[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 https://www.codoxo.com.