{"id":2057073,"url":"https://alion.io/job/pacificsource-payment-integrity-analytics-specialist-4","title":"Payment Integrity Analytics Specialist","company":{"id":1965363,"name":"PacificSource","domain":"pacificsource.com","url":"https://alion.io/company/pacificsource","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Analytics","role_family":"Analytics","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Portland, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":56779,"max":96525,"currency":"USD","period":"year","gross":null,"usd_annual":96525},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false},{"name":"Microsoft Excel","optional":false},{"name":"Power BI","optional":false},{"name":"SQL","optional":false},{"name":"Tableau","optional":false}],"status":"live","first_seen_at":"2026-10-07T00:00:00Z","employer_posted_date":"2026-10-07","last_verified_at":"2026-10-11T20:01:41Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"Looking for a way to make an impact and help people?\nJoin PacificSource and help our members access quality, affordable care!\nPacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.\nThe Payment Integrity Analytics Specialist is responsible for data analysis, reporting, savings measurement, recovery tracking, operational performance monitoring, and identification of payment integrity opportunities. This role develops reports, dashboards, and analytical insights that support payment integrity operations, FWA prevention efforts, vendor oversight, and operational decision-making. The Analytics Specialist works closely with Payment Integrity leadership, Claims Operations, Finance, Compliance, Information Technology, and external vendors to transform data into actionable business insights.Essential Responsibilities:\nDevelop, maintain, and distribute payment integrity dashboards, reports, and performance scorecards.\nTrack and monitor recoveries, cost avoidance, savings, inventory, and operational performance metrics.\nAnalyze claims, provider, reimbursement, and audit data to identify payment integrity opportunities and emerging trends.\nSupport fraud, waste, and abuse detection efforts through data analysis and reporting.\nMonitor vendor performance and validate reported recoveries, savings, and contractual performance measures.\nDevelop recurring operational, financial, and executive reporting.\nPerform data validation, reconciliation, and quality assurance activities.\nSupport audit targeting, provider outlier analysis, and recovery opportunity identification.\nCreate ad hoc analyses and presentations to support leadership decision-making.\nPartner with Information Technology and enterprise data teams to improve reporting capabilities and data accessibility.\nIdentify trends, risks, and opportunities and provide data-driven recommendations to leadership.\nAssist with budgeting, forecasting, and performance measurement activities related to payment integrity programs.\nSupport regulatory reporting, audits, and documentation requests.\nParticipate in departmental meetings and assigned projects.\nSupporting Responsibilities:\nParticipate in compliance and operational initiatives as needed.\nMeet department and company performance and attendance expectations.\nFollow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.\nPerform other duties as assigned.\nSUCCESS PROFILE\nWork Experience: Minimum of 3 years of healthcare analytics, claims analytics, payment integrity, finance analytics, reimbursement analysis, or closely related experience required.\nEducation, Certificates, Licenses: Bachelor's degree in business, finance, statistics, data analytics, healthcare administration, information systems, or related field preferred. High school diploma or equivalent required.\nKnowledge: Healthcare claims processing and reimbursement methodologies. Data analysis and reporting techniques. Microsoft Excel and reporting tools. SQL, Power BI, Tableau, or similar reporting platforms preferred. Medicare, Medicaid, Commercial, and Marketplace health plan operations preferred. Statistical analysis and performance measurement concepts.\nCompetencies\nAdaptability\nBuilding Customer Loyalty\nBuilding Strategic Work Relationships\nBuilding Trust\nContinuous Improvement\nContributing to Team Success\nPlanning and Organizing\nWork Standards\nEnvironment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.\nSkills:\nAccountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork\nCompensation Disclaimer\nThe wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.\nBase Range:\n$56,779.86 - $96,525.75Our Values\nWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:\nWe are committed to doing the right thing.\n\nWe are one team working toward a common goal.\n\nWe are each responsible for customer service.\n\nWe practice open communication at all levels of the company to foster individual, team and company growth.\n\nWe actively participate in efforts to improve our many communities-internally and externally.\n\nWe actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.\n\nWe encourage creativity, innovation, and the pursuit of excellence.\n\nPhysical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.\nDisclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.","description_format":"text","description_chars":6281,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":false}]},"benefits":["Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Nonprofits & Foundations","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-08T00:17:29Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 3 · green card filings: 2","filings_12m":3,"filings_prev_12m":4,"green_card_filings_12m":2,"median_offered_wage_usd":90500,"route":null,"cap_exempt":false,"checked_at":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":99,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.993,"p_room":1,"age_days":3,"expected_fill_days":30,"reasons":["conf:7","wave","velocity","win:early"],"computed_at":"2026-10-10T05:45:15Z"},"pay":{"stated_usd_annual":96525,"is_top_pay":false},"html_url":"https://alion.io/job/pacificsource-payment-integrity-analytics-specialist-4","json_url":"https://alion.io/job/pacificsource-payment-integrity-analytics-specialist-4.json","meta":{"generated_at":"2026-10-11T21:20:17Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":10158,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-12T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1965363},"rest":"https://alion.io/mcp/rest/get_company?id=1965363"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fpacificsource-payment-integrity-analytics-specialist-4"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fpacificsource-payment-integrity-analytics-specialist-4"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fpacificsource-payment-integrity-analytics-specialist-4"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/pacificsource-payment-integrity-analytics-specialist-4\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fpacificsource-payment-integrity-analytics-specialist-4"}]}