Remote Lead: Payment Integrity & Overpayment Analyst
$83.25k - $155.51kMolina Healthcare
- Remote job
Molina Healthcare is seeking a Lead Analyst for health plan payment integrity in Columbus, Ohio. The role involves managing operational initiatives and analyzing claims data to improve financial performance and compliance. Candidates should have at least 4 years of business analyst experience, knowledge of Medicaid/Medicare, and strong data analysis skills. This position offers a competitive pay range of $83,252 - $155,508 annually. #J-18808-Ljbffr Molina Healthcare
$83.25k - $155.51k
Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health... ...for pre-pay edits, post-payment data mining, and overpayment recovery, to improve encounter submissions,...Remote jobTemporary workWork experience placementWork at office$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... ..., in‑depth analysis of claim payments and its methodology,... ...to ascertain cost avoidance/overpayment recovery opportunities. Apply...Remote workContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week$83.25k - $155.51k
Molina Healthcare seeks a Lead Analyst for health plan payment integrity activities in Atlanta, GA. The role includes managing operational projects, analyzing data for recovery opportunities, and collaborating with various teams to ensure compliance with regulations. Ideal...Remote job$83.25k - $155.51k
Molina Healthcare is seeking a lead-level Business Analyst for Payment Integrity activities in Miami, Florida. This role involves partnering with leadership to drive financial performance through operational initiatives, ensuring compliance with regulatory standards. Qualifications...Remote job$83.25k - $155.51k
Molina Healthcare in Omaha, NE is seeking a Lead Level Analyst for health plan payment integrity. This role involves driving financial performance through operational initiatives and ensuring compliance with regulatory requirements. The ideal candidate will have strong...Remote job- Molina Healthcare in Scottsdale, Arizona, is looking for a Lead Analyst to support health plan payment integrity activities. You will drive health plan financial performance through operational initiatives, ensuring compliance with Medicare and Medicaid standards. The ideal...Remote job
$83.25k - $155.51k
Molina Healthcare is looking for a Lead Analyst to support payment integrity initiatives aimed at improving financial performance. The role involves managing operational projects, analyzing data, and collaborating with various stakeholders. Strong experience in Medicaid...Remote job$83.25k - $155.51k
Molina Healthcare is seeking a Lead Level Analyst to provide support for health plan payment integrity activities. You will partner with leaders to enhance financial performance through evaluation and execution of operational initiatives related to payment integrity. Ideal...Remote job- Molina Healthcare is hiring a Lead Business Analyst in San Antonio, Texas to support health plan payment integrity activities. You will collaborate with operational teams and drive financial performance through operational initiatives. The ideal candidate has at least...Remote job
- Molina Healthcare is seeking a Lead Business Analyst in Phoenix, Arizona, to provide oversight on health plan payment integrity activities, partnering with members and stakeholders to enhance financial performance through operational strategies and solutions. The role...Remote job
- Molina Healthcare is seeking a Lead Analyst in Austin, Texas. This role involves providing critical support for payment integrity activities to enhance financial performance. You will partner with various teams and lead efforts in improving claim payment accuracy while...Remote job
$83.25k - $155.51k
Molina Healthcare is looking for a lead level Business Analyst to support health plan payment integrity activities in Cincinnati, Ohio. The ideal candidate will analyze... ...52 - $155,508 annually, with the flexibility of remote work options. #J-18808-Ljbffr Molina HealthcareRemote job- Molina Healthcare is seeking a Lead Business Analyst to enhance health plan financial performance. The role involves managing operational initiatives for payment integrity and provider claims accuracy. The ideal candidate has over 4 years of experience in a managed care...Remote job
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst for health plan payment integrity in Kentucky. This role involves driving financial performance, managing operational projects, and analyzing data to ensure compliance with regulations. Ideal candidates will have extensive experience...Remote job- Molina Healthcare in Cleveland, Ohio is seeking a lead business analyst to support health plan payment integrity activities and financial performance. This role involves collaborating with various teams, managing operational projects, and ensuring compliance with CMS and...Remote job
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst to support health plan payment integrity activities. The candidate will manage operational projects to ensure compliance with regulatory requirements and improve claim payment accuracy. The ideal candidate will have extensive...Remote job- ...Position Overview: The Pharmacy Payment Integrity Analyst plays a critical role in analyzing and... ...and regulatory alignment to prevent overpayments and cost-effective healthcare payments... ...~ You’ll work with industry leading AI, predictive analytics, and automation...Work experience placementLocal area
- Signature Performance is seeking a Payment Integrity Analyst to work remotely in the United States. This role focuses on preventing overpayments and ensuring compliance within healthcare... ...claims, involving responsibilities such as leading audits, developing claims editing...Remote job
$69.4k - $99.2k
...Senior Data Mining & Payment Integrity Analyst Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those... ...new data mining opportunities to identify overpayments to providers through data review and...Remote workFull timeContract workFlexible hours- ...experience. Candidates should have strong analytical skills and experience with PC SAS, SQL, and Microsoft Excel. The position supports remote work options with flexibility to reside in multiple states. The company values diversity and offers competitive compensation along...Remote job
$66.94k - $101.26k
...Job Description Job Description The Payment Integrity Analyst is responsible for accurately... ...For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a... ...drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...with some ability to work remotely and require employees to live... ...role resides within the Payment Processing & Revenue Integrity department at PSEG Long... ...corrective action as required Lead manage and improve... ...and a minimum of 7 years of Analyst experience in customer...Remote workLive inFlexible hours
- Molina Healthcare is seeking a Lead Business Analyst in Omaha, Nebraska, to support health plan payment integrity initiatives. The role involves collaborating on operational projects, analyzing data for recovery opportunities, and improving claim payment accuracy. Candidates...Work at office
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Business Analyst in Columbus, Ohio. This role focuses on enhancing health plan payment integrity by ensuring compliance with operational initiatives and supporting financial performance. Candidates should have significant experience in...- Molina Healthcare is seeking a Lead Analyst to support health plan payment integrity activities. The role involves collaborating with leaders to enhance financial performance through operational initiatives. Key responsibilities include managing claims accuracy projects...
- Molina Healthcare in Phoenix, AZ, is seeking a Lead Level Analyst to support health plan payment integrity activities. This role involves managing operational projects to drive financial performance and improve claims accuracy. The ideal candidate has at least 4 years of...
- Molina Healthcare is seeking a Lead Business Analyst to support health plan payment integrity initiatives in Fort Worth, Texas. The role demands strong analytical skills, effective project management from concept to execution, and collaboration with various stakeholders...
- ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to...Remote work
$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... ...and flags. Validation: Design validation datasets and lead rigorous pre-deployment user acceptance testing (UAT)....Remote work- A leading analytics firm is looking for a Senior Analyst specializing in Payment Integrity. This remote position will involve growing the edits library and ensuring payment accuracy in healthcare. Candidates should have 5+ years of relevant experience and an active coding...Remote job
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