Financial Operations Analyst Lead - Payment Integrity Datamining

TAMPA, 5411 SKY CENTER DR

Thursday, 21 May 2026

Develops and executes complex data analysis. Develops strategic report applications from Finance systems. Writes queries and macros to enhance access databases and builds new databases in support of accurate balance sheet/ P&L reporting. Provides decision support and procedural input to ensure that processing efficiency does not compromise internal control mechanisms. Interfaces with IT as needed and documents and tracks any needed system enhancements with IT management. Documents and responds to any external audit requests. Assists in the implementation of software releases within the Finance organization. Ensures proper conversion or shutdown of legacy systems by developing and documenting enterprise solutions for successful transition to core processing systems. Has technical and operational expertise. Can commit department to deliverables on own initiative. Uses discretion in making independent decisions. Minimum Requirements:Requires a BA/ BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences:Experience working post-pay reviews, validation, and recovery processes in the healthcare industry strong preferred. Experience managing multiple projects in various stages to completion strongly preferred. Experience with medical billing guidelines, and regulations preferred. Experience with medical coding systems such as ICD, CPT, and HCPCS strongly preferred. Claim processing experience strongly preferred. GBD Facets or WGS experience preferred. Job Level:Non-Management Exempt. Workshift:1st Shift (United States of America)

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