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Payment Integrity Data Analyst

Job Requisition Number:  5448
Date:  26-Apr-2021


Will you actively create a healthier future for tomorrow?


At Medibank we’re encouraged to think big. We have a clear purpose to impact better health outcomes for our customers, patients and our community.


We celebrate diversity of thought because we want to make better decisions for our customers. As we work towards our goal of better health for better lives, we value the knowledge and contribution of Aboriginal and Torres Strait Islanders. We are working hard to create an inclusive workplace and develop Indigenous careers.



Healthcare and Strategy Vision

Our vision is to provide our members with distinctive value by improving healthcare outcomes, experience and affordability.   


The Opportunity


As a Payment Integrity Data Analyst at Medibank, you will have the overall responsibility of supporting the Payment Integrity Program Strategy through the analysis of claims profiles to detect and prevent financial crime, improper payments, and inform decision making.


You will monitor and analyse claiming profiles and provide targeted recommendations, commentary, and insights to in order to detect and prevent fraud and error. You will work as part of a team to develop, test, deploy, and document models for the identification of possible cases of fraud and error. You will work with stakeholders to identify requirements, develop analysis products, and communicate results and insights.


Key responsibilities will include:


  • Identifying fraud and error through rule based, machine learning, or other analytical techniques;
  • Scoping, developing, and communicating analysis and insights to stakeholders.
  • Providing targeted commentary on Payment Integrity related trends the Senior Leadership Team and other stakeholders.
  • Coaching and training stakeholders in the use of payment integrity solutions; and
  • Supporting development through report prototyping and providing subject matter expertise to our business stakeholders;



About You


You will work under guidance to analyse complex data and develop innovative, business focused reporting and analysis. You will be a team player and strong communicator with the ability to influence at a stakeholder level. You will have the capability to analyse trends and data and have an intermediate level familiarity with at least one of SAS, SQL, R, or Python programming languages.


You will have the ability to work within a corporate environment and you will be tertiary qualified in either, mathematics, informatics, economics, statistics, health or a related discipline. A private health insurance or health industry background is desirable, but not essential for this position.



A career with us


With flexible working options, our people have choice in how and where they work. We’re also committed to supporting better accessibility for our customers and our people. If we call you to discuss this role, you’ll also get the opportunity to chat about any adjustments.


We offer a range of great benefits such as subsidised private health insurance, rewards and discounts, and health and wellbeing initiatives.


To start small and impact bigger.


Job Segment: Database, Developer, Claims, Data Analyst, SQL, Technology, Insurance, Data