Senior Analyst, Payment Integrity - Remote
pofft
- Remote job
Oscar is hiring a Senior Analyst to support Payment Integrity by improving reimbursement policies, edits, and workflows. The role requires deep knowledge of Oscar's claim infrastructure and cross-functional collaboration to translate stakeholder friction into actionable improvements. Responsibilities include researching coding rules, analyzing data for opportunities, and delivering solutions with partners. This is a flexible remote position with potential hybrid future options. #J-18808-Ljbffr pofft
- ...29182714Reference Number: 26-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika ChaudharyContact... ...)/ New York (Brillio)/ Last option is remote Experience- 7+ Years We are seeking an...Remote workSeniorContract work
$68.9k - $131.1k
...the future of aerospace and defense.Senior, DT COTS Integration Analyst (internally Senior Analyst, Business... ...is designated as on-site, hybrid or remote.The salary range for this role is 68... ...a collective-bargaining agreement. Payments under these annual programs are not...Remote workSeniorContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours$96.8k - $145.2k
...apply now.We are currently seeking a Senior Business Systems Analyst - Data Integration (Data Connect) (FTE / Onsite... ...needs. While many positions offer remote or hybrid work options, these arrangements... ...recruiters will never ask for payment or banking information and will...Remote workSeniorFull timeTemporary workWork experience placementWork at officeFlexible hours$56.2k - $101k
...management experience preferred. Benefits and Payment Configuration: Compliance Coding/Prepay Compliance (Payment Integrity): Bachelor’s degree in related field or... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workFull timePart timeWork at officeFlexible hours$66.94k - $101.26k
...The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay... ...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 hours- ...an accommodation or an alternative application process. Sr Payment Integrity Analyst Full Time Staff South Florida Community Care Network, LLC,... ...Position Summary: Community Care Plan is seeking an experienced Senior Payment Integrity Analyst to join our team. This role will...Remote workSeniorFull timeContract workWork experience placement
- 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 audits, documentation review, and coordination with clinical teams.The...Remote job
- CorVel is seeking a Payment Integrity Analyst to conduct pre- and post-pay claim audits in accordance with client policies and CMS guidelines. This remote role emphasizes clinical judgment, accuracy, and adherence to payer standards across multiple audit types, including...Remote job
- Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payer reimbursement. The role involves analyzing contracts, resolving underpayments, and coordinating with Revenue Integrity and CDM teams to implement fee schedule corrections. Strong CPT/HCPCS...Remote job
$69.4k - $99.2k
...leadership and technical development academies to help build your skills and capabilities. Summary As a Senior Data Mining & Payment Integrity Analyst , you will design and develop data mining concepts that identify improper payments and improve claims accuracy...SeniorFull timeContract workFlexible hours$92.7k - $148.4k
...Exciting Opportunity at MSK: Sr. Revenue Integrity Analyst - Provider Education At Memorial Sloan... ...patient care experience. The Senior Revenue Integrity Analyst serves as a trusted... ...Monday - Friday Location: Hybrid; Primary remote with on site as needed at 633 Third Avenue...Remote workSeniorFull timeMonday to Friday$73.35k - $113.25k
...Job Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the... ...various healthcare policies. 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 hours$107.8k - $151.8k
...-changing environment. We're remote-first, with office spaces in... ...the analytics owner for BILL's payments products within Payments and... ...Present with confidence to senior stakeholders, and hold your ground... ...evaluation, our Candidate Integrity Policy prohibits the use of unapproved...Remote workSeniorFull timeTemporary workWork at officeFlexible hours- Velora seeks a Senior Payments Risk Analyst to own fraud and risk for Aplos Pay. You’ll monitor transactions daily and design scalable rules, automation, and AI-driven improvements with engineering, CS, and IT/compliance partners. You’ll operate as a one-person team, collaborating...Remote jobSenior
$91.7k - $163.7k
.... Connecting. Growing together. As part of Optum's Payment Integrity Decision Intelligence team, the Senior Data Scientist will support our mission to drive medical... ...processes. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal area$112.7k - $193.2k
...Caring. Connecting. Growing together.The Senior Product Manager is a strategic product... ...the product strategy for one of Optum Payment Integrity's Intelligent Fraud Detection products.... ...execution.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$112.7k - $193.2k
...Caring. Connecting. Growing together.The Senior Product Manager is a strategic product... ...the product strategy for one of Optum Payment Integrity's Professional Claim Review products. These... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$75k - $90k
...guidelines, pricing rules, and claim payment methodologies. The ideal... ...) Location: 100% Remote (U.S.-based) Up to 10% annual... ...healthcare auditing, Payment Integrity, coding, claim quality review... ...level employee is assigned a senior-level professional as an advisor...Remote workContract workTraineeship- Senior Business Analyst - EPIC Integration We are seeking an experienced Sr. Epic Business Systems Analyst in a consulting role to join our engineering team... ...late evening interactions with partners and remote teams. Bachelor's degree in IT, Computer Science, Analytics...Remote workSeniorAfternoon shift
$108.88k - $163.32k
...Store Ops/E‑com, Supply Chain), the Tech Data team, and our System Integrator. This lead role will have ownership of understanding and... ...schedule includes 3 in‑person days at one of our core locations and 2 remote days. Core office locations include Salisbury, NC, Quincy, MA,...Remote workSeniorFull timeWork at officeFlexible hours$70k - $80k
...TouchSuite is seeking a Senior Payment Risk Analyst to join our high-impact team. The opportunity is located in Boca Raton, FL - Remote opportunities may be considered. If you thrive in fast paced environments, love solving complex problems, and want to drive innovation...Remote workSeniorFull time$120k - $147k
...Employee Assistance Program. ROLE OVERVIEW The Sr. Data Integration Analyst serves as the authoritative leader for data integration and... ...status protected by local, state, or federal law. #LI-Remote #LI-BA1 LifeStance is an equal opportunity employer. We...Remote workSeniorFull timeTemporary workLocal area$110k - $131.5k
...Services, Inc. (UTRS) is currently seeking a Database Integration & Data Automation Senior Analyst to join our team! At UTRS, we enjoy the benefits of working... .../reporting solutions. This position is Remote. What will you be doing? This position will be...Remote workSeniorFull time$50 - $100 per hour
Job Description: Senior Data Migration & Integration Consultant Company: Confidential AC Location: Remote (U.S.) Position Type: Contract (90-day initial engagement with potential... ...Engineer ETL Developer Data Conversion Analyst SQL Developer Database Analyst Data...Remote workSeniorContract workImmediate start- ...overpayment identification with direct engagement of carrier analyst teams. It is designed to complement our clinical review... ...clinical adjudication. POSITION SUMMARY As a Senior Payment Integrity Analyst on 4C Digital Health’s payment integrity team, you...Senior
$110.5k - $150k
...Job Description A bit about this role: The Senior Manager of Payment Integrity is responsible for data-driven research and root-cause analyses... ...productivity, efficiency, and operational accuracy. #LI-DS1 #LI-Remote Salary range: $110,500 - $150,000 /year The pay...Remote workSeniorFull timeContract workInternship$56.6k - $132.1k
Senior Payment Integrity Analyst – Claims Editing Position Description CGI is seeking an experienced Senior Analyst, Edits to join our growing Payment Integrity team. In this role, you will help expand CGI’s claims edits library by identifying, developing, implementing...SeniorLocal area$119.1k - $163.8k
...will make history here...We are seeking an experienced EDI/B2B Integration Analyst to support and enhance critical business integrations across... ...trading partners.Hybrid work schedule, will consider fully remote for the right candidate. Preference given to candidates in...Remote workSeniorFull timeTemporary workImmediate startVisa sponsorship$132.4k - $251.6k
...team within Engineering Product Integrity is seeking a motivated and... ...fleets.System Safety Discipline analyst, leading the fleet in... ...designated as on-site, hybrid or remote.The salary range for this role... ...collective-bargaining agreement. Payments under these annual programs...Remote workSeniorContract workTemporary workWork experience placementWork at officeFlexible hours- ...payer-provider contracts and reimbursement policies, the remote Senior Contract Analyst will manage contract documentation, identify audit... ...professional experience 5+ years of experience in healthcare payment integrity, provider contracting, or claims auditing Ability to...Remote workSeniorContract work
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