[Remote] Payment Integrity Analytics Consultant

Note: The job is a remote job and is open to candidates in USA. Codoxo is a premier provider of artificial intelligence-driven solutions in healthcare, focused on detecting and reducing risks from fraud, waste, and abuse. They are seeking a highly analytical Payment Integrity Analytics Consultant to design and implement detection logic across healthcare claims datasets, ensuring accuracy and efficiency in their systems. Responsibilities • Design, implement, and validate advanced detection logic • Translate SME concepts into precise, scalable rule definitions • Ensure detection accuracy through edge case evaluation and rigorous validation • Troubleshoot anomalies in detection outputs • Identify and implement workflow improvements to reduce rework and improve efficiency • Collaborate with domain SMEs and engineering to ensure successful deployment Skills • 4+ years of experience in analytics engineering, data-intensive application development, detection development, or related technical roles • Advanced SQL proficiency (including window functions, complex joins, performance optimization) • Strong programming skills in Python or a similar general-purpose language (e.g., Java, Scala), applied to data processing and automation • Experience working with large structured datasets • Strong logical reasoning and ability to decompose complex problems • Demonstrated ability to work autonomously within defined objectives • Experience working with healthcare claims data • Familiarity with payment integrity or fraud detection concepts • Experience working in cloud platforms (e.g., AWS, Azure, GCP) Benefits • Health, Dental, and Vision insurance with 100% employee premium coverage (Starts Day 1) • Unlimited PTO • Annual Professional Development stipend • Annual home office stipend • 401K Match (after 90 days) Company Overview • Codoxo leverages advanced generative and self-learning AI to enhance payment integrity in healthcare. It was founded in 2017, and is headquartered in Duluth, Georgia, USA, with a workforce of 51-200 employees. Its website is Apply tot his job

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