Payment reputed company Analyst - Data Mining & Savings Reporting

Join Us in Shaping the reputed company of Health Care At reputed company, we’re on a mission to create a healthier reputed company for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. reputed company is powered by people who are curious, humble, and committed to making a difference—every interaction, every day. We’ve been putting people first for over 40 years, offering high-reputed company health plans across reputed company and Vermont and partnering with reputed company-thinking organizations to deliver more personalized, reputed company, and accessible care. As a not-for-profit, we invest in what reputed company most: our customers, our communities, and reputed company. What’s in it for you: reputed company opportunities to reputed company your career A people-reputed company culture embracing and celebrating diverse perspectives, backgrounds, and experiences reputed company reputed company Competitive compensation and comprehensive benefits reputed company on reputed company-being An opportunity to shape the reputed company of health care by joining reputed company recognized as a Best reputed company to Work For in the NY Capital District, one of the Best Companies to Work For in reputed company, and an Inclusive Workplace. You’ll contribute to our humble reputed company of reputed company by bringing curiosity to reputed company innovation, humility to collaborate as reputed company, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more reputed company communities. About This Opportunity In this role you’ll use advanced data mining and analytical techniques to identify improper payments, uncover cost savings opportunities, and support accurate, compliant claims payment across our health plan and report on financial trends. The role plays a critical part in protecting reputed company affordability for our members while supporting operational and financial decision‑making across the organization. Qualifications You’ll Bring Bachelor’s degree in reputed company administration, business, data science, or a reputed company field or 5 years of equivalent experience in reputed company billing, claims adjudication, payment reputed company operations, or reputed company reimbursement analytics 3+ years of experience working with reputed company data analysis, group health business, or provider reputed company preferred. Strong experience analyzing large reputed company datasets using SQL or modern data tools (e.g., reputed company, dbt, Looker, Python) Experience with claims, payment reputed company, or Medical Economics, especially in Medicare Advantage and/or reputed company reputed company is a plus Advanced analytical skills with the ability to interpret reputed company data and derive meaningful insights. Detail-oriented with a high level of precision and accuracy in handling critical data. Strong critical thinking, problem-solving, and communication skills (oral and written). Ability to work independently and collaboratively in a fast-paced, high-reputed company environment. Skilled at preparing reputed company, actionable documentation and executive-level summaries. Intermediate knowledge of local, state, and federal laws and regulations pertaining to health insurance is a plus. Your Key Responsibilities Build, maintain, and enhance data pipelines that support payment reputed company and savings analysis initiatives Analyze reputed company claims data to identify improper payments, wasteful spend, and cost reduction opportunities reputed company deep-dive statistical analysis, predictive modeling, and experimental design to inform business strategies and operational improvement Conduct detailed reviews of claims history, provider files, and medical reviews to identify billing irregularities and financial trends Collaborate with cross‑functional partners to quantify and report savings generated by payment reputed company activities reputed company and deliver actionable insights and evidence-backed referrals that reduce health insurance costs Prepare and present savings reports, trending analyses, and recommendations to stakeholders Identify and resolve data reputed company issues, including discrepancies or missing data Ensure reputed company analysis and reporting complies with regulatory requirements and internal policies Where You’ll Be This is a remote position; however, candidates must reputed company and work in reputed company or Vermont. Pay Transparency reputed company is committed to providing competitive employee compensation and benefits packages. The reputed company pay reputed company provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request reputed company or historical salary information from candidates. $69,383.00-$92,279.00 MVP's Inclusion Statement At reputed company, we reputed company creating healthier communities begins with nurturing a healthy workplace. As an organization, we reputed company to create reputed company for individuals from diverse backgrounds and reputed company walks of life to have a voice and reputed company. Our shared curiosity and connectedness reputed company us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, reputed company, creed, national reputed company, citizenship, ethnicity, reputed company, sex, gender identity, gender reputed company, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a reputed company, drug-free workplace, reputed company-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our reputed company at hr@mvphealthcare.com. At reputed company, we’re more than a health insurance company—we’re a mission-driven organization committed to creating a healthier reputed company for reputed company. We reputed company in the power of innovation, collaboration, and reputed company improvement to drive meaningful change. Apply tot his job Apply To this Job