Remote Payment Integrity Team Lead - QA & Claims
CorVel Corporation
Brooklyn, NY
- 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
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Payment Integrity Team Lead - QA & Claims in Brooklyn, NY vacancy
- 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... ..., and expertise in revenue cycle processes. This remote position supports multiple clients with quality...Remote jobClaims
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing quality... ...service delivery. This remote position requires strong experience in claims processing and...Remote jobClaimsDaily paid
- IEHP in Rancho Cucamonga is seeking a Senior Payment Integrity Analyst to lead daily PI operations, audits, and reporting. The role includes mentoring... ..., with a focus on payment integrity and provider claims accuracy. Responsibilities include data mining with SQL/Excel...Remote jobClaims
- Payment Integrity Analyst III - QA Analyst Job Category : CERIS Requisition Number : PAYME... ...Integrity Analyst (Team Lead) assists with leading the... ...reviewing pre and post pay claim audits based on client, policy... ...policies. This is a remote position. ESSENTIAL FUNCTIONS...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
- ...across a broad health plan portfolio. You will lead analyst teams to investigate referrals, monitor billing and claims integrity, and ensure compliance with state and federal... ...is preferred, with flexibility for remote or hybrid #J-18808-Ljbffr Centene Management...Remote jobClaims
- A healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote workClaims
Med Review Inc
New York, NY3 days ago - ...Medicare SME- Payment Integrity Analyst This resource will implement a process to test end-to-... ...experience is required. Collaborate with the team to establish rapid methods to identify... ...quickly across the inputs that support claims payment (medical policy, authorization,...Remote workClaims
RIT Solutions
United States5 days ago - CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning... ..., and coordination with clinical teams. The role requires licensure (LPN...Remote jobClaims
- A leading healthcare firm is seeking a Payment Integrity Specialist for a fully remote role. Candidates must be based in EST or CST and comfortable with EST hours. Responsibilities... ...include analyzing medical records, handling claims, and utilizing systems like Facets and NASCO...Remote jobClaimsContract work
- ...Senior Product Manager for Professional Claims Review - Payment Integrity. You will define strategy, own roadmaps, and guide cross-functional teams including engineering, analytics, and... ...client value. This role offers remote work anywhere in the U.S. with in-office...Remote jobClaimsWork at office
- Quartz is seeking a Payment Integrity Policy Analyst to drive initiatives that enhance claims accuracy and cost containment. The role partners with executives... ...analyze market trends, review contracts, and lead cross-functional teams to implement policies while ensuring...Remote jobClaims
- ...product strategy for our Facility Claim Review solutions within Optum Payment Integrity. You will own the product vision,... .../ML, analytics, and data science teams to deliver data-driven... ...and cross-functional leadership. Remote work across the U.S. #J-18808-Ljbffr...Remote workClaims
- ...waste and abuse reviews, edit and audit programs, and ensure payment integrity. You will guide policy design and staff through complex regulatory... ..., auditing, or healthcare operations, with a track record in claims processes. A flexible work approach and collaboration with...Remote jobClaimsFlexible hours
- ...Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in... ...& Responsibilities Work with a leading healthcare payer within their... ...healthcare providers warrants a change in claim payment. This is a non-phone,...Remote workClaimsContract work
- The Payment Integrity Supervisor is responsible for the daily... ...of payment integrity team related to quality assurance... ...customers. This is a remote position. ESSENTIAL... ...understanding of claims processing, ICD-10 Coding... ...(I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
$112.7k - $193.2k
...Growing together.The Payment Integrity Platform organization... ...Operations, Clinical teams, and Client organizations... ...healthcare costs.As a Lead Technical Product Manager... ...flexibility to work remotely * from anywhere within... ...in Payment Integrity, Claims Processing, Provider...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$72.8k - $130k
...Connecting. Growing together. As a Payment Integrity Data Analyst, you will be... ...for business use. Team members use business intelligence... ...enjoy the flexibility to work remotely * from anywhere within the U... ...payersInterpret and analyze claims and membership dataWrite...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$65k - $92k
# Payment Integrity AnalystClinical Audit & Revenue IntegrityRemoteJune... ...**Location:** Remote (US-based)We are... ...opportunities across payer claims for a health plan. This... ...findings through QA, incorporate feedback,... ...and client compliance teams**Schedule:**Fully remote...Remote workClaimsHourly payFull timeWork at officeLocal areaWork from homeMonday to Friday$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- ...develop, implement, and manage fraud, waste and abuse activities across health plans. You will lead teams to investigate referrals, ensure compliance with billing and claims processes, and tailor plans to meet federal requirements. Applicants should have a bachelor’s degree...Remote jobClaims
$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$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$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 areaCGI
Fairfax, VA4 days ago- Overview Capability Manager, Payment Integrity - Remote at UnitedHealthcare. This... ...Architecture, Finance and Business Teams to forecast and address... ...UAT and Operational Readiness leads to ensure deployment plan... ...operations - payment integrity, claim, and/or provider operations...Remote jobClaimsMinimum wageLocal area
$66.94k - $101.26k
...Payment Integrity Analyst The Payment Integrity Analyst is... ...reviewing pre and post pay claim audits based on client... ...guidelines. This is a remote position. Essential... ...Attends Clinical Team Meetings, All Company... ...(I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hoursCERIS Health
United States1 day ago$107.7k - $199.3k
...ensure accurate and timely payments of coding and pricing... ...internal payment integrity edit and audit programs... ...accurate coding Direct and lead Prepay Compliance Managers... .... Experience in claims operations preferred. Compliance... ...approach to work with remote, hybrid, field or...Remote workClaimsFull timePart timeWork at officeFlexible hours- ...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
Independence
Philadelphia, PA7 days ago - ...Payment Integrity Drg Coding & Clinical Validation Analyst... ...audits acute inpatient claims. Integrates medical chart... ...Code of Conduct, and leading to the Lifetime Way values... ...with cross functional teams or with business... ...: The opportunity for remote work may be possible for...Remote workClaimsWork experience placement
$66.94k - $101.26k
...steps. Our partner is looking for a Payment Integrity Analyst II based in the United States. This remote role focuses on ensuring healthcare claims are reviewed accurately, consistently... ...findings clearly to internal teams, clients, and senior stakeholders....Remote workClaimsWork at officeFlexible hoursJobgether
United States5 days ago$87.7k - $157.8k
...Monitor business processes and systems to assure integrity and compliance in billing and claims payment Lead teams of analysts to appropriately investigate all possible... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workClaimsFull timeContract workPart timeWork at officeImmediate startFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Payment Integrity Team Lead - QA & Claims. Be the first to apply!
Related searches
- key team leader Brooklyn, NY
- after school program leader Brooklyn, NY
- compliance team leader Brooklyn, NY
- team leader day shift Brooklyn, NY
- assistant team manager Brooklyn, NY
- worship leader Brooklyn, NY
- focus group leader Brooklyn, NY
- team lead data science Brooklyn, NY
- disability team leader Brooklyn, NY
- group operations manager Brooklyn, NY