Remote Lead, Payment Integrity Analyst
CorVel Corporation
- Remote job
CorVel Corporation seeks a Payment Integrity Analyst (Team Lead) to supervise the Policy and Payment Integrity (PPI) team while overseeing audits per client policy and CMS guidelines. The role emphasizes leadership, staff training, and timely completion of audits, with a remote work arrangement. Strong knowledge of CMS policies, ICD-10 coding, and DRG validation is required to ensure accuracy and compliant payments. #J-18808-Ljbffr CorVel Corporation
$59.81k - $129.59k
...JOB DESCRIPTION Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution of operational initiatives tied...SuggestedTemporary workWork experience placementWork at office- ...Medicare SME- Payment Integrity Analyst This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to rapidly determine whether any common issues are relevant at Client NC. TriZetto...Remote work
- ...Reference Number: 26-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika... ...(Brillio)/ New York (Brillio)/ Last option is remote Experience- 7+ Years We are seeking an experienced...Remote workContract work
$72.8k - $130k
...Join us to start Caring. Connecting. Growing together. As a Payment Integrity Data Analyst, you will be responsible for building and documenting... ...analytics and algorithms.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing Edits team. In this pivotal role... ...and flags. Validation: Design validation datasets and lead rigorous pre-deployment user acceptance testing (UAT)....Remote workLocal area$66.94k - $101.26k
...Payment Integrity Analyst The Payment Integrity Analyst is responsible for accurately reviewing pre... ...standards and/or CMS guidelines. This is a remote position. Essential Functions and... ...leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$66.94k - $101.26k
...behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Payment Integrity Analyst II based in the United States. This remote role focuses on ensuring healthcare claims are reviewed accurately, consistently, and in...Remote workWork at officeFlexible hours- Inova Health System is seeking a dedicated Payment Integrity professional to join the team. This full-time role operates Monday through Friday with a hybrid schedule and is located in or remote to eligible states. The ideal candidate has 6 years of experience in Payment...Remote jobFull timeMonday to Friday
- Inland Empire Health Plans (IEHP) is seeking a Senior Payment Integrity Analyst to lead a team of analysts and oversee daily operations of payment integrity initiatives. You will ensure accuracy of provider claims and drive cost avoidance through remediation plans. Reporting...Daily paid
- CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning audits, documentation review, and coordination with clinical teams....Remote job
$64.83k - $85.09k
...Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus...Remote workFull timeContract workWork at office- Inova is looking for a dedicated Payment Integrity to join the team. This role is full-time Monday... ...be located in these states to work remote - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC... ...About Us We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every...Remote workFull timeContract workMonday to Friday
- Centene Corporation seeks a senior leader to supervise the Coding & Clinical Review team within Payment Integrity, ensuring accurate DRG assignments and audit outcomes. This remote role drives quality, efficiency, and adherence to AHIMA standards while coordinating cross-...Remote job
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing... ...a focus on improving service delivery. This remote position requires strong experience in claims processing...Remote jobDaily paid
- CorVel Corporation seeks a Payment Integrity Analyst III - QA Analyst to lead the PPI team and conduct audits per CMS guidelines and client policy. The role... ...detail, and expertise in revenue cycle processes. This remote position supports multiple clients with quality...Remote job
- IEHP in Rancho Cucamonga is seeking a Senior Payment Integrity Analyst to lead daily PI operations, audits, and reporting. The role includes mentoring junior analysts and driving cost containment and regulatory compliance, with a focus on payment integrity and provider...Remote job
- Payment Integrity Analyst III - QA Analyst Job Category : CERIS Requisition Number : PAYME011526 Posted... ...The Payment Integrity Analyst (Team Lead) assists with leading the Policy and... ...various healthcare policies. This is a remote position. ESSENTIAL FUNCTIONS &...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical Validation Analyst... ...Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs... ...note: The opportunity for remote work may be possible for all jobs...Remote workWork experience placement
$140k - $185k
...is one of the world’s leading internet financial platform... ...digital assets, payment applications, and programmable... ...company values: High Integrity, Future Forward,... ...for a Lead KYC Utility Analyst, to join its... ...effectively in a fully remote environment with teams...Remote workFlexible hours- ...across a broad health plan portfolio. You will lead analyst teams to investigate referrals, monitor billing and claims integrity, and ensure compliance with state and federal... ...is preferred, with flexibility for remote or hybrid #J-18808-Ljbffr Centene Management...Remote job
- ...Operations! Job Summary: Alluvionic is seeking a Lead Schedule Analyst to create and manage integrated master schedule(s) that captures Johns Hopkins... ...use of the scheduling software suite. Location: Remote Schedule: P art time employee, 1099 - Contract...Remote workContract workPart timeFor contractorsCasual workWork at office
$68.9k - $131.1k
...With our three market leading businesses, world-class... ...Quality Lead Senior Analyst /Program Quality Lead... ...customers, and supporting Integrated Product Teams (IPTs),... ...as on-site, hybrid or remote.The salary range for... ...bargaining agreement. Payments under these annual programs...Remote workContract workTemporary workWork experience placementWork at officeRelocationFlexible hours$132.23k - $176.31k
...WORKS FROM HOME, MD, US Remote, US WORKS FROM HOME, DC... ...opening for a Senior Lead Security Engineer that... ...exciting opportunities to integrate machine learning, graph... ...workflows that combine analyst expertise, automation,... ...not require any form of payment from job applicants...Remote workTemporary workWork experience placementWork from home$105.79k - $141.05k
...Labs has an opening for a Lead Information Security... ...help build out. This is a remote/work-from-home opening... ...workflows that combine analyst expertise, automation,... ..., analytical integrity, and human accountability... ...not require any form of payment from job applicants during...Remote workTemporary workWork experience placementWork from home- ...Job Title Management & Program Analyst (Integration Lead) Duties Specific duties include: Ensure that the organization's strategic plan, mission, vision and values are communicated to the team and integrated into the team's strategies, goals, objectives, work...Remote workFull timeRelocation packageMonday to FridayFlexible hours
$68.9k - $131.1k
...problems. With our three market leading businesses, world-class... ...and defense.Senior, DT COTS Integration Analyst (internally Senior Analyst,... ...designated as on-site, hybrid or remote.The salary range for this... ...collective-bargaining agreement. Payments under these annual programs...Remote workContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours$22.78 - $29.62 per hour
...Location: Remote - Florida Department: Department of Revenue Integrity Work Type: Full Time Shift: Shift 1/7:00:00 AM to 3:30:00 AM Minimum to Midpoint... ...to keep current on billing requirements and APC payment status and changes. Communicates relevant...Remote workFull timeShift work$22.78 - $29.62 per hour
...Location: Remote - Florida Department: Department of Revenue Integrity Work Type: Full Time Shift: Shift 1/7:00:00AM to 3:30:00AM Minimum to Midpoint Pay Rate:... ...bulletins to keep current on billing requirements and APC payment status and changes. Communicates relevant...Remote workFull timeShift work$120.38k - $192.6k
...Pennsylvania) Work Arrangement:Remote : Work at home employee... ...acceptable tolerances. The Sr. Analyst will provide direction and guidance... ...record of expertise and integrity, millions of customers trust... ...never ask applicants to provide payment during the hiring process or...Remote workWork experience placementWork at officeWork from homeRelocation package$120.8k - $169.1k
...Lead Merchant Risk Analyst Remote, USA Wisetack connects contractors and consumers through home services... ...in fraud, merchant risk, payments risk, or financial services analytics... ...firmographic data, or fraud vendor integrations ~ Experience collaborating with Data...Remote workFor contractors
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