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Blue Cross & Blue Shield of Rhode Island

Senior Provider Payment Integrity Analytics Lead

Blue Cross & Blue Shield of Rhode Island, Providence, Rhode Island, United States

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A healthcare provider in Rhode Island seeks a professional to conduct in-depth analysis of medical claims and identify overpayment opportunities. The role involves using large data sets and collaborating with various stakeholders to ensure compliance with federal and state guidelines. Candidates should hold a Bachelor's degree in a relevant field and have over seven years of experience in medical claims review and quantitative analysis. A range of tools will be used, including SQL and Microsoft Excel, to develop meaningful insights and solutions. #J-18808-Ljbffr