Director of Payment Integrity Analytics - Remote

Sagility Payment Integrity Solutions LLC; United States; Remote; USD 140,000 - 190,000; Full time

Job summary

Sagility Payment Integrity Solutions LLC is seeking a Director of Payment Integrity Analytics to develop data reporting, data integrity practices, and analytic data architecture. The role partners with application developers to align data models with analytic and service requirements, leveraging SQL, Power BI, Tableau, and MS Office tools.

The position requires 8+ years in payment integrity, with an MBA/Bachelor’s and strong experience in end-to-end client implementations, data mining, and

Qualifications

• Bachelor’s Degree or MBA preferred; 8+ years in payment integrity role.
• 8+ years’ experience in end-to-end client implementations on data mining/clinical/coding programs.
• Experience with data modeling, analytics architecture and PI requirements.

Responsibilities

• Build and implement a PI audit program across data mining and clinical domains.
• Lead end-to-end client onboarding to realize savings quickly.
• Manage cross-functional project teams across multiple projects.
• Prepare executive status reports and project communications.
• Monitor QA activities, risks, and issues; ensure timely deliverables.

Skills

SQL

Data modeling

Power BI

Tableau

Excel

SharePoint

MS Project Plan

Data mining

Communication

Education

Bachelor's Degree / MBA

Tools

MS Office

MS Visio

PowerPoint

Word

Job description

Sagility Payment Integrity Solutions LLC is seeking a Director of Payment Integrity Analytics to develop data reporting, data integrity practices, and analytic data architecture. The role partners with application developers to align data models with analytic and service requirements, leveraging SQL, Power BI, Tableau, and MS Office tools.

The position requires 8+ years in payment integrity, with an MBA/Bachelor’s and strong experience in end-to-end client implementations, data mining, and