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Growth Analytics Manager, Payment Integrity
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About this role
Role overview Lead analytics for payment integrity, connecting healthcare data expertise with client-facing sales and product work. You will turn claims, reimbursement, and medical-cost information into clear recommendations, demonstrations, and commercial analyses, while helping shape market positioning, pricing, and growth decisions.
Responsibilities - Track payment integrity market, competitor, and regulatory developments, and share relevant findings with product teams. - Develop analytical offerings, reports, and demonstration materials covering payment integrity and related payer topics such as medical cost management, risk adjustment, population health, and quality ratings. - Deliver product demonstrations and support proposals and RFPs with defensible data and analysis. - Analyze pipeline and market opportunities; create executive dashboards, KPIs, and revenue forecasts. - Build deal margin, revenue, and cost models, and use implementation and cost data to inform pricing. - Explain payer reimbursement methods, claims patterns, and medical cost drivers to clients and prospects.
Requirements - 5–10+ years in healthcare, such as at a payer, provider, vendor, or consulting firm, including substantial hands-on payment integrity experience. - Strong knowledge of payer financial reporting, reimbursement methods, claims, medical cost trends, and payment integrity practices such as pre- and post-payment audit, DRG validation, coordination of benefits, or fraud, waste, and abuse detection. - Experience with healthcare data and analytics used by payers. - Ability to build and present executive-ready dashboards, KPIs, and performance reporting. - Clear, adaptable communication skills and confidence in customer discussions, proposals, and senior-level presentations. - Self-directed approach, sound prioritization, and comfort working through ambiguity in a fast-moving environment.
Nice to have Hands-on SQL and experience with Tableau or Power BI are preferred. The supplied source also mentions interest in healthcare technology, but the remaining detail is truncated.