Senior Director Ideation Analytics Data Mining
View Moreicons, El Paso, TX, United States
Explore meaningful roles that let you make an impact in healthcare while growing your career with purpose, innovation, and global opportunities.
Senior Director Ideation Analytics Data Mining About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Role Summary Senior Director/ Principal Consultants drive innovation within payment integrity analytics by designing new detection frameworks and managing algorithm portfolios. The role strongly influences the Creation and Impact phases of the Sagility Payment Integrity Solutions.
Key Responsibilities Discovery
Identify strategic opportunities for payment integrity innovation.
Lead cross-functional discovery initiatives.
Creation
Design enterprise-scale detection algorithms.
Build algorithm libraries across clinical, coding, and pricing leakage areas.
Develop advanced predictive analytics models.
Impact
Manage analytics portfolio delivering significant financial recoveries.
Collaborate with PI operations leaders and client stakeholders.
Drive innovation within PI analytics methodology.
Mandatory Skills
Advanced PI analytics expertise
Algorithm portfolio design
Healthcare payer economics
Preferred Skills
AI-driven analytics
Predictive modeling
Healthcare reimbursement modeling
Experience 10–15 years in healthcare analytics or payment integrity.
Location Work@Home USA United States of America
Join our team, we are looking forward to talking to you! #J-18808-Ljbffr
Senior Director Ideation Analytics Data Mining About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Role Summary Senior Director/ Principal Consultants drive innovation within payment integrity analytics by designing new detection frameworks and managing algorithm portfolios. The role strongly influences the Creation and Impact phases of the Sagility Payment Integrity Solutions.
Key Responsibilities Discovery
Identify strategic opportunities for payment integrity innovation.
Lead cross-functional discovery initiatives.
Creation
Design enterprise-scale detection algorithms.
Build algorithm libraries across clinical, coding, and pricing leakage areas.
Develop advanced predictive analytics models.
Impact
Manage analytics portfolio delivering significant financial recoveries.
Collaborate with PI operations leaders and client stakeholders.
Drive innovation within PI analytics methodology.
Mandatory Skills
Advanced PI analytics expertise
Algorithm portfolio design
Healthcare payer economics
Preferred Skills
AI-driven analytics
Predictive modeling
Healthcare reimbursement modeling
Experience 10–15 years in healthcare analytics or payment integrity.
Location Work@Home USA United States of America
Join our team, we are looking forward to talking to you! #J-18808-Ljbffr