> Markdown version of [/jobs/ext/4439958-data-mining-sr-analyst](https://www.wearedevelopers.com/jobs/ext/4439958-data-mining-sr-analyst). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md).

---

# Data Mining Sr. Analyst

- **Company:** The Rawlings Group
- **Location:** La Grange, KY, United States
- **Experience:** Expert
- **Salary:** $125,000.0 - $135,000.0
- **Contract:** Permanent contract
- **Skills:** Data Analysis, Business Logic, Data Mining, SQL Databases
- **Published:** October 21, 2026
- **Apply:** https://diversityjobs.com/career/18682438/Data-Mining-Sr-Analyst-Kentucky-La-Grange

## About the Role

* 5+ years of experience in healthcare data mining or claims editing on the provider, payer, or vendor side.
 * Deep understanding of provider contracts, including rate structures, carve-outs, and reimbursement methodologies.
 * Strong knowledge of claims processing, coding, billing, and payment logic across CMS and commercial payers.
 * Proven ability to identify improper payment patterns, root causes, and opportunities for correction.
 * Strong investigative and deductive reasoning skills; able to connect policy, data, and contractual details.
 * Comfortable working in close collaboration with technical teams to guide implementation of business logic.
 * Self-directed, detail-oriented, and adaptable to a fast-paced, growing environment., * Coding certification (e.g., CPC, CCS, or equivalent).
 * Working proficiency in SQL for data exploration and validation.
 * Prior experience in cross-functional R&D or innovation teams focused on healthcare payment integrity.