and compliance teams to design non-clinical data mining programs.

Qualifications

• Experience across Medicare, Medicaid or commercial business.
• Expertise in 360-degree claims review, auditing, and payment integrity.
• Identify patterns, anomalies, and inappropriate payments in large claims datasets.
• Bridge operations and data science with strong analytical mindset.
• Collaborate with analytics, product, strategy, and compliance teams.
• Excellent communication to explain complex claims concepts clearly.
• Involvement in payment integrity data mining or recovery initiatives.
• Experience supporting or designing claims analytics or data mining programs (non-clinical).

Skills

Medicare/Medicaid experience

Payments integrity

Patterns & anomalies detection

Claims analytics

Data mining

Cross-functional collaboration

Tools

Data mining tools

Job description

• Extensive experience across Medicare, Medicaid or commercial business
• Demonstrated expertise in 360-degree claims review, auditing, and payment integrity
• Proven ability to identify patterns, anomalies, and inappropriate payments within large claims datasets
• Strong analytical mindset with the ability to bridge operations and data science
• Experience collaborating with cross-functional teams (analytics, product, strategy, compliance)
• Excellent communication skills with the ability to explain complex claims concepts clearly
• Prior involvement in payment integrity data mining or recovery initiatives
• Experience supporting or designing claims analytics or data mining non-clinical programs