Remote Payment Integrity Analyst I: Data, Claims & Impact
Healthcare Management Administrators
- Remote job
Healthcare Management Administrators in Bellevue, WA, seeks a Payment Integrity Analyst to manage day‑to‑day payment integrity programs such as CMS Demand Case and Subrogation. Responsibilities include researching questions, resolving issues, and driving program improvements with strong analytics and claims expertise. The role requires ICD‑10 and CPT experience, 3–5+ years in claims processing, and intermediate Excel skills. #J-18808-Ljbffr Healthcare Management Administrators
$105k - $120k
...'re looking for a Senior Data Integration Analyst to join our Payment Integrity team. In this role... ...the team. This is a remote-first role that may... ...experience working with medical claims data required. ~... ...inclusive teams make the most impactful work. Cohere is deeply...Remote workClaimsFull timeFlexible hours- ...Summary Provides lead level analyst support for health plan payment integrity activities. Partners with... ...(PI) and provider claims accuracy. Makes recommendations... ...business challenges that impact cost-containment and... ...Analytical Support • Uses data analysis tools/systems to...Remote workClaimsTemporary workWork at office
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing Edits team... ...& Implementation Identify Opportunities: Use claim data analysis to pinpoint high-impact edit opportunities. Translate Policy: Convert...Remote workClaimsLocal area- ...Inc. Atlanta or Remote About Rialtic Rialtic... ...’s best‑in‑class payment accuracy product... ...Client Experience Analysts to identify actionable... ...from healthcare claims data and results.... ...including reports on impacts of policy customizations... .... Values High Integrity - Do the right...Remote workClaimsWork from homeHome office
$66.94k - $101.26k
...Payment Integrity Analyst II The Payment Integrity Analyst is responsible... ...pre- and post pay claim audits based on... ...guidelines. This is a remote position. Essential... ...problem-solving and data analysis capabilities... ...role. The level may impact the salary range and...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...managed care contracts, the full-time Payment Integrity Specialist will ensure compliance with... ...and maximize reimbursement while working remotely. Key responsibilities Review and maintain... ...procedures to ensure consistency in claim adjudication and compliance Conduct extensive...Remote workClaimsFull timeContract workWork from home
- Overview Capability Manager, Payment Integrity - Remote at UnitedHealthcare. This... ...operations - payment integrity, claim, and/or provider operations... ...conflicting or inaccurate data Experience driving process mapping... ...committed to mitigating our impact on the environment and...Remote jobClaimsMinimum wageLocal area
$73k - $81k
...make a Difference The Payment Integrity Analyst ensures assigned... ...high quality. Using claims expertise, program knowledge... ...evaluations of data to identify issues, recommend... .... Able to analyze impacts of potential actions... ...reimbursement Remote work and continuing education...Remote workClaimsTemporary work- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote workClaims
- The Payment Integrity Supervisor is responsible for the daily activities of... ...our customers. This is a remote position. ESSENTIAL FUNCTIONSAND... ...: Strong understanding of claims processing, ICD-10 Coding,... ...for the role. The level may impact the salary range and these...Remote workClaimsDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment... ...maintain a focus on improving service delivery. This remote position requires strong experience in claims processing and excellent communication skills....Remote jobClaimsDaily paid
- 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 with EST... ...include analyzing medical records, handling claims, and utilizing systems like Facets and NASCO. Ideal applicants...Remote jobClaimsContract work
- ...in Albany, NY is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with deep ICD-10/DRG... ...assignments. You will audit claims, ensure CMS guideline compliance... ...staff. The role supports data quality and payment integrity, with remote work possible case-by-case...Remote workClaims
- ...Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in... ...providers warrants a change in claim payment. This is a non-phone, research... ...attention to detail for data entry and record-keeping. Preferred...Remote workClaimsContract work
$95.1k - $135.8k
Role Description As a Payment Integration Product Solution Architect at Gainwell... .... ~Communicate raw data source product requirements to... ...in healthcare, preferably a claim payment or audit recovery environment... .... Requirements ~Fully remote opportunity with the option...Remote workClaimsFull timeFlexible hours$69.4k - $99.2k
...our country and communities. The Payment Integrity Analytics, Senior Analyst plays a critical, client-facing role... ...(FWA) analytic models to Medicaid claims data and delivering monthly,... ...Medicaid and OIG stakeholders. ~Fully remote opportunity with the option to work...Remote workClaimsFull timeWork at officeFlexible hours$105k - $120k
We're looking for a Senior Data Integration Analyst to join our Payment Integrity team. In this role, you'll design... ...outcomes for our clients. This is a remote‑first role that may require travel... ...of experience working with medical claims data. Experience with one or more...Remote workClaimsFlexible hours$24.2 - $36.3 per hour
Color Employer, LLC is seeking a Payment Integrity Analyst to support its Data Mining program by investigating payment errors related to billing and coding... ...at least one year of experience in healthcare claims processing and data analytics. Key responsibilities include...ClaimsHourly pay- A healthcare solutions provider is seeking a Business Analyst in New York to support Payment Integrity operations. The successful candidate will analyze claims data, document requirements, and collaborate with stakeholders to improve financial accuracy. A Bachelor's degree...Claims
- ...Description: Summary The Payment Integrity DRG Coding & Clinical Validation Analyst position has an... ...supports the hospital coded data. Essential Accountabilities... ...audits acute inpatient claims. Integrates medical chart... ...may be opportunity for remote work within all jobs posted...Remote workClaimsWork experience placement
$87.7k - $157.8k
...recovery, cost avoidance, and payment accuracy. You will lead a... ...determinations and achievement of payment integrity objectives. This role directs... ...working with payer claims systems preferred. Demonstrated... ...approach to work with remote, hybrid, field or office work...Remote workClaimsFull timePart timeWork at officeFlexible hours$112.7k - $193.2k
...provide support on a number of payment model implementation... ...enjoy the flexibility to work remotely from anywhere within the U... ...databases of healthcare claims and eligibility data Perform a broad range of... ...relationships, such as the Integrated Data Repository, Chronic...Remote jobClaimsFull timeWork at officeLocal areaMonday to FridayShift work$105k - $155k
...members is to pay claims accurately and on time... ...having transparent payment policies. Our Payment Integrity Department ensures that... ...and Impact will include: Lead... ...falls short. Use data to identify root causes... ...functional initiatives #LI-Remote _ Salary range:...Remote jobClaimsFull timeContract workInternshipShift work$120k - $130k
...expertise and unmatched data resources, Shift... ...achievements have an impact on our overall performance... ...types such as structured claims data, free text,... ...the next generation of payment integrity solutions. Create custom... ...: ~ Flexible remote and hybrid working options...Remote workClaimsPermanent employmentFull timeApprenticeshipInternshipFlexible hoursShift work- ...Product Lead, Data & Integrations Assured is on a mission... ...modernize insurance. Claims processing (i.e. should... ...of dollars of claims payments, life at Assured is dynamic... ...downstream impacts, and make smart tradeoffs... ...events & Offsites: We're remote, but we regularly get...Remote workClaimsTemporary workWork from homeHome office
- Business Analyst II - Commercial Claims Data Mining Shift: Monday - Friday The Business Analyst II is responsible for translating basic business needs... ...and guidance to team members. How you will make an impact: Analyze claims data and contract/policy guidelines to...ClaimsContract workTemporary workLocal areaMonday to FridayShift work
$73.35k - $113.25k
...Job Description The Payment Integrity Analyst (Team Lead) assists with... ...pre and post pay claim audits based on client... ...policies. This is a remote position.... ...ability and distilling data into actionable results... ...role. The level may impact the salary range and...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$77k - $100k
...SME) for clinical data completeness and effectiveness... ...each vendor or integration pathway performs... .... As a Data Analyst, you will: ~... ...sources like structured claims, clinical care... ..., assessing impact, cost-effectiveness... ...internet stipend, remote-first culture, paid...Remote workClaimsFull timeWork at officeFlexible hours- ...uninspired health system. With fully integrated solutions, Valenz engages... ...and management to payment integrity, plan performance... ...focused on measurable financial impact, claims accuracy, and operational efficiency... ...ll Work: This is a fully remote position, and we’ll provide...Remote workClaimsFull timeContract workImmediate startFlexible hours
$150k - $195k
...AI-forward Director of Claim Payment Accuracy to architect... ...precision. In this high-impact leadership role, you... ...oversight trends and develop data-driven criteria for... ...oversight is fully integrated into our adjudication... ...phone & internet stipend, remote-first culture, paid...Remote workClaimsFull timeContract workWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Payment Integrity Analyst I: Data, Claims & Impact. Be the first to apply!
- entry level data analyst no experience Bellevue, WA
- data analyst - r python sql Bellevue, WA
- data analyst supply chain analytics Bellevue, WA
- data analyst part time work from home Bellevue, WA
- senior data governance analyst Bellevue, WA
- senior data management analyst Bellevue, WA
- data analyst bank Bellevue, WA
- remote data analyst intern Bellevue, WA
- report analyst Bellevue, WA
- data entry analyst Bellevue, WA



