Remote Payment Integrity Lead, Quality & Appeals
CorVel
- 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
$92.7k - $139.1k
...work arrangements that include remote and hybrid opportunities and... ...the organization, you’re an integral part of our team and your input... ...providing access to high-quality, affordable, and equitable care... ..., in-depth analysis of claim payments and its methodology, identifying...Remote workQualityContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week- 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
- GR8 Tech group based in the United States, Georgia, seeks a skilled professional to manage payment integration configurations, focusing on accuracy and compliance. This role will involve client setup, operational support, and payment configuration stability through observability...Remote job
- ...Job Description 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...Remote workTemporary workWork at office
$28.27 - $50.48 per hour
A healthcare organization in San Antonio seeks a Payment Integrity Coding Consultant to ensure medical coding accuracy and compliance. This role offers the flexibility to work remotely from anywhere in the U.S. Candidates should have a degree in Healthcare Administration...Remote jobQualityHourly pay$21.5 - $39.75 per hour
Job Description Summary:Lead POS & Payment Systems Technician to oversee our... ...processes.Monitor service quality and ensure all support requests... ....C. Payment Processing & Integration OversightLead the setup and... ...Android-based POS systems and remote management tools.Bilingual in...Remote workQualityH1b$21.5 - $39.75 per hour
Overview Lead POS & Payment Systems Technician to oversee our technical support... ...processes. Monitor service quality and ensure all support... ...environments. Payment Processing & Integration Oversight Lead the setup... ...-based POS systems and remote management tools. Bilingual...Remote workQualityHourly paySummer workH1bVisa sponsorshipRelocation package$100.5k - $150.8k
...improve the health and quality of people’s lives.... ...Teleflex Medical OEM is a leading global provider of... ...lives.Position Summary Remote role: Preferred location... ...reporting, Lightning integration and Wave Analytics. Lead... ...other discretionary payment or compensation...Remote workQualityFull timeContract workTemporary workWork at officeFlexible hours$81.88k - $91.88k
...detail-oriented QC Manager to ensure the integrity of its 2026 Neighborhood Captains program. This role involves monitoring data quality, conducting follow-up outreach, and providing... ...support to organizers, all in a fully remote capacity. The position offers a total...Remote jobQuality$20 per hour
A healthcare technology firm is seeking a Revenue Integrity Manager to join their team and train AI models. This role involves measuring the progress of AI chatbots, evaluating their logic, and ensuring the medical accuracy of responses. Ideal candidates should possess...Remote jobQualityHourly pay$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$86.8k - $198k
...Job Number: R0238682 Integration Architect and API Lead The Opportunity: Are you looking for an opportunity... ...integration thoroughly and apply quality assurance best practices Bachelor... ...cameras on during meetings. Remote : If this position is listed as...Remote workQualityFull timeContract workPart timeWork at officeLocal area- Addison Group is actively seeking a Revenue Integrity Coding Coordinator to enhance coding operations in... ...hybrid work environment. In this role, you will lead a remote coding team, manage workflows, and ensure coding quality and operational efficiency. The ideal candidate...Remote jobQualityMonday to Friday
- ...Advisers L.P. is seeking a Workday Financials Integrations Lead to join our exceptional team. As a... ...roles and teams, both in person and remote to achieve collective goals. Work with... ...Enterprise Architecture, Project Management, Quality Assurance, Infrastructure, and Systems...Remote workQualityFor contractorsWork at office2 days per week3 days per week
$86.8k - $198k
...Job Description Remote Work: No Job Number: R023... ...~ San Antonio, Texas, USA Integration Architect and API Lead The Opportunity: Are you looking... ...test integration thoroughly and apply quality assurance best practices Bachelor...Remote workQualityFull timeContract workPart timeWork at officeLocal area- ...Rialtic, Inc. Atlanta or Remote About Rialtic Rialtic... ...in 2020 and backed by leading investors including... ...’s best‑in‑class payment accuracy product brings... ...efficiency and improve quality of care. For more information... .... Values High Integrity - Do the right thing,...Remote workQualityWork from homeHome office
$150k - $160k
## Integrated Program Management LeadAplikujremote type: Remotelocations... ...Program Management (IPM) Lead Role Overview**The IPM Lead serves... ...communication protocols, quality standards, and effective handoffs... ...considerations.***Location:**Remote -Atlanta, GA, Chicago, ILIf...Remote workQualityContract 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
- Lead Operations Integration Remote-Centric Hybrid Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating... ...and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties...Remote workQualityLocal areaRelocation
- ...contact for various stakeholders. You will lead kickoff sessions, train partners, and ensure... ...bachelor’s degree and 3-5 years of experience in payments or fintech, along with strong project management skills. The role offers remote working options and additional benefits. #J...Remote job
- Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop audit concepts in healthcare using the Bluespine platform. This role involves identifying... ...experience with self-insured companies. This position is remote within the United States. #J-18808-Ljbffr Team8 IncRemote job
$122.65k - $227.13k
...currently seeking a Senior MuleSoft Integration Lead to join our team in Plano,... .... Location: Remote (some travel to client site... ...API availability, deployment quality, MTTR improvement, release success... ...will never ask for payment or banking information and will...Remote workQualityPermanent employmentTemporary workWork at officeLocal areaFlexible hours$102.18k
Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Location: Los Angeles, CA, US,... ...Care’s mission is to provide access to quality health care for Los Angeles County's... ..., on weekends, holidays, a hybrid remote schedule, and occasional flexibility...Remote workQualityFull timeShift workWeekend work$87.7k - $157.8k
...this position that will lead and oversee PI... ...recovery, cost avoidance, and payment accuracy. You will lead... ...accountable for audit quality, consistency, and overall... ...achievement of payment integrity objectives. This role directs... ...approach to work with remote, hybrid, field or...Remote workQualityFull timePart timeWork at officeFlexible hours- ...Position Overview The Senior Lead of Payment Integrity is responsible for the end‑to‑end performance, satisfaction, and operational excellence... ...relationships while ensuring accuracy, compliance, service quality, and a consistently positive carrier experience. Acting as...QualityFull time
- A leading ad tech company in the United States is looking for a Product Manager for Data Connectors... ...hands-on role involves ensuring data quality at scale through automation and effective... ...and impact, this role offers a fully remote working opportunity and competitive...Remote workQuality
$165k - $185k
...Location + Travel: Position is remote with 30-50% US travel... ...Engineering is responsible for leading enterprise-wide initiatives focused... ...focused on safety, quality, productivity, cost reduction... ...systems. Reliability & Integrity Programs Provide technical...Remote workQuality$100k - $115k
...Lead Payroll The Lead Payroll (remote in Eastern Standard Time or Central Standard Time... ...regular and off-cycle payments, ensuring all deadlines... ...implementations, upgrades, and integrations. Identify and... ...consumer health, safety, and quality of life. One of our...Remote workQualityFull timeLocal areaWorldwideShift work- ...Responsibilities include running sessions to clarify scheduling, ensuring quality in mapping, and maintaining high mapping standards. A degree in... ...in construction scheduling is essential. The company offers competitive salary and a remote-first culture. #J-18808-Ljbffr DoxelRemote jobQuality
$150k - $250k
...life. Banking, credit, payments, personal finance, and financial... ..., New York, and fully remote. The Role We’re hiring a Recruiting Lead to own hiring across our... ..., reporting, and data integrity. Build and maintain... ...rates, time‑to‑fill, source quality, offer acceptance) and...Remote workQualityImmediate startFlexible hours
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