Remote Senior Analyst, Edits & Payment Integrity
CGI Technologies and Solutions, Inc.
Charlotte, NC
- Remote job
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 certification. The role includes analyzing claim data, managing edit development, and ensuring compliance with coding policies. Competitive compensation and comprehensive benefits are offered. #J-18808-Ljbffr CGI Technologies and Solutions, Inc.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Senior Analyst, Edits & Payment Integrity in Charlotte, NC vacancy
- ...technology consulting firm is seeking a Senior Analyst to join the Edits team. This remote role involves managing the edit development lifecycle, ensuring payment accuracy, and driving process... ...5 years of experience in payment integrity or claims analytics, and hold an active...Remote jobSenior
$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, you will be responsible for expansively growing CGI's edits library and driving measurable value by identifying...Remote workSeniorCGI
Knoxville, TN1 day ago$64.83k - $85.09k
Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar... ...integrity disputes, internal claims processing edits and external vendor edits. Respond to internal and external...Remote workSeniorFull timeContract workWork at office$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 most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll...Remote workSeniorFull timeContract workFlexible hoursGainwell Technologies
United States3 days ago- Signature Performance is seeking a Payment Integrity Analyst to work remotely in the United States. This role focuses on preventing overpayments and ensuring... ...such as leading audits, developing claims editing rules, and conducting data analysis. The ideal candidate...Remote job
$24.2 - $36.3 per hour
...care by preventing inaccurate payments and reducing overall waste in... ...with 35 years of pre-pay editing expertise, dedicated teams, and... ...for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified... ...The Payment Integrity Analyst (Data Mining) supports the Data...Remote workFull timeContract workVisa sponsorshipLyric
United States13 days ago$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... ...and state regulatory requirements are met for pre-pay edits, post-payment data mining, and overpayment recovery,...Remote jobTemporary workWork experience placementWork at office- ...planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits. Responsibilities Reviews, analyzes... ..., and trains the IV Outpatient Charge Analyst related to charging practices, creating edits...Remote workSeniorWork experience placementInterim roleShift work
Cottage Health
United States4 days ago - ...Senior Director, Claims & Payment Integrity Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and... ...updates Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to...Remote workSeniorTemporary work
Martins Point Health Care
United States3 days ago - ...with expertise across the payment continuum, delivering... ...We're seeking a skilled Senior Content Analyst to join our Claims Editing team! As a... ...Analyst on the Payment Integrity - Policy & Content Management... ...expectations in a remote, outcomes-driven environment...Remote workSeniorFlexible hours
The Rawlings Group
La Grange, KY4 days ago $70k - $80k
...businesses to create amazing, integrated experiences that keep players in the game. The Senior Game Integrity Analyst plays a critical role in... ...with Customer Support, Risk, Payments, and Marketing teams to... ...domestically and internationally. #LI-REMOTE #LI-DNP This role...Remote workSeniorRush Street Interactive
Chicago, IL21 days ago$66.94k - $101.26k
...Job Description Job Description The Payment Integrity Analyst is responsible for accurately... ...standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS &... ...time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX24 days ago- ...Senior Payments Data Optimization Analyst Atlanta, Georgia, United States Optimized Payments is the only... ...will have the opportunity to work remote primarily. Responsibilities:... ...and escalate data discrepancies or integrity issues impacting analytics, KPIs, client...Remote workSeniorFull timeLocal areaWork from home3 days per week
Optimized Payments
Atlanta, GA3 days ago - ...Uchicago Medicine , as a Revenue Integrity Analyst in the Revenue Cycle... ...workqueue rules/system edits and working with IT/departments... ...services, or change in the payment rates for these and other established... ...the organization, including remote teams Excellent...Remote workFull timeWork experience placementWork from homeMonday to FridayFlexible hoursShift work
The University of Chicago Medicine
Chicago, IL3 days ago $81.07k - $129.71k
...Job Description We're hiring a Senior Business Analyst, Member Payments to join the Member Digital... ...platforms Background supporting vendor integrations and third-party solutions... ...- giving you flexibility to work remotely with intentional in-person connection...Remote workSeniorWork at officeLocal areaFlexible hours2 days per weekBlue Cross and Blue Shield of North Carolina
Durham, NC8 days ago$64.83k - $85.09k
Oscar is hiring a Senior Analyst in Payment Integrity Disputes in Tempe, Arizona. The role involves supporting dispute resolution, developing reimbursement policy, and identifying process improvements. Candidates should have at least 4 years experience in claims processing...Senior- ...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
RIT Solutions, Inc.
Lutherville Timonium, MD8 days ago - ...Company EmblemHealth Location REMOTE Summary of Position Develop/... ...queries needed to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery... ...Network Management, Finance, etc.) to integrate overpayment prevention strategies....Remote workSenior
EmblemHealth
United States1 day ago - A leading iGaming platform provider in the United States seeks a Senior System Analyst to enhance payment integrations. You will analyse and optimise payment flows, collaborate with stakeholders, and ensure clear requirements for engineering. The ideal candidate has over...Senior
- ...quality care. About the Role The Senior Revenue Integrity Analyst is a high-impact individual... ...operative charge capture validation through payment variance resolution—and serves as the... ..., ICD-10-CM/PCS, revenue codes, NCCI edits, and Medicare reimbursement methodologies...SeniorPermanent employmentContract work
PSN Services LLC
Plano, TXa month ago - ...engagement. It's a fully remote position; candidates... ...Time (PST) hours. Senior Test / QA Analyst needed to support a West... ...of benefits (COB), payment processing, and EOB... ...prior authorization integrations, manual review queues, and claims editing logic. Lead defect...Remote workSeniorDaily paid
Bickham Services Unlimited, LLC
Huntington Beach, CA3 days ago - ...responsible for driving enterprise growth of Payment Integrity solutions among large national and... ..., value-driven discussions with senior payer executives. The ideal candidate will... ...executive relationships. This position is remote within the US, emphasizing collaboration...Remote workSenior
- Health Care Service Corporation is seeking a Sr. Manager of Payment Integrity Operations based in Chicago, IL. This role is vital in managing daily operations, ensuring effective use of enterprise information to deliver business value. The ideal candidate will have a Bachelor...Remote jobSenior
- ...external vendors and internal departments to support operations and payment integrity activities. Research and respond to low to high priority... ..., and anomalies. Assess business impact of new edits and changes in medical reimbursement policies/guidelines....
HMSA
Honolulu, HI2 days ago $69.38k - $92.28k
MVP Health Care is seeking a skilled data analyst to support payment integrity and analyze healthcare claims data. This position is crucial for uncovering... ...in SQL and modern data tools. The role allows for remote work, but applicants must reside in New York or Vermont....Remote job- Commence seeks a Healthcare Program Integrity Solutions Consultant to enhance commercial payer... ...demands expertise in healthcare fraud, payment integrity operations, and the ability to... ...offers a competitive salary, and remote opportunities are available in many states...Remote workSenior
- .... HealthOne seeks individuals with integrity and heart to embody our values. Whether... ...your goals. JOB PURPOSE A Payment Integrity Analyst reviews healthcare claims, payments, and... ...for trends, collaborating on billing edits, and preparing reports to support cost...Contract workTemporary workImmediate startFlexible hoursNight shift
HealthOne Alliance
Dalton, GA5 days ago $83.25k - $155.51k
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...Remote job$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 jobSeniorFlexible hours$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 jobHourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Analyst, Edits & Payment Integrity. Be the first to apply!
Related searches
- analyst asset management Charlotte, NC
- origination analyst Charlotte, NC
- design analyst Charlotte, NC
- category analyst Charlotte, NC
- junior analyst Charlotte, NC
- crime analyst Charlotte, NC
- law enforcement response team analyst Charlotte, NC
- meditech analyst Charlotte, NC
- facility analyst Charlotte, NC
- proposal analyst Charlotte, NC