Healthcare Forensics Analyst – Payment Integrity

DaMar Staffing; Omaha (NE); On-site; USD 65,000 - 85,000; Full time

Job summary

DaMar Staffing is seeking an Experienced Associate for Healthcare Forensics to identify and resolve payment inaccuracies across healthcare claims, supporting disputes, regulatory compliance, and litigation.

The role emphasizes analyzing claims data, understanding reimbursement methodologies, and presenting clear, actionable findings to clients and internal stakeholders. Familiarity with Medicare/Medicaid, CPT/ICD coding, and data analytics tools is preferred.

Qualifications

• High School Diploma or equivalent; Bachelor's degree preferred.
• Three years of healthcare consulting, revenue cycle, or payment integrity experience.
• Experience with Medicare/Medicaid, coding (ICD-10, CPT, HCPCS), and claims processing preferred.

Responsibilities

• Provides investigation and analysis to a variety of clients including regulators and litigation matters.
• Analyzes healthcare claims data to identify improper payments and potential fraud, waste, or abuse.
• Develops strategies to improve payment accuracy and mitigate overpayments.
• Prepares and presents detailed reports and recommendations to clients and internal stakeholders.
• Supports the design and enhancement of payment integrity tools, algorithms, and audit methodologies.

Skills

Data analysis

Regulatory compliance

Healthcare reimbursement

Communication skills

Project management

Education

High School Diploma or equivalent

Bachelor's degree in Healthcare Administration, Public Health, or Business

Tools

Excel

SQL

SAS

Tableau

Epic

Cerner

Athena

Job description

DaMar Staffing is seeking an Experienced Associate for Healthcare Forensics to identify and resolve payment inaccuracies across healthcare claims, supporting disputes, regulatory compliance, and litigation.

The role emphasizes analyzing claims data, understanding reimbursement methodologies, and presenting clear, actionable findings to clients and internal stakeholders. Familiarity with Medicare/Medicaid, CPT/ICD coding, and data analytics tools is preferred.