Data Mining Senior Auditor

About MedReview MedReview is a leading provider of payment integrity solutions that help national and regional health plans promote population health, ensure payment accuracy, reduce administrative waste, improve provider relationships, and optimize financial performance. For more than four decades, MedReview has partnered with health plans, third-party administrators, and other healthcare organizations to deliver technology-enabled solutions that identify savings opportunities, drive operational efficiency, and improve healthcare outcomes. The Opportunity We are seeking a Data Mining Senior Auditor to join our Payment Integrity team. This role is responsible for identifying healthcare cost-savings opportunities through advanced data mining strategies, claims analysis, audit development, and payment integrity initiatives. The Data Mining Senior Auditor will leverage extensive healthcare claims expertise to uncover overpayments, develop innovative audit concepts, enhance existing savings strategies, and support operational and financial objectives for health plan clients. This position requires strong analytical skills, deep knowledge of healthcare claims processing and reimbursement methodologies, and the ability to transform complex data into actionable insights that drive measurable client savings. Key Responsibilities Data Mining and Audit Strategy Develop, implement, and maintain data mining strategies that identify claims overpayments and cost-saving opportunities. Creat