Senior FWA & Payment Integrity Specialist
PacificSource
PacificSource is seeking a Senior Fraud, Waste and Abuse Specialist to lead and advance our Payment Integrity and FWA programs. You will serve as the organization’s subject matter expert, developing policies and coordinating with CMS and other oversight agencies. This role drives continuous improvement, analyzes program performance, and leads audits, training, and reporting to senior leadership. Candidates should have 5+ years in FWA or related fields, a bachelor’s degree in a relevant area, and #J-18808-Ljbffr PacificSource
$65.3k - $111k
...and utilize each person’s talents and strengths. The Senior Fraud, Waste and Abuse (FWA) Specialist serves as the organization’s subject matter expert... ...for supporting and advancing PacificSource's Payment Integrity and FWA programs. This role provides operational expertise...SeniorWork experience placementWork at officeRemote workFlexible hours- Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must be comfortable working EST-hours Terms of Employment This position is 100% remote. Candidates must...SuggestedContract workRemote work
- A leading healthcare firm is seeking a Payment Integrity Specialist for a fully remote role. Candidates must be based in EST or CST and comfortable... ...of relevant experience and strong Excel skills. This mid-senior level contract position is perfect for detail-oriented...SuggestedRemote jobContract work
- EmblemHealth is seeking a candidate for a position that involves analyzing contracts in Enterprise Payment Integrity. This role requires managing vendor relationships and ensuring effective contract management across the organization. The ideal applicant will have a Bachelor...SeniorContract work
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About the TeamThe New Verticals Partner Integrations team develops innovative technological solutions to help merchants seamlessly expand their operations, including our platform for first-party grocery and convenience delivery. As DoorDash scales its integrated delivery...SeniorHourly payWork at officeLocal areaRemote workFlexible hours- Devoted Health is seeking a Senior Payment Integrity Program Development Manager to architect and invent the clinical claim edit and audit pipeline. You will lead ground-up development of automated logic across inpatient, outpatient, ASC, and professional settings. You...SeniorRemote job
- ...core goal of exceeding their expectations in service, integrity, value, and expertise. Our teams of consultants are... ...continuing to build this team of experts. We’re seeking an Senior Legal Technology Integration Specialist who will report to the Director, DMS and Network...SeniorRemote work
- IEHP is seeking a Senior Payment Integrity Analyst to provide lead-level analyst support, ensuring the accuracy of vendor payments and internal operations. This role involves collaboration with leaders to enhance health plan performance through payment integrity initiatives...SeniorRemote job
- Job ID: 29182714Reference Number: 26-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika ChaudharyContact Email: ****@*****.*** Phone: (***) ***-****Company...SeniorContract workRemote work
$91.91k - $120.63k
Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create...Full timeContract workWork at officeFlexible hours- Senior Specialist, Fund/Client AccountingAt BNY, our culture allows us to run our company better... ..., Fund/Client Accounting, to join our Integrated Middle Office Solutions team. This... ...salary (as well as any other discretionary payments or compensation programs) at any time,...SeniorWork experience placementWork at officeWorldwideFlexible hours
- ...a future team member for the role of Senior Specialist, Credit Services & Loan Closing to join... ...repricing, and restructurings.Ensure data integrity and regulatory compliance through... ...salary (as well as any other discretionary payments or compensation programs) at any time,...SeniorWorldwideFlexible hours
- ...project-driven, and highly analytical Senior Specialist, Finance Operations to manage, modernize... ...departmental approvals.Strategic Cash & Payment Execution: Manage and optimize weekly... ...operating accounts.Compliance, Audit, & Data Integrity: Direct the maintenance of secure...SeniorWeekly payVisa sponsorship
- ...a future team member for the role of Senior Specialist to join our Recovery and Resolution Forecasting... ...businesses, including developing and integrating AI-powered solutionsAssist in ad hoc... ...(as well as any other discretionary payments or compensation programs) at any time,...SeniorWork experience placementWork at officeWorldwideFlexible hours
$147.9k - $200.1k
...work. AWS is seeking a Worldwide (WW) GTM Specialist to accelerate adoption of Amazon... ...WorkSpaces AI portfolio (WorkSpaces for Agents, integration with AWS Context, Amazon Bedrock... ...Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final...SeniorImmediate startWorldwideFlexible hoursShift work- ...experiences (physical & digital) for our Payments business within 1st and 3rd party... ...our payments products and solutions. As a Senior Associate of Partnerships & Activations... ...teams and external partners, laddering into integrated 360 campaigns (content, activations, digital...SeniorWork at office
$168.5k - $198.33k
...or check out online, there’s a good chance our tech powers the payments behind the scenes. Our platform helps the most ambitious... ...amendments) and collaborate with internal teams (Sales, Legal, Integration, Product) to drive merchant initiatives and ensure a first-class...SeniorContract workWork at office3 days per week- ...seek an ambitious and highly organized Senior Specialist, Grants and Best Practices. This job... ...track, and monitor grant contracts and payments with the Office of the General Counsel... ...and quality assurance related to new integrations and process improvements for grant operations...SeniorWork at office
- ...scalable solutions in the Order-to-Cash lifecycle. This role requires deep SAP SD experience and a strong understanding of digital payment integration. The ideal candidate will have 5-8 years of SAP experience and knowledge in managing EDI transactions and Salesforce...SeniorFull time
- Signet Jewelers Limited is seeking a Senior Accounts Payable Specialist in New York to oversee full-cycle AP, optimize processes, and resolve payment-related issues. The role requires... ...external vendors to maintain financial integrity. Key responsibilities include...Senior
$66.3k - $72k
...Senior Accounts Payable (AP) Specialist The Senior Accounts Payable (AP) Specialist role requires extensive full-cycle accounts... ...AP processes, resolving complex payment-related issues, and supporting financial integrity and operational excellence within the organization...SeniorWeekly payWork at office$169k - $228.6k
Amazon Web Services is seeking a Storage Specialist Solutions Architect to join our Global... ...population, to help them understand how to integrate Amazon Web Services solutions into... ...Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final...SeniorWorldwideFlexible hours$65k - $95k
Alteva RCM, located in New York, NY, is seeking a Healthcare Accounts Receivable Senior Associate to join our Revenue Cycle Management team. The ideal candidate will have a strong background in medical billing and a clear understanding of the full claims lifecycle. Responsibilities...Senior- ...understanding and knowledge of the intricacies of the system. Integrates in-depth area knowledge with a solid understanding of industry... ...right to modify base salary (as well as any other discretionary payments or compensation programs) at any time, including for reasons...SeniorWork experience placementLocal areaWorldwideFlexible hours
$75k - $105k
NYU Langone Health is a fully integrated health system that consistently achieves the... ...opportunity to join our team as a Senior Operational Specialist. In this role, the successful candidate... ...resolution Validate final outcomes (payment, adjustment, correction, or appeal...SeniorHourly pay$80k - $95k
...across royalty and ERP systems Partner with Finance to coordinate payment approvals and maintain up-to-date licensor records in the ERP... ...and royalty payment methodologies is a plus Professionalism, integrity, and discretion when handling confidential information What’s in...SeniorWork at officeRemote workWork from home$95.86k - $208.27k
...consider a career in Advisory. KPMG is currently seeking a Senior Specialist, IAM, SailPoint to join our Managed Services practice.... ...service and addressing their IAM-related needs Act with integrity, professionalism, and personal responsibility to uphold KPMG...SeniorFull timeH1bLocal areaNight shiftWeekend work$20.23 - $49.1 per hour
...property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency... ...and processes quickly Ability to learn from experiences and integrate new knowledge and skills into daily work and share with...SeniorWork at officeLocal areaRemote workWorldwide- ...At KPMG, you can become an integral part of a dynamic team at one of the worlds top tax... ...success. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers,... ...a firm. KPMG is currently seeking a Senior Associate to join our Business Tax...SeniorFull timeLocal areaVisa sponsorship
- ...receivable, monitor aging reports, and follow up on outstanding payments Maintain relationships with customers, internal stakeholders,... ...Strong understanding of order to cash processes, 3PL integration, DSCSA (Drug Supply Chain Security Act), and best practices Excellent...SeniorWork at officeVisa sponsorship
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