Are you the "Missing Link" between Claims Operations and Data Science?
We are seeking an AVP / SAVP of Claims Data Mining & Exploratory Intelligence to join a leading global Insurance firm in Dublin (Hybrid).
This isn't your standard analytics role. You won’t just be looking at what happened; you’ll be defining why it happened and how we solve it.
The Mission 🚀
Sitting within our Data Mining Center of Excellence, you will lead a team of "detectives" who reverse-engineer claims outcomes. You are the architect who identifies leakage, overpayments, and adjudication gaps, turning those insights into blueprints for our Data Science teams to build.
What you’ll do:
- Lead Strategy: Build the roadmap for enterprise-wide exploratory data mining.
- Bridge the Gap: Translate deep operational claims knowledge into scalable analytics concepts.
- Deep Dive: Investigate billing behaviors and systemic inconsistencies across Medicare, Medicaid, and Commercial lines.
- Influence: Use data-driven storytelling to guide executive decisions on risk and ROI.
Who you are:
- A Claims Veteran with 15+ years of experience in payment integrity or claims-focused data mining.
- A Subject Matter Expert across complex healthcare environments (Medicare/Medicaid/Behavioral).
- A Strategic Translator who can speak "operations" to the business and "data" to the tech teams.
- A Leader who thrives on curiosity and hypothesis-driven investigation.
Why this role?
You’ll have the autonomy to shape the "what" and "why" of our analytics strategy in a high-impact, permanent role with flexible hybrid options in the heart of Dublin.
