Senior Medical Cost Analytics Advisor

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Medical Cost Analytics Advisor based in the United States. As a Senior Medical Cost Analytics Advisor, you will play a strategic role in advancing healthcare affordability through data-driven insights and financial analysis. You will support payment integrity initiatives by evaluating pre-payment and post-payment programs, clinical coding audits, and recovery opportunities to identify potential savings and improve performance. Leveraging advanced analytical tools and healthcare reimbursement expertise, you will translate complex data into actionable recommendations and compelling business cases for senior leadership. You will collaborate with cross-functional teams spanning Finance, Claims, Clinical Operations, Compliance, Network, and external vendors to drive enterprise-wide improvements. You will also contribute to the modernization of reporting and analytics through automation and emerging AI-enabled technologies. This fully remote opportunity offers the chance to influence healthcare cost management and improve the efficiency of complex payment processes.