CGI is seeking an experienced Senior Analyst, Edits to join our growing Payment Integrity team. In this role, you will help expand CGI’s claims edits library by identifying, developing, implementing, and optimizing edits designed to prevent inaccurate, inappropriate, or wasteful healthcare payments.
You will contribute across the full edit development lifecycle - from analyzing claims data and identifying opportunities to translating medical and coding policy into actionable edit logic, validating and testing new concepts, monitoring performance, and continuously optimizing results.
The ideal candidate combines hands-on claims edit development experience with strong healthcare coding and payment integrity expertise. You should be comfortable interpreting complex coding and reimbursement policies, translating them into clearly defined business rules, and collaborating with clinical, technical, and operational teams to bring new edit concepts into production.
This is an opportunity to directly influence payment accuracy while helping build and strengthen CGI’s Payment Integrity capabilities.