Remote Lead: Payment Integrity & Overpayment Recovery

$83.25k - $155.51k

Molina Healthcare of Illinois

Remote job

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 data, manage projects, and collaborate across teams to enhance operational and financial outcomes. This role requires an understanding of managed care regulations, claims processing, and strong communication skills. The position offers a competitive salary range between $83,252 - $155,508 annually, with the flexibility of remote work options. #J-18808-Ljbffr Molina Healthcare

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Remote Lead: Payment Integrity & Overpayment Recovery in Cincinnati, OH vacancy

Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
$83.25k - $155.51k
...Job Posting Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive... ...pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general...
Remote work
Temporary work
Work experience placement
Work at office
Arizona Staffing
United States
2 hours ago
Lead Provider Payment Integrity Analyst
$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... ...in-depth analysis of claim payments and its methodology, identifying... ...to ascertain cost avoidance/overpayment recovery opportunities. Apply root...
Remote work
Contract work
Work at office
Work from home
Flexible hours
Shift work
2 days per week
1 day per week
Blue Cross and Blue Shield of Rhode Island
Providence, RI
4 days ago
Lead Pharmacy Payment Integrity Analyst
...Position Overview: The Pharmacy Payment Integrity Analyst plays a critical role in analyzing... ..., and regulatory alignment to prevent overpayments and cost-effective healthcare payments... ...~ You’ll work with industry leading AI, predictive analytics, and automation...
Remote work
Work experience placement
Local area
SmartLight Analytics
United States
1 day ago
Remote Payment Integrity Lead, Quality & Appeals
A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing... ...a focus on improving service delivery. This remote position requires strong experience in claims processing...
Remote work
Daily paid
CorVel
Fort Worth, TX
3 days ago
Senior Payment Integrity Lead (Remote & Flexible)
$142k - $213k
Ventura County Medi-Cal Managed Care Commission is seeking a skilled professional to lead Payment Integrity operations in California. The individual will build, manage, and oversee the comprehensive payment integrity strategy, ensuring compliance with state and federal...
Remote job
Flexible hours
Ventura County Medi-Cal Managed Care Commission
California, MO
1 day ago
Remote AI-Driven Payment Integrity Lead (Healthcare)
...Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop audit concepts in healthcare using the Bluespine platform. This role involves... ...prior consulting experience with self-insured companies. This position is remote within the United States. #J-18808-Ljbffr...
Remote work
Team8
New York, NY
1 day ago
Senior Manager, Payment Integrity
$142k - $213k
...creating and applying leading-edge solutions to... ...workplace: * Integrity *... ...lead and manage Payment Integrity operations... ...post-pay audits, recoveries and payment validation... ...and recovery of overpayments in accordance with... ...range will vary for remote positions outside...
Remote work
Contract work
Work from home
Visa sponsorship
Work visa
Flexible hours
Gold Coast Health Plan
Grizzly Flats, CA
3 days ago
Mission Integration Lead
$129k - $171k
...seeking an experienced EW Mission Integration Lead with prior training and... .... Conduct onsite and remote troubleshooting support with... ...you're supported in health, recovery, and whatever comes next. For... ...scammers often attempt to extract payment or sensitive personal...
Remote work
Full time
Contract work
Work experience placement
Immediate start
Anduril Industries
Costa Mesa, CA
2 days ago
Payment Integrity Coding Manager
$92.07k - $112.53k
...Payment Integrity Coding Manager The Payment Integrity Coding Manager... ...provider education, audit and recovery, and quality assurance, align... ...to audits, findings, and overpayment recoveries. Ensure accurate... ...Coding Audit & Education Lead a portfolio of coding audits...
Remote work
Work at office
Local area
Work from home
Flexible hours
CareOregon
United States
19 hours ago
Payment Integrity Project Specialist
...Summary We are seeking an experienced Payment Integrity Specialist to support healthcare... ...initiatives focused on claims accuracy, overpayment prevention, and reimbursement... ...waste/abuse prevention, or overpayment recovery initiatives. Additional Skills & Competencies...
Remote work
MSITEK
United States
2 days ago
Senior Data Mining & Payment Integrity Analyst
$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... ...opportunities to identify overpayments to providers through data review... ...to Healthcare Claims Data. Recovery audit experience is...
Remote work
Full time
Contract work
Flexible hours
Gainwell Technologies
United States
2 days ago
Senior Medicare MSP Recovery Lead - Remote
...the role supporting Medicare Secondary Payer recovery. The position involves detailed case review, identification of incorrect payment designations, and documentation of recovery... ...competitive compensation, benefits, and a fully remote work environment. #J-18808-Ljbffr...
Remote work
CAQH
New York, NY
1 day ago
Payment Integrity Supervisor
$77.96k - $120.37k
...The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team... ...service to our customers. This is a remote position. ESSENTIAL FUNCTIONS AND... ...For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different...
Remote work
Daily paid
Minimum wage
Full time
Work experience placement
Work at office
Local area
Flexible hours
CERIS Health
Fort Worth, TX
19 hours ago
Integration Lead - Hybrid
...Experience with IBM ACE, MQ AND APIGEE Is must. ~ The Integration lead role is responsible for ensuring the smooth integration and functioning... ...security, performance, back up strategies, and disaster recovery plans. ~ Improvements and enhancements ~ System...
Remote work
The Dignify Solutions LLC
United States
19 hours ago
Payments Fraud Analytics Lead
$101.23k - $172.36k
...PAYMENTS FRAUD ANALYTICS LEAD WHAT IS THE OPPORTUNITY? The Payments Fraud Analytics Lead, leads the... ...for entrepreneurs and that legacy of integrity, community and unparalleled client relationships... ...Unless otherwise indicated as fully remote, reporting into a designated City...
Remote work
Flexible hours
City National Bank
Newark, DE
4 days ago
Medical Economics Analyst-Payment Integrity
$83.37k - $127.28k
...Location Address: Remote OfficeSanta Fe, NM 87501 Compensation... ...Medical Economics Analyst-Payment Integrity Summary: Build your... ...insights, validate recoveries, and support pre- and post-... ...data to identify patterns of overpayment, billing anomalies, and...
Remote work
Temporary work
Local area
Monday to Friday
Shift work
Weekday work
Presbyterian Healthcare Services
United States
19 hours ago
SPY-6 Ship Integration Lead (HII) Onsite
$107.5k - $204.5k
...Ship Integration Lead Raytheon's Systems Engineering and Test Capabilities (SE&TC) Surface... ...experience working onboard ships or at remote test sites. Experience working with... ...by a collective-bargaining agreement. Payments under these annual programs are not guaranteed...
Remote work
Temporary work
Work experience placement
Relocation package
Flexible hours
Shift work
Raytheon
Pascagoula, MS
1 day ago
Remote Payments Platform Lead (Stripe/API) - SaaS
...Texas is seeking a player/coach technical leader for their Payments and Finance Development team. In this pivotal role, you’ll lead a small development team focusing on payment processing systems integration and improvements. Ideal candidates should have substantial experience...
Remote job
Skimmer
Austin, TX
1 day ago
IT Resilience & Disaster Recovery Lead - Technical Recovery (REMOTE)
...believe in. IT Resilience & Disaster Recovery Lead - Technical Recovery Ferguson is... ...Location: This role is approved to be either Remote within the United States or Hybrid for... ...vulnerabilities Facilitate the integration of new systems and applications into the...
Remote work
Hourly pay
For contractors
Work at office
Local area
Ferguson Enterprises
United States
2 days ago
Data Mining Auditor- Payment Integrity
...detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Codoxo helps clients manage costs across network management... ...for client review, provider outreach, and downstream recovery or action workflows. Collaborate with internal analytics...
Remote work
Contract work
Work experience placement
Work at office
Local area
Work from home
Home office
Codoxo
United States
4 days ago
RR Integration lead
$96.16k - $133.55k
...now. We are currently seeking a RR Integration lead to join our team in Plano, Texas (US-TX... ...roles. The starting pay range for this remote role is $96,156.00-$133,550.00. This range... ...NTT DATA recruiters will never ask for payment or banking information and will only...
Remote work
Temporary work
Work experience placement
Work at office
Flexible hours
The Nippon Telegraph and Telephone Corporation (NTT)
Plano, TX
1 day ago
Senior Collections & Recovery Lead
...Venture Medical, LLC, a leading wound-care company, is seeking a... ...full-time Senior Collections & Recovery Lead to join our growing team... ...follow-ups. Research and resolve payment discrepancies, short pays,... .... Working Conditions: Remote working environment. Minimal...
Remote work
Full time
Work at office
Venture Medical
New York, NY
1 day ago
Lead Payment Integrity Analyst - Remote/Hybrid
...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 work
Remote Jobs
New York, NY
4 days ago
Disaster Recovery Lead Analyst
...Summary The IS Disaster Recovery Lead Analyst is responsible for supporting the Information... ...them to completion. Location Remote - TX Department Enterprise... ...we are one of the country’s leading integrated pediatric health care delivery organizations...
Remote work
Shift work
Day shift
Cook Children's Health Care System
Wausau, WI
3 days ago
Integrations Architect Lead
...Description Position Summary We are seeking an experienced Integrations Architect Lead to oversee and optimize our current integrations... ...documenting strategies for high availability and disaster recovery, and ensuring seamless communication between different systems...
Remote work
Work at office
Cielo
United States
19 hours ago
Lead Technology Operations Analyst-Payments
...The Lead Technology Operations Analyst-Payments oversees cross‑functional teams to understand complex solutions and integrations, as well as drive releases to improve solutions. This role focuses... ...). Practical understanding of remote deployment tools, integration support...
Remote work
Work at office
IRB USA Inspire Resources
Atlanta, GA
1 day ago
Product Manager, Pharmacy Payment Integrity
...Transforming pharmacy payment integrity through AI-first automation, the full-time Product Manager... ...and automated workflows while working remotely across the US. Key responsibilities... ...COB investigations, claims tagging, and recovery workflows Replace legacy IVR systems with...
Remote work
Full time
Virtual Vocations Inc
United States
19 hours ago
Shipboard Electronics Integration Lead - 90% Travel
$120k - $145k
...Electronics & Electrical Test Integration Engineer to support construction... ...safe configurations Conduct local/remote control transfer testing Support blackout and recovery drills 5. Electrical Power... ...Serve as shipyard integration lead for GFE interfaces Validate power...
Remote work
Full time
Local area
TMMG
Vancouver, WA
1 day ago
Payments Lead
...Payments Lead New York or Remote; New York, New York, United States Kalshi Is Defining A New Category Kalshi has defined a new category:... ...coordinate the roadmap for deposits, withdrawals, and PSP integrations, while also directly managing providers, resolving...
Remote work
Local area
Kalshi
New York, NY
2 days ago
Lead Business Analyst - Customer Integrations
$77k - $150k
...will never ask for any money or payments from applicants at any point... ...#UatInsurity Insurity’s Next Lead Business Analyst About the... ...with stakeholders or system integration partners on engagements Plan,... ...environment that supports your best—remote, in-office, or hybrid—...
Remote work
Work experience placement
Work at office
Local area
Flexible hours
Insurity
New York, NY
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Lead: Payment Integrity & Overpayment Recovery. Be the first to apply!