Research Analyst - Medical Management, Remote

**Description**



**Research Analyst - Remote**



Under the direction of the Head of Providence Health Plan (PHP) Payment Integrity (PI), the Research and Development (R&D) Analyst is responsible for identifying, developing, and implementing solutions to improve the accuracy and integrity of claims payments across the Plan. This role focuses on preventing and reducing unnecessary spending by scoping PI initiatives, analyzing claims data, developing a thorough implementation assessment plan, and collaborating with internal and external stakeholders to optimize the payment processes. This is accomplished by leveraging a deep understanding of Providence Health Plan infrastructure, claims edit and processing platforms, Plan policy, regulatory/compliance, benefit, and contracting functions to synthesize meaningful and actionable PI initiative recommendations.



Providence Health Plan caregivers are not simply valued – they’re invaluable. Jo...