AVP - Data Mining & Exploratory Intelligence

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.