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Senior SIU Analyst

IDR, Inc.

Bowie, Maryland • Today

Full-time

Senior SIU Analyst / Fraud Analyst / Healthcare Domain Only

DVI Technologies, Inc.

Remote • Today

Easy Apply

Contract

45 - 50

Job Details

Skills

Analytics
Billing
Dashboard
Collaboration
Algorithms
Health Care
Health Insurance
HCPCS
ICD-10
DRG
Scratch
SQL
Fraud
Medical Classification
Life Insurance
Recruiting
Artificial Intelligence
Privacy
Insurance

Summary

IDR is seeking a Senior SIU Analyst to join one of our top clients for an opportunity in Maryland. This role involves leveraging healthcare claims data and analytics to detect and validate fraud, waste, and abuse within the healthcare industry. The position is ideal for candidates with a strong investigative background in healthcare FWA and claims analysis.

Position Overview for the Senior SIU Analyst:

Review healthcare claims flagged by fraud detection logic to determine validity.
Analyze medical coding such as CPT, HCPCS, ICD-10, DRG, and APC to identify suspicious billing patterns.
Work directly with raw or incomplete claims data to detect potential fraud without relying on existing dashboards.
Collaborate with data scientists and product teams to enhance fraud detection algorithms.
Present findings and recommendations to internal stakeholders based on thorough investigations.

Requirements for the Senior SIU Analyst:

4+ years of hands-on healthcare FWA investigative experience, preferably on the payer/health insurance side.
Strong medical claims coding knowledge: CPT, HCPCS, ICD-10, DRG/APC.
Experience starting from scratch with live or incomplete claims data.
SQL or equivalent querying skills to analyze claims data independently.
Familiarity with fraud detection rules and medical coding edits, including NCCI.

What\'s in it for you?

Competitive compensation package
Full Benefits; Medical, Vision, Dental, and more!
Opportunity to get in with an industry leading organization.

Why IDR?

25+ Years of Proven Industry Experience in 4 major markets
Employee Stock Ownership Program
Dedicated Engagement Manager who is committed to you and your success.
Medical, Dental, Vision, and Life Insurance
ClearlyRated\'s Best of Staffing Client and Talent Award winner 12 years in a row.

#LI-Hybrid

By submitting this application, you acknowledge and consent to engage in conversation with a recruiter or virtual recruiter from IDR Inc. and its affiliates, and contracted partners by receiving calls, AI-generated calls, texts, or emails to the contact information provided. Please ensure that the contact information provided is one you are permitted to use and are authorized to receive such messages on. If your contact information changes during the application process, please notify IDR promptly. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can opt-out of receiving communications at any time by saying or replying with "STOP" and "HELP" for help. To view our privacy policy, you may access it here (;br>PandoLogic. Keywords: Insurance Examiner, Location: Bowie, MD - 20720

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: pandfeed
Position Id: 604591795
Posted 13 hours ago

Fitment

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Baltimore, Maryland

•

12d ago

Healthcare Claims Functional AnalystElite Technical is seeking a Healthcare Claims Functional Analyst to support our client, a major Healthcare organization. This position is 100% onsite in Baltimore Maryland (M-F) and is a Contract to Permanent opportunity with our client. The selected candidate will analyze Healthcare Claims information in different formats (mostly MS Excel), then enter/map this information into our clients benefits system. Provides Operations Support by obtaining facts; anal

Easy Apply

Contract

30 - 30

Healthcare Claims Functional Analyst-Excel -Contract-to-Hire !

Baltimore, Maryland

•

11d ago

Absolutely no third parties please ! COMPENSATION$ 33.00 per hour on a W2, then convert to full-time after 1 year at $ 65,900 plus benefits. LOCATION 100% onsite - 1501 South Clinton St. Baltimore MD 21224 Training: 3 weeks. Then chairside training an addtl 3 weeks alongside another Functional Analyst. The schedule during Training is 8 to 4:30. After training the resource can start as early as 7am 9am. PLEASE NOTE - Must have a laptop during the contracting phase - once converted to FTE status

Easy Apply

Contract

DATA ANALYST

Remote or Hybrid in Maryland City, Maryland

•

Today

Data Analyst Healthcare (2-3 Years Experience)Company: AaraTech Inc About the RoleAaraTech Inc is seeking a detail-oriented Data Analyst Healthcare ( 2-3 years experience) to support healthcare reporting, analytics, and data quality initiatives. This role is ideal for early-career professionals who enjoy working with healthcare data, building reports, and delivering insights that support business and operational decision-making. Key ResponsibilitiesCollect, clean, and analyze healthcare data fro

Easy Apply

Contract

$65,000 - $75,000

HSI Data Subject Matter Expert (SME)

Remote or Washington, District of Columbia

•

27d ago

Unissant, Inc.delivers innovative capabilities to the agencies that keep our nation healthy and safe. We apply our domain expertise, data acumen, and technology know-how to achieve breakthrough results for our clients. Working collaboratively, we advance missions and careers through a focus on honesty, integrity, and dependability. We continuously look for talent, excited to join that effort. To learn more about our exciting organization, please visit us at. We are seeking aHSI Data Subject Matt

Easy Apply

Full-time

Depends on Experience

Job Details

Skills

Analytics
Billing
Dashboard
Collaboration
Algorithms
Health Care
Health Insurance
HCPCS
ICD-10
DRG
Scratch
SQL
Fraud
Medical Classification
Life Insurance
Recruiting
Artificial Intelligence
Privacy
Insurance

Summary

Review healthcare claims flagged by fraud detection logic to determine validity.
Analyze medical coding such as CPT, HCPCS, ICD-10, DRG, and APC to identify suspicious billing patterns.
Work directly with raw or incomplete claims data to detect potential fraud without relying on existing dashboards.
Collaborate with data scientists and product teams to enhance fraud detection algorithms.
Present findings and recommendations to internal stakeholders based on thorough investigations.

Requirements for the Senior SIU Analyst:

4+ years of hands-on healthcare FWA investigative experience, preferably on the payer/health insurance side.
Strong medical claims coding knowledge: CPT, HCPCS, ICD-10, DRG/APC.
Experience starting from scratch with live or incomplete claims data.
SQL or equivalent querying skills to analyze claims data independently.
Familiarity with fraud detection rules and medical coding edits, including NCCI.

What\'s in it for you?

Competitive compensation package
Full Benefits; Medical, Vision, Dental, and more!
Opportunity to get in with an industry leading organization.

Why IDR?

25+ Years of Proven Industry Experience in 4 major markets
Employee Stock Ownership Program
Dedicated Engagement Manager who is committed to you and your success.
Medical, Dental, Vision, and Life Insurance
ClearlyRated\'s Best of Staffing Client and Talent Award winner 12 years in a row.

Dice Id: pandfeed
Position Id: 604591795
Posted 13 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Baltimore, Maryland

•

12d ago

Easy Apply

Contract

30 - 30

Healthcare Claims Functional Analyst-Excel -Contract-to-Hire !

Baltimore, Maryland

•

11d ago

Easy Apply

Contract

DATA ANALYST

Remote or Hybrid in Maryland City, Maryland

•

Today

Easy Apply

Contract

$65,000 - $75,000

HSI Data Subject Matter Expert (SME)

Remote or Washington, District of Columbia

•

27d ago

Easy Apply

Full-time

Depends on Experience

Senior SIU Analyst

Skills

Summary

Dice Job Match Score™

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Senior SIU Analyst

Job Details

Skills

Summary

Dice Job Match Score™

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