Remote Payment Integrity Team Lead - QA & Claims
CorVel Corporation
- Remote job
CorVel Corporation seeks a Payment Integrity Analyst III - QA Analyst to lead the PPI team and conduct audits per CMS guidelines and client policy. The role requires strong clinical judgment, attention to detail, and expertise in revenue cycle processes. This remote position supports multiple clients with quality assurance responsibilities. The ideal candidate will have 3+ years in healthcare revenue cycle or payment integrity, experience with denials/appeals, and proficiency in data analysis #J-18808-Ljbffr CorVel Corporation
$73.35k - $113.25k
...Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the Policy and... ...accurately reviewing pre and post pay claim audits based on client, policy,... ...various healthcare policies. This is a remote position. ESSENTIAL FUNCTIONS &...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will... ...Collaborate with the team to establish rapid methods to... ...across the inputs that support claims payment (medical policy, authorization...Remote workClaims
- ...Ensuring the accuracy and compliance of claims and payments, the full-time remote Payment Integrity Specialist will manage payment audits, identify discrepancies... ...improvements while collaborating with cross-functional teams. Key responsibilities Review claims and encounters...Remote workClaimsFull timeContract work
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented... ...to join our growing Edits team. In this pivotal role, you... ...Identify Opportunities: Use claim data analysis to pinpoint... ...Design validation datasets and lead rigorous pre-deployment user...Remote workClaimsLocal area$166k - $220k
...experienced EW Mission Integration Lead with prior training... ...and accelerate cross-team projects spanning multiple... ....Conduct onsite and remote troubleshooting support... ...often attempt to extract payment or sensitive personal... ...fraudulent outreach claiming to be from Anduril, please...Remote workClaimsFull timeContract workWork experience placementImmediate start$66.94k - $101.26k
...Payment Integrity Analyst The Payment Integrity Analyst is... ...completing pre- and post pay claim audits based on client... ...guidelines. This is a remote position. ESSENTIAL... ...Attends clinical team meetings, company... ...(I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$112.7k - $193.2k
...strategy for one of Optum Payment Integrity's Intelligent Fraud... ...organizations ensure claims are paid accurately and... ...flexibility to work remotely * from anywhere within... ...analytics and finance teams to evaluate product ROI... ...enabled platformsExperience leading or mentoring other...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$112.7k - $193.2k
...The work you do with our team will directly improve health... ...strategy for one of Optum Payment Integrity's Facility Claim Review products. These are... ...the flexibility to work remotely * from anywhere within the... ...or initiativesExperience leading cross-functional initiatives...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$56.06k - $86.32k
...looking for a dedicated Payment Integrity to join the team. This role is full-... ...these states to work remote - VA, MD, DC, DE, FL,... .... Analyzes claims, remittances, contractual... ...Quality assurance (QA) experience... ...Northern Virginia’s leading nonprofit healthcare...Remote workClaimsFull timeContract workMonday to FridayFlexible hours$70k - $82k
...Job Description: About the role The Payment Integrity Specialist ensures that the claims and payments flowing through Cityblock's value-based arrangements... ...finance, actuarial, partner success, and clinical teams. Responsibilities Claim & Payment Accuracy...Remote workClaimsContract work- ...Medical Director, Clinical Payment Integrity provides clinical... ...Legal, and Compliance teams to advance payment accuracy... ...documentation, claims data, coding practices... ...healthcare executives. Lead provider discussions regarding... ...capabilities. Fully Remote: This role is...Remote workClaimsWork at office
$77.96k - $120.37k
...Job Description The Payment Integrity Supervisor is responsible... ...of payment integrity team related to quality... ...customers. This is a remote position. ESSENTIAL... ...Strong understanding of claims processing, ICD-10... ...(I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- Network Health is seeking a Supervisor of Payment Integrity. This role provides leadership support... ...guidance, coordination and oversight of the team activities. The supervisor oversees the... ...and analysis of data associated with claims and enrollment audit review activities,...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaWork from homeHome office
$100k - $110k
...Opportunity Overview: We are seeking a Team Lead, Auditing to join our dynamic Payment Integrity team. This critical role involves... ...to ensure the accuracy of claims and maximize overpayment... ...including supervising and training in a remote work environment. ~ CCS (Certified...Remote workClaimsDaily paidFull timeFlexible hours$45.76k - $54.08k
...Come join our amazing team and work remote from home! The Default QA FHA Claims Analyst I will, under moderate supervision... ...and submit claim to agency for payment. Escalate trends or issues identified... ...Companies, which provide integrated, full-lifecycle mortgage loan servicing...Remote workClaimsFull timeWork from home$100.6k - $132.04k
...Manager, Data Mining to join our Payment Integrity team. Oscar is the first... ...The Manager of Data Mining leads a team of individual contributors... ...Work Location: This is a remote position, open to candidates... ...Experience with healthcare claims adjudication ~ Experience...Remote workClaimsFull timeWork at office$100k - $110k
...Our partner is looking for a Team Lead, Auditing based in United... ...auditors within a high-growth Payment Integrity environment, overseeing comprehensive... ..., and professional claims. You will combine people... ...policies. This is a fully remote opportunity suited to an experienced...Remote workClaimsDaily paidFlexible hours$64.83k - $85.09k
...re hiring a COB Specialist to join our Payment Integrity team. Oscar is the first health... ...payment of Oscar medical and pharmacy claims. You will create new COB workflows, enhance... ...Integrity. Work Location: This is a remote position, open to candidates who reside...Remote workClaimsFull timeContract workWork at office- ...by both on-site and remote agents, leveraging... ...expanding, industry-leading organization. We... ...Leadto join our team. The Quality Analyst... ...Workforce teams to integrate quality insights into... ...: ~3–5+ years of QA or operations... ...Outsourcing (BPO), Claims Processing, Collections...Remote workClaimsFull timeContract workTemporary workCasual workWork at officeLocal area
$64.83k - $85.09k
...Senior Analyst to join our Payment Integrity team. Oscar is the first health... ...issue resolution in the Oscar claim environment for both the... ...Work Location: This is a remote position, open to candidates... ...experience in a technical role (QA analyst, PM, operations analyst...Remote workClaimsFull timeContract workWork at office- ...Payment Posting And Ar Specialist Prompt is revolutionizing... ...businesses, their teams, and the patients they... .... Process remote bank deposits and manually... ...outstanding insurance claims. Preparing and submitting... ...Contributing to revenue cycle integrity by supporting claim...Remote workClaimsLocal areaFlexible hours
- ...Systems Engineer III – Integration & Verification Lead Reports To:... ...budget, results oriented Team player, team oriented Innovative... ...Evidence-driven; does not claim compliance or readiness without... ...integration activities, including remote and onsite technical...Remote workClaimsWork at officeRelocation packageFlexible hours
$132.4k - $251.6k
...tomorrow’s threat. Our team solves tough, meaningful... ...microwave integrated circuitsRadio Frequency... ...(AESAs)Experience with leading multi-disciplinary project... ...as on-site, hybrid or remote.The salary range for this... ...-bargaining agreement. Payments under these annual programs...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hours$90k - $130k
...Engineer to join our team. Position... ..., verifiable, and integrated into our product lifecycle... ...may include:Lead the configuration... ...requirements:Oklo requires remote employees to... ...cautious of anyone claiming to represent Oklo... ...personal information, payments, or account...Remote workClaimsFlexible hours$30,000 per day
...of tomorrow’s threat. Our team solves tough, meaningful problems... ...exists for a Principal Integrated Product Team (IPT) Lead to join our RF... ...designated as on-site, hybrid or remote.The salary range for this... ...collective-bargaining agreement. Payments under these annual...Remote workTemporary workFor contractorsWork experience placementWork at officeFlexible hours$107.5k - $204.5k
...With our three market leading businesses, world-class... ...Product Line Execution (PLE) team for the NASAMS Launcher... ...responsibility of the Integrated Product Team Lead (IPTL... ...as on-site, hybrid or remote.The salary range for... ...-bargaining agreement. Payments under these annual programs...Remote workContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours$19.21 - $28.73 per hour
...with internal teams to maintain contractual... .... This is a remote position.... ...and implement QA policies and procedures... ...of repricing claims processing, and... ..., III, Senior, Lead, etc.) new... ...in healthcare payments. We are a stable... ..., Excellence, Integrity and Teamwork (ACE...Remote workClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$107.5k - $204.5k
...problems. With our three market leading businesses, world-class... ...a Test Equipment (TE) Integrated Product Team Lead (IPTL) for the Miniature... ...designated as on-site, hybrid or remote.The salary range for this... ...-bargaining agreement. Payments under these annual programs...Remote workTemporary workWork experience placementCurrently hiringWork at officeLocal areaRelocationFlexible hours$107.5k - $204.5k
...problems. With our three market leading businesses, world-class... ...Mechanical Engineering Integrated Product Team Lead (IPTL) to support the... ...designated as on-site, hybrid or remote.The salary range for this... ...collective-bargaining agreement. Payments under these annual programs...Remote workTemporary workWork experience placementWork at officeLocal areaRelocationFlexible hoursShift work$107.5k - $204.5k
...problems. With our three market leading businesses, world-class... ...seeking a highly motivated Integrated Product Team (IPT) Lead - Nacelle to... ...designated as on-site, hybrid or remote.The salary range for this... ...-bargaining agreement. Payments under these annual programs...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hours
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