Healthcare Forensics Analyst - Payment Integrity

DaMar Staffing; St. Louis (MO); On-site; USD 65,000 - 85,000; Full time

Job summary

DaMar Staffing seeks an Experienced Associate in Healthcare Forensics to identify and resolve payment inaccuracies across healthcare claims related to reimbursement disputes, fraud, waste, and abuse investigations. This role requires strong analytics, attention to detail, and the ability to interpret payer policies and provider contracts.

You will work with cross‑functional teams, develop strategies to improve payment accuracy, and present findings to clients and stakeholders.

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, or Business.
• 3+ years of healthcare consulting, revenue cycle, claims auditing, or payment integrity experience.
• Experience with Medicare, Medicaid, or Commercial reimbursement and coding (ICD-10, CPT, HCPCS).

Responsibilities

• Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters.
• Analyzes healthcare claims data to identify improper payments, billing errors, and potential fraud, waste, or abuse.
• Develops and implements strategies to improve payment accuracy and mitigate overpayments.
• Collaborates with cross-functional teams to validate findings and recommend corrective actions.

Skills

Forensic analytics

Healthcare reimbursement

Data analysis

Regulatory compliance

Communication skills

Education

Bachelor's degree in Healthcare Administration

Tools

Excel

SQL

Tableau

SAS

EHR software

Job description

DaMar Staffing seeks an Experienced Associate in Healthcare Forensics to identify and resolve payment inaccuracies across healthcare claims related to reimbursement disputes, fraud, waste, and abuse investigations. This role requires strong analytics, attention to detail, and the ability to interpret payer policies and provider contracts.

You will work with cross‑functional teams, develop strategies to improve payment accuracy, and present findings to clients and stakeholders.