Healthcare Forensics Associate: Payment Integrity Analytics

DaMar Staffing; Indianapolis (IN); On-site; USD 65,000 - 85,000; Full time

Job summary

DaMar Staffing seeks an Experienced Associate, Healthcare Forensics to identify and resolve payment inaccuracies in healthcare claims. You will analyze claims data, support fraud and regulatory investigations, and recommend corrective actions to clients and internal teams.

The role requires proficiency in data analysis and knowledge of payer policies, with collaboration across cross-functional teams to improve payment integrity and compliance.

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, or Business is preferred.
• At least 3 years in healthcare consulting, revenue cycle, claims auditing, or payment integrity.
• Experience with Medicare, Medicaid, or Commercial reimbursement is desirable.
• Proficiency with data analysis tools and healthcare coding knowledge is a plus.

Responsibilities

• Identify and analyze payment inaccuracies across healthcare claims.
• Investigate fraud, waste, and abuse in reimbursement disputes and regulatory matters.
• Analyze payer policies, contracts, and guidelines to assess claim appropriateness.
• Develop strategies to improve payment accuracy and reduce overpayments.
• Prepare detailed reports and present recommendations to clients and stakeholders.

Skills

Forensic Analytics

Fraud Analytics

Revenue Cycle

Data Analysis

Education

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

High School Diploma or equivalent

Tools

Excel

SQL

SAS

Tableau

Job description

DaMar Staffing seeks an Experienced Associate, Healthcare Forensics to identify and resolve payment inaccuracies in healthcare claims. You will analyze claims data, support fraud and regulatory investigations, and recommend corrective actions to clients and internal teams.

The role requires proficiency in data analysis and knowledge of payer policies, with collaboration across cross-functional teams to improve payment integrity and compliance.