[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
ā¢ Design, implement, and validate advanced detection logic
ā¢ Translate SME concepts into precise, scalable rule definitions
ā¢ Ensure detection accuracy through edge case evaluation and rigorous validation
ā¢ Troubleshoot anomalies in detection outputs
ā¢ Identify and implement workflow improvements to reduce rework and improve efficiency
ā¢ Collaborate with domain SMEs and engineering to ensure successful deployment
Skills
ā¢ 4+ years of experience in analytics engineering, data-intensive application development, detection development, or related technical roles
ā¢ Advanced SQL proficiency (including window functions, complex joins, performance optimization)
ā¢ Strong programming skills in Python or a similar general-purpose language (e.g., Java, Scala), applied to data processing and automation
ā¢ Experience working with large structured datasets
ā¢ Strong logical reasoning and ability to decompose complex problems
ā¢ Demonstrated ability to work autonomously within defined objectives
ā¢ Experience working with healthcare claims data
ā¢ Familiarity with payment integrity or fraud detection concepts
ā¢ Experience working in cloud platforms (e.g., AWS, Azure, GCP)
Benefits
ā¢ Health, Dental, and Vision insurance with 100% employee premium coverage (Starts Day 1)
ā¢ Unlimited PTO
ā¢ Annual Professional Development stipend
ā¢ Annual home office stipend
ā¢ 401K Match (after 90 days)
Company Overview
ā¢ 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 https://www.codoxo.com.
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Responsibilities
ā¢ Design, implement, and validate advanced detection logic
ā¢ Translate SME concepts into precise, scalable rule definitions
ā¢ Ensure detection accuracy through edge case evaluation and rigorous validation
ā¢ Troubleshoot anomalies in detection outputs
ā¢ Identify and implement workflow improvements to reduce rework and improve efficiency
ā¢ Collaborate with domain SMEs and engineering to ensure successful deployment
Skills
ā¢ 4+ years of experience in analytics engineering, data-intensive application development, detection development, or related technical roles
ā¢ Advanced SQL proficiency (including window functions, complex joins, performance optimization)
ā¢ Strong programming skills in Python or a similar general-purpose language (e.g., Java, Scala), applied to data processing and automation
ā¢ Experience working with large structured datasets
ā¢ Strong logical reasoning and ability to decompose complex problems
ā¢ Demonstrated ability to work autonomously within defined objectives
ā¢ Experience working with healthcare claims data
ā¢ Familiarity with payment integrity or fraud detection concepts
ā¢ Experience working in cloud platforms (e.g., AWS, Azure, GCP)
Benefits
ā¢ Health, Dental, and Vision insurance with 100% employee premium coverage (Starts Day 1)
ā¢ Unlimited PTO
ā¢ Annual Professional Development stipend
ā¢ Annual home office stipend
ā¢ 401K Match (after 90 days)
Company Overview
ā¢ 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 https://www.codoxo.com.
Apply tot his job
Apply To this Job