Remote Policy & Payment Integrity Analyst
Quartz
- Remote job
Quartz is seeking a Payment Integrity Policy Analyst to drive initiatives that enhance claims accuracy and cost containment. The role partners with executives to shape health plan strategies, combining coding expertise with policy insight to improve payment integrity. You will analyze market trends, review contracts, and lead cross-functional teams to implement policies while ensuring regulatory compliance and effective provider communications. A strong data analytics background is essential. #J-18808-Ljbffr Quartz
- ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-... ...inputs that support claims payment (medical policy, authorization, benefits, CMS rules, reimbursement...Remote workPolicy
$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... ...to pinpoint high-impact edit opportunities. Translate Policy: Convert medical policy, CMS rules, and coding guidance...Remote workPolicyLocal area- 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 jobPolicy
$66.94k - $101.26k
...Payment Integrity Analyst II This remote role focuses on ensuring healthcare claims are reviewed accurately, consistently, and in accordance with applicable policies and industry standards. You will analyze pre- and post-payment claims, audits, and appeals using clinical...Remote workPolicyWork at officeFlexible hours$66.94k - $101.26k
...The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Reviews, analyzes...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$65k - $92k
# Payment Integrity AnalystClinical Audit & Revenue IntegrityRemoteJune 30, 20... ...Job Description**Location:** Remote (US-based)We are seeking a **Payment Integrity Analyst** to identify and document overpayment... ...in a SQL editor and a CMS policy memo and who takes genuine...Remote workPolicyHourly payFull timeWork at officeLocal areaWork from homeMonday to Friday- CorVel Corporation seeks a Payment Integrity Analyst (Team Lead) to supervise the Policy and Payment Integrity (PPI) team while overseeing audits per client policy... ...training, and timely completion of audits, with a remote work arrangement. Strong knowledge of CMS policies...Remote jobPolicy
- 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... ...reimbursement methodologies, and payment policies. Analyzes claims, remittances,...Remote workPolicyFull timeContract workMonday to FridayFlexible hours
$73.35k - $113.25k
...Job Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the... ...researching various healthcare policies. This is a remote position. ESSENTIAL FUNCTIONS &...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$64.83k - $85.09k
..., we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team.... ...Pre-Pay). Work Location: This is a remote position, open to candidates who... ...matter expert for Oscar reimbursement policies, payment integrity disputes, internal...Remote workPolicyFull timeContract workWork at office$68.9k - $131.1k
...and defense.Senior, DT COTS Integration Analyst (internally Senior Analyst,... ...cybersecurity standards and legal policies, coordinating with... ...designated as on-site, hybrid or remote.The salary range for this role... ...-bargaining agreement. Payments under these annual programs...Remote workPolicyContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours- ...Revenue Integrity Analyst The Revenue Integrity Analyst collaborates with clinical departments... ...(HCPCS), revenue codes, Ambulatory Payment Classification (APC)/Diagnosis-Related... ...departments. Maintains knowledge of payer policies and compliance requirements. Decision...Remote workPolicyWork experience placement
$111.17k - $181.17k
...currently seeking a Senior Business Analyst - Payments Transformation (Wire... ...mapping, message standards, and integration design.Identify operational,... ...While many positions offer remote or hybrid work options,... ...veteran status. For our EEO Policy Statement, please click here...Remote workPolicyTemporary workWork at officeFlexible hours$105k - $120k
...Senior Integration Analyst We are seeking a Senior Integration Analyst to join our Integration... ...patient outcomes. This is a remote-first role that may require travel... ...the care continuum–including policy, prior authorization, payment accuracy, and more–the company...Remote workPolicyFlexible hours$70k - $120k
...Payments Analyst North American Banking Company 1901 Oakcrest Ave, Roseville... ...complies with bank’s policies and procedures. Develops and... ...still in force when working remotely. Confidentiality. Due to the... ...looking for honesty, creativity, integrity, and exceptional client...Remote workPolicyContract work$25.5 - $38.25 per hour
...Remote Sioux Falls, SD Full time R-260027254 Location... ...Overview The Revenue Integrity Analyst is responsible for enhancing... ...analytics, charge auditing, and payment integrity to support... ...moving health forward. The policy of Avera to provide opportunities...Remote workPolicyFull timeContract workPart timeWork experience placementLive outShift workDay shift- Inova Health System is seeking a dedicated Payment Integrity professional for a full-time role. The position is hybrid, with remote work options within VA/MD/DC/DE and surrounding states, and requires extensive experience in payment integrity and denials management. The...Remote workFull time
$168.14k - $208.5k
SAP FI-OTC Integration Business Analyst, AbbVie Inc., Waukegan, IL: Hybrid (onsite 3 days a week/2 days WFH/remote) Hybrid employment: onsite 3 days a week... ...finance integration, payment reconciliations, bank statement... .... It is AbbVie’s policy to employ qualified persons...Remote workPolicyTemporary workWork experience placementWork from home3 days per week- Elevance Health is seeking a Business Analyst II for Payment Integrity Datamining in Maryland. The role combines in-office collaboration 1-2 days per... ...teams, and liaise with users to ensure accurate recovery and policy documentation. #J-18808-Ljbffr Elevance HealthPolicyWork at officeFlexible hours2 days per week1 day per week
$105k - $120k
...Description We're looking for a Senior Data Integration Analyst to join our Payment Integrity team. In this role, you'll... ...across the team. This is a remote-first role that may require travel... ...across the care continuum–including policy, prior authorization, payment...Remote workPolicyFull timeFlexible hours$64.76k - $97.15k
...Business Analyst II - Payment Integrity Datamining Location This role requires associates to be in-office 1 - 2 days per week, fostering collaboration... ...locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...PolicyTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...pay controls to reduce recurring improper payment trends Collaborate with clinical, legal... ...with CMS regulations and internal policies Escalate potential fraud, waste, or abuse... ...frameworks Strong understanding of payment integrity concepts, including pre-pay audit, post-...PolicyContract workWork experience placementWork at office
$86.8k - $198k
Counter Improvised Threat Integration Cell Program AnalystThe Opportunity:Provide analysis,... ...talking points, recommendations, and review Policy and Strategy revision to a C-IED Program... ...have their cameras on during meetings.Remote: If this position is listed as remote,...Remote workPolicyFull timeContract workPart timeWork at officeLocal area$69.4k - $99.2k
...certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive... ...capabilities. Summary As a Senior Data Mining & Payment Integrity Analyst , you will design and develop data mining concepts that identify...PolicyFull timeContract workFlexible hours- Cambia Health Solutions in the United States is hiring a Payment Integrity Nurse I to review post-service claims and ensure accurate coding within defined medical policies. The role supports patient care while maintaining compliance and high-quality review standards. You...Remote jobPolicyWork from home
$136k - $200k
...We're seeking a Senior People Systems Analyst to join our Corporate IT team and serve as the technical owner for Workday HCM, integrations, and security architecture. As Harvey... ...configuration, including domain security policies, business process security, role-based access...Remote workPolicy- ...supervise the Coding & Clinical Review team within Payment Integrity, ensuring accurate DRG assignments and audit outcomes. This remote role drives quality, efficiency, and... ...DRG review experience, with a strong focus on policy, ethics, and operational excellence. #J-188...Remote jobPolicy
- ...is seeking an experienced RN with coding credentials to lead Payment Integrity initiatives focused on preventable readmissions, cost... ...auditors and clinical staff and ensure alignment with internal policies and regulatory requirements. Qualified candidates bring 5+ years...Remote jobPolicy
- Cambia Health Solutions is seeking a Payment Integrity Nurse I to perform post-service claims reviews... ..., proper payment, and adherence to policies. The role supports patient care and... ...integrity while working within a flexible remote model across certain western states. The...Remote jobPolicyFlexible hours
- Signature Performance is seeking a Payer Payment and Reimbursement Analyst for a remote, nationwide position. You will configure and maintain payment, pricing... ...ensure accurate claims adjudication while translating policy updates into clear business requirements....Remote jobPolicyContract work
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