Remote Payment Integrity Analytics Analyst

PacificSource; United States; Hybrid; USD 57,000 - 97,000; Full time

Benefits offered by this job

Flexible telecommute policy

Medical, vision, and dental insurance

401(k) plan

Paid time off and holidays

Tuition reimbursement and training

Job summary

PacificSource is seeking a Payment Integrity Analytics Specialist to develop dashboards and analytics that drive payment integrity efforts. You will work with multiple teams to transform data into actionable insights, supporting budgeting, forecasting, and regulatory reporting.

The role requires healthcare analytics experience, strong Excel/BI skills, and the ability to deliver concise, data‑driven recommendations to leadership. Travel ~5% and hybrid work options available.

Qualifications

• Minimum of 3 years of healthcare analytics, claims analytics, payment integrity, finance analytics, reimbursement analysis, or closely related experience.
• Bachelor's degree in business, finance, statistics, data analytics, healthcare administration, information systems, or related field preferred.

Responsibilities

• Develop, maintain, and distribute payment integrity dashboards, reports, and performance scorecards.
• Track and monitor recoveries, cost avoidance, savings, inventory, and operational performance metrics.
• Analyze claims, provider, reimbursement, and audit data to identify payment integrity opportunities and emerging trends.
• Support fraud, waste, and abuse detection efforts through data analysis and reporting.
• Monitor vendor performance and validate reported recoveries, savings, and contractual performance measures.
• Develop recurring operational, financial, and executive reporting.
• Perform data validation, reconciliation, and quality assurance activities.
• Support audit targeting, provider outlier analysis, and recovery opportunity identification.
• Create ad hoc analyses and presentations to support leadership decision‑making.
• Partner with IT and enterprise data teams to improve reporting capabilities and data accessibility.
• Identify trends, risks, and opportunities and provide data‑driven recommendations to leadership.
• Assist with budgeting, forecasting, and performance measurement activities related to payment integrity programs.
• Support regulatory reporting, audits, and documentation requests.

Skills

Healthcare analytics

Data analysis

SQL

Power BI

Tableau

Excel

Education

Bachelor's degree in business/finance/statistics/data analytics/healthcare administration/information systems

Tools

SQL

Power BI

Tableau

Excel

Job description

PacificSource is seeking a Payment Integrity Analytics Specialist to develop dashboards and analytics that drive payment integrity efforts. You will work with multiple teams to transform data into actionable insights, supporting budgeting, forecasting, and regulatory reporting.

The role requires healthcare analytics experience, strong Excel/BI skills, and the ability to deliver concise, data‑driven recommendations to leadership. Travel ~5% and hybrid work options available.