Top 846 Data mining analyst Jobs

Payment Integrity Analyst - Data Mining
Lyric —Remote
- $24.20 - $36.30 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- SQL
Data Analyst (Remote)
Elder Research —Remote
- Full-time
- Mid-level
- Analysis skills
- Travel
- Paid time off
- Opportunities for advancement
Quick Apply
DMG Data Mining Analyst II
Machinify —Remote
- $90,000 - $140,000 a year
- Remote
- 5 years
- Mid-level
- SQL
- Health savings account
- Health insurance
Quick Apply
Chinese Operational Language Analyst
SOSi —Annapolis Junction, MD
- $73,743 - $153,159 a year
- Weekends as needed
- Research
- Mid-level
- Office
Quick Apply
Senior Workday HRIS Analyst
Stoneridge —Novi, MI
- Full-time
- Hybrid work
- Background check
- 5 years
- Pass drug screening
Financial Analyst II - Manufacturing
Rheem Manufacturing —Roswell, GA
- Full-time
- Hybrid work
- Microsoft Excel
- Oracle
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Senior Supply Chain Financial Analyst
Uline —Pleasant Prairie, WI
- Full-time
- Pass drug screening
- Mid-level
- Office
- Paid holidays
- Health insurance
Business Systems Analyst (Power BI & Financial Reporting)
Salmon Group, Inc. —Richland, WA
- From $120,000 a year
- Full-time
- Microsoft Access
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Russian Operational Language Analyst
SOSi —Annapolis Junction, MD
- $73,743 - $153,159 a year
- Weekends as needed
- Research
- Mid-level
- Office
Quick Apply
14d
Senior Data Analyst (Job #33238)
InnoSource —Dublin, OH
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Data Mining Analyst - current interim Secret or higher required
General Dynamics Information Technology —Vienna, VA
- $70,658 - $81,650 a year
- 8 hour shift
- Microsoft Access
- Writing skills
- Analysis skills
- Paid time off
- 401(k) matching
Supply Chain Financial Analyst
Uline —Pleasant Prairie, WI
- Full-time
- Pass drug screening
- Mid-level
- Office
- Paid holidays
- Health insurance
Sr. Financial Analyst
Robert Half —Des Moines, IA
- $85.50 - $99.00 an hour
- Temporary
- US work authorization
- Senior level
- Communication skills
- Disability insurance
- Dental insurance
Quick Apply
3d
Sr. Financial Analyst
Robert Half —Bloomington, MN
- $51.46 - $59.59 an hour
- Temporary
- Microsoft Excel
- Analysis skills
- US work authorization
- Disability insurance
- Dental insurance
Quick Apply
4d
Junior Financial Analyst
The McGregor Company —Colfax, WA
- $28 - $32 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Access
- Health savings account
- Health insurance
Quick Apply
12d
HR Business Financial Analyst
Penske Truck Leasing and Logistics —Reading, PA
- Hybrid work
- Pass drug screening
- Mid-level
- Office
Senior Financial Analyst
Penske Truck Leasing and Logistics —Reading, PA
- Microsoft Access
- Pass drug screening
- Mid-level
Sentinel Staff Computer Systems Analyst - 18901
Northrop Grumman —Roy, UT
- $139,000 - $208,600 a year
- Overtime
- 6 years
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
13d
Data Analyst
GOCOOL —Bellevue, WA
- Mid-level
- Teaching
Crime Data Analyst
Gulf Shores, City of (AL) —Gulf Shores, AL
- $23.01 - $34.52 an hour
- Extended hours
- Mid-level

I want to receive the latest job alert for data mining analyst

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

data mining analyst jobs near

Payment Integrity Analyst - Data Mining

Lyric -
Remote

Apply Now

Job Details

Full-time
$24.20 - $36.30 an hour

Qualifications

Policy verification in claims processing
Data-driven problem-solving
Healthcare claims compliance audits
Medical terminology

Full Job Description

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI.

Applicants must already be legally authorized to work in the U.S. Visa sponsorship/sponsorship assumption and other immigration support are not available for this position.

JOB SUMMARY

The Payment Integrity Analyst (Data Mining) supports the Data Mining (DM) program by investigating payment errors due to incorrect processing of payment policies, contract terms, billing and/or coding errors to prevent and recover improper claim payments. This role performs hands-on casework in a high-volume environment including outreach, documentation, and system updates, while applying analytical skills to interpret claims and eligibility data, identify trends, and recommends process improvements that improve accuracy for the data mining program.

ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES

Investigation and verification

Review, prioritize, and independently work assigned DM leads (automated and manual), including moderate-to-complex and high-dollar cases, to determine verification steps and next actions.
Investigate and validate payment terms (Inpatient, Outpatient, Professional, Ancillary) using internal systems, payer portals, contracts, and other approved data sources.
Apply payment policies, contract terms and coding guidelines, including CMS and AMA guidance as applicable, to determine the correct reimbursement and document the rationale for the payment determination.
Reconcile discrepancies across sources (contract data and paper forms, conflicting policy and contract terns) and drive cases to a clear, audit-ready determination; escalate edge cases per policy.

Collaboration, documentation, and system updates

Analyze claim inventory from identification to resolution. Assist in developing concept overviews and analysis. Collaborate with team to configure client specific business rules.
Assist in compiling sample claims and supporting documentation for Client review and approval. Maintain a library that includes instructions for validating specific audit concepts.
Create clear, detailed, and accurate case notes that capture verification steps, evidence, and outcomes in internal tools to support audits and downstream recovery/reprocessing.

Payment integrity support & Operational excellence

Provide validated DM outcomes that support downstream payment integrity activities (recovery, reprocessing, adjustments) with minimal rework.
Prepare and evaluate documentation needed for inquiries, disputes, and appeals related to determinations, as assigned.
Meet or exceed established productivity, turnaround time, and quality/audit standards while managing a high-volume case queue.

Analytical contribution

Track outcomes and error categories, identify root causes of recurring DM issues and false positives, and recommend opportunities to streamline research, improve data quality, and reduce incorrect payments.
Use Excel and other tools to support ad hoc analysis (e.g., trend review, inventory quality checks, and performance insights); partner with stakeholders to clarify requirements and improve workflows.
Reconcile discrepancies across sources (eligibility feeds, member/group data, claim history, and third-party responses) and drive cases to a clear, audit-ready determination.

REQUIRED QUALIFICATIONS

Minimum of one (1) year of combined experience in healthcare, such as prior work in health insurance, claims processing or adjudication, or fraud, waste and abuse detection.
Minimum of one (1) year experience auditing medical claims to identify improper payments as a Payment Integrity Vendor or within a Health Plan’s Payment Integrity team.
Minimum of one (1) year of experience performing data analytics with large data sets
Minimum of one (1) year of experience in medical billing codes including but not limited to CPT, ICD-10-PCS, ICD-10-CM, HCPCS, and NDC, as well as an understanding of medical terminology, and prospective payment systems including DRG, OPPS, and MIPS

PREFERRED QUALIFICATIONS

Bachelors degree in business or healthcare/related field
Experience in various claim payment methodologies for professional, facility, and ancillary providers or working knowledge of payment integrity auditing concepts.
Experience with SQL.
Experience within high-volume, SLA-driven operations teams.
Creative thinker with an entrepreneurial spirit.
Strong written and verbal communication skills.
Excellent documentation accuracy and attention to detail.
Ability to work within established productivity and quality metrics.
Comfortable navigating multiple systems, portals, and payer interfaces.
Strong problem-solving skills with the ability to reconcile conflicting or incomplete information.
Ability to maintain confidentiality and comply with HIPAA and data security standards.

***The US base salary range for this full-time position is:

$24.20 - $36.30

The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation. ***

Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success.

Apply Now

Refine Your Search

data mining analyst jobs

Payment Integrity Analyst - Data Mining

Data Analyst (Remote)

DMG Data Mining Analyst II

Chinese Operational Language Analyst

Senior Workday HRIS Analyst

Financial Analyst II - Manufacturing

Senior Supply Chain Financial Analyst

Business Systems Analyst (Power BI & Financial Reporting)

Russian Operational Language Analyst

Senior Data Analyst (Job #33238)

Data Mining Analyst - current interim Secret or higher required

Supply Chain Financial Analyst

Sr. Financial Analyst

Sr. Financial Analyst

Junior Financial Analyst

HR Business Financial Analyst

Senior Financial Analyst

Sentinel Staff Computer Systems Analyst - 18901

Data Analyst

Crime Data Analyst

I want to receive the latest job alert for data mining analyst

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected