Remote Payment Integrity Lead, Quality & Appeals
CorVel Corporation
- Remote job
A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing quality assurance measures and resolving provider appeals. The ideal candidate will also ensure compliance with healthcare auditing standards and maintain a focus on improving service delivery. This remote position requires strong experience in claims processing and excellent communication skills. Candidates must hold an Associate Degree in Nursing and RN licensure. #J-18808-Ljbffr CorVel
$107.7k - $199.3k
...ensure accurate and timely payments of coding and pricing... ...internal payment integrity edit and audit programs... ...accurate coding. Direct and lead Prepay Compliance... ...approach to work with remote, hybrid, field or office... ...provide access to high-quality healthcare, innovative...Remote workQualityFull timePart timeWork at officeFlexible hours$73.35k - $113.25k
...Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the... ...of internal auditing, appeals of pre and post payment... ...or record that requires quality review to determine claim... ...healthcare policies. This is a remote position. ESSENTIAL...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- The Payment Integrity Supervisor is responsible for the daily activities... ...team related to quality assurance and provider appeals. The Supervisor manages and... ...our customers. This is a remote position. ESSENTIAL FUNCTIONSAND... ...(I, II, III, Senior, Lead, etc.) new hires may be...Remote workQualityDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
$127.31k - $243.34k
...our core values - honesty, integrity, loyalty and service -... ...spouses. USAA roles may offer remote or hybrid flexibility for... ...OpportunityAs a dedicated Payments Solution Engineer lead, you will be responsible for... ...delivery efficiency, quality, reliability, and time-to-...Remote workQualityFull timeH1bWork at officeHome officeRelocation packageFlexible hours$100.5k - $150.8k
...26. Ingenyx is a leading global provider of product... ...Position Summary Remote role: Preferred... ...include: supply agreements, quality agreements, vendor... ...reporting, Lightning integration and Wave Analytics.... ...any other discretionary payment or compensation program...Remote workQualityFull timeContract workTemporary workWork at officeFlexible hours- CorVel Corporation seeks a Payment Integrity Analyst (Team Lead) to supervise the Policy and Payment Integrity (PPI) team while overseeing audits per... ...staff training, and timely completion of audits, with a remote work arrangement. Strong knowledge of CMS policies, ICD-...Remote job
- Cambia Health Solutions in the United States is hiring a Payment Integrity Nurse I to review post-service claims and ensure accurate coding... ...supports patient care while maintaining compliance and high-quality review standards. You will work from home across designated states...Remote jobQualityWork from home
$90k - $120k
Recruiter, Payment Integrity Services Job type: Full Time · Department... ...; United States (Remote) About Alaffia & Our... ...areas such as Appeals & Disputes and DRG (Diagnosis... ...to balance speed with quality when filling volume... ...Participate in (and at times lead) recruiting-related...Remote workQualityFull timeWork at officeFlexible hours3 days per week$150k - $175k
...Advisers L.P. is seeking a Workday Financials Integrations Lead to join our exceptional team. As a... ...work arrangement. You will receive 18 remote workdays per quarter to use at your... ...Enterprise Architecture, Project Management, Quality Assurance, Infrastructure, and Systems...Remote workQualityFull timeFor contractorsWork at officeLocal area1 day per week$250k - $300k
...Sustainable Operations, you will lead a transformative global... ...consultants, procurement) to integrate sustainability into all phases... ...model aligned with client needs, quality targets, and strategic objectivesDrive... ...preferred. This position is remote, U.S.-based.At JLL, we're...Remote workQualityFull timeLocal area$190k - $230k
...planning, design, delivery, systems integration, assurance, safety and... ...Systems Design Coordination Lead based in our San Francisco office... ...full compliance with the Quality Management process. This includes... ...global profit share scheme (payments are dependent on the firm’s...Remote workQualityContract workFor contractorsWork at officeFlexible hours- ...: Senior Director, Portfolio Integration LeadOverview Cancer is unrelenting... ....The Portfolio Integration Lead (PIL) is a senior role in... ...improve efficiency and development quality.Drive innovation in clinical... ..., with a mix of on-site and remote work. Remote or fully home-...Remote workQualityFull timeLocal areaWork from homeRelocation
$87.7k - $157.8k
...perspective on workplace flexibility. Remote Role: Minimum experience... ...DRG reviews for a Payment Integrity vendor or payer experience.... ...while driving team performance, quality, operational efficiency, and... ...Quality Assurance, Readmissions, Appeals, or broader operational...Remote workQualityFull timePart timeWork at officeFlexible hours$100k - $231.54k
...accountable and prioritize safety and quality in everything we do. Join us and be part... ...and one community at a time. Overview Leads and oversees the business strategy team... ...Cross Matrixed partners to enhance the Payment Integrity strategy and roadmap; translate and simplify...QualityHourly payFull timeTemporary workWork experience placementWork at officeLocal area3 days per week- Avalon Healthcare Solutions seeks a Client Integration Lead to guide clients through Lab Benefit Management implementations. You’ll act as... ...the ability to manage multiple client engagements while maintaining timelines and high-quality #J-18808-Ljbffr Francisco PartnersRemote jobQuality
- ...The Global IS Mergers & Acquisitions Lead – Due Diligence, Integration & Separation plays a critical role... ...The work model for the role is: #LI-Remote ~Conduct IT/IS due diligence for M... ...within agreed timelines, budgets, and quality parameters. ~Provide methodology,...Remote workQualityFull time
- ...the Job PCSP is a systems integrator headquartered in New Hudson,... ...The Integration Technician Lead is responsible for guiding the... ...build-out, configuration, and quality control of the servers and workstations... ...~ Proficiency with remote management interfaces (HPE iLO...Remote workQuality
- Lumen Technologies seeks a Lead Marketing Technology Manager to administer and optimize... ...operational excellence. This fully remote role emphasizes platform administration, data quality and scalable campaign execution, with integrations to Salesforce and other tools to...Remote jobQuality
- Maximus, Inc. is seeking a Manager - Appeals to oversee day-to-day operations of the Appeals department in a remote setting, ensuring compliance, quality and a high-quality customer experience. The role leads teams, develops quality controls, and drives process improvements...Remote jobQuality
$107.5k - $204.5k
...With our three market leading businesses, world-class... ...responsibility of the Integrated Product Team Lead (... ...Operations, Supply Chain, Quality, Engineering Cross... ...as on-site, hybrid or remote.The salary range for this... ...bargaining agreement. Payments under these annual...Remote workQualityContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours- ...seeking a Senior Intelligence Solutions Integrator (Team Lead) to support INSCOM Data Capabilities... ...divisions and contracts. Where allowed, remote work must be coordinated with the team... ...architecture, data warehousing, data quality management, metadata management, data...Remote workQualityContract work
$99k - $225k
Program Integrator, LeadThe Opportunity: As a Program Integrator, you... ...looking for someone like you to lead a team of experienced... ...obtaining client consensus on quality products, you’ll provide meaningful... ...cameras on during meetings.Remote: If this position is listed as...Remote workQualityFull timeContract workPart timeWork at officeLocal area- ...Senior Consultant for OSC/Lewin to support payment model implementation, analytics, and policy analysis. The role involves leading cross-disciplinary teams, developing... ...relationships, and delivering high-quality deliverables. Remote work across the U.S. is allowed, with...Remote jobQualityWork at office
$177k - $265.6k
...Defense Systems is looking for an Integrated Functional Capability (IFC) Lead 5 that will orchestrate the execution... ...the Northridge, CA location. No remote/telework arrangement is available for... ...activities such as testing, quality assurance, logistics support, and readiness...Remote workQualityFull timeContract workRelocation packageShift work$45 - $60 per hour
...Solutions & Escalations Lead - Registered Nurse Pay... ...New York City or fully remote within the United States... ...review protocols, and quality processes. Maintain accurate... ...review, clinical appeals, clinical documentation improvement, payment integrity, clinical quality review...Remote workQualityHourly payWeekly payContract workWork at officeMonday to FridayFlexible hours1 day per week$112.7k - $193.2k
...improving risk management, quality and revenue growth. Ready to... ...Connecting. Growing together.The Payment Integrity Platform organization is... ...burden and healthcare costs.As a Lead Technical Product Manager,... ...the flexibility to work remotely * from anywhere within the U...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal area$125k - $150k
...needs in systems engineering and integration, mission operations, program... ...to the mission with speed, quality, and focus. Stellar Solutions... ...Attack Assessment (ITW/AA) Lead to provide enterprise-level systems... ...activities for space-based remote sensing systems. Experience...Remote workQualityFull timeWork at officeImmediate start3 days per week- Lead, Integrated Product MarketingSkip to main contentGEICO uses cookies to help us provide the... ...we honor our iconic brand by offering quality coverage to millions of customers and being... ...program offering up to four weeks of remote work per year.**A Note on Applications*...Remote workQualityHourly payWork experience placementLocal areaFlexible hoursShift work
- ...operational processes and client interactions in Atlanta, GA or remotely. The ideal candidate will have 5-7 years of experience in... ...reporting, and exceptional support strategies. Rialtic values integrity, collaboration, and continuous improvement. #J-18808-Ljbffr Rialtic...Remote job
$112.7k - $193.2k
...improving risk management, quality and revenue growth. Ready to... ...product strategy for one of Optum Payment Integrity's Intelligent Fraud... ...enjoy the flexibility to work remotely * from anywhere within the U... ...enabled platformsExperience leading or mentoring other product professionals...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Payment Integrity Lead, Quality & Appeals. Be the first to apply!
- senior devops engineer remote Fort Worth, TX
- remote virtual Fort Worth, TX
- remote contract attorney Fort Worth, TX
- clinical data manager remote Fort Worth, TX
- administrative assistant remote Fort Worth, TX
- online remote Fort Worth, TX
- remote junior web developer Fort Worth, TX
- remote work no experience Fort Worth, TX
- remote recruiter Fort Worth, TX
- remote accounting Fort Worth, TX



