Remote Research Analyst, Medical Payments & Data Integrity
Providence Health Plan Group
Providence Health Plan Group is hiring a Research Analyst for remote positions, particularly in Portland, Oregon. The role involves creating solutions to enhance claims payment accuracy and working extensively with healthcare data and stakeholders. Candidates should have a Bachelor's degree and experience in performance improvement tools and claims processing. This position offers a unique opportunity to contribute to healthcare quality and efficiency while enjoying a supportive work environment with excellent benefits. #J-18808-Ljbffr
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- ...nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be... ...responsible for reviewing medical correspondences, analyzing... .... This is a non-phone, research-heavy role perfect for... ...attention to detail for data entry and record-keeping...Remote workDataMedicalContract work
- ...Business Analyst – Claims Payment Integrity Remote Contract Domain & Data Expertise (Required) Familiarity with Call Center datasets (member & provider contact... ...to EHR / Clinical datasets for validating medical necessity, care patterns, and crosswalks to claims...Remote workDataMedicalContract work
- ...Payment Integrity Product Development Specialist (SNF SME) At MedReview, our mission is to bring... ...who understands SNF regulations, medical necessity criteria, PDPM, MDS/RAI, and... ...commercial payors. ~ Familiarity with claims data, coding standards and documentation...Remote workDataMedical
- ...oversee and expand our Federal Payment Integrity business. This executive will... ...the use of technology, data analytics, and intelligent automation... ...regulatory requirements, and medical policy Industry best... ...San Francisco Bay Area or Remote within the United States....Remote workDataMedicalContract workTemporary work
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our... ...Identify Opportunities: Use claim data analysis to pinpoint high-impact edit... .... Translate Policy: Convert medical policy, CMS rules, and coding guidance...Remote workDataMedical- ...Summary We are seeking an experienced Payment Integrity Specialist to support healthcare claims... .... Analyze healthcare claims data, workflows, procedures, and outcomes to... ...CMS regulations and processes Medical coding Payment integrity programs...Remote workDataMedical
- ...Overview: The Pharmacy Payment Integrity Analyst plays a critical role in... ...and interpreting Pharmacy data to provide actionable insights... ...knowledge of clinical terminology, medical procedures, Pharmacy and... ...industry, clinical research or working clinical trials...Remote workDataMedicalWork experience placementLocal area
$69.4k - $99.2k
...Senior Data Mining & Payment Integrity Analyst Be part of a team that unleashes the power of leading-edge... ...improve claims accuracy across dental, medical, and pharmacy billing. Using your... ...team and mentor lower-level analysts. Research industry standard guidelines, State...Remote workDataMedicalFull timeContract workFlexible hours$24.2 - $36.3 per hour
...preventing inaccurate payments and reducing overall waste... ...-Payment Accuracy and Integrity and is HI-TRUST and... ...The Payment Integrity Analyst (Data Mining) supports the... ...opportunities to streamline research, improve data quality,... ...experience auditing medical claims to identify...Remote workDataMedicalFull timeContract workVisa sponsorship$66.94k - $101.26k
...Payment Integrity Analyst II The Payment Integrity Analyst is responsible for... ...or CMS guidelines. This is a remote position. Essential Functions... ...problem-solving and data analysis capabilities Proven... ...following areas required: Medical bill auditing Experience...Remote workDataMedicalMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$142k - $213k
...in the workplace: * Integrity * Accountability *... ...Build, lead and manage Payment Integrity operations, including... ...leadership * Drive data-driven decision-making... ..., and benefits. Medical billing/coding (CPT, HCPCS... ...Salary range will vary for remote positions outside of...Remote workDataMedicalContract workWork from homeVisa sponsorshipWork visaFlexible hours$51.06 - $73.9 per hour
...Senior Manager Payment Integrity SCAN began with a simple... ...care, care for the most medically and socially complex populations... ..., Finance, Provider Data, Network Management,... ...including escalated research issues and... ...Work Mode: Mostly Remote Medical Benefits...Remote workDataMedicalHourly payTemporary workWork at office$120k - $130k
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$69.38k - $92.28k
...role you'll use advanced data mining and analytical... ...techniques to identify improper payments, uncover cost savings... ...adjudication, payment integrity operations, or... ...payment integrity, or Medical Economics, especially in... ...You'll Be This is a remote position; however, candidates...Remote workDataMedicalLocal area- ...Data Mining Auditor Codoxo is the premier provider of artificial intelligence-driven... ...fraud, waste, and abuse and ensure payment integrity. Codoxo helps clients manage costs across... ...: The Data Mining Auditor performs medical claim audits to identify overpaid...Remote workDataMedicalContract workWork experience placementWork at officeLocal areaWork from homeHome office
$83.37k - $127.28k
...Location Address: Remote OfficeSanta Fe, NM 87501 Compensation Pay Range... ...Offer $127,275.20Now Hiring: Medical Economics Analyst-Payment Integrity Summary: Build your Career.... ...individual will leverage enterprise data assets, including claims and provider...Remote workDataMedicalTemporary workLocal areaMonday to FridayShift workWeekday work- Description **Medical Mutual employees must submit their... ...program within Payment Integrity. Manages Itemized Bill... ...analyzes department specific data reports, outcomes, and... ...you are working remote or in the office, employees... ...answer to Wall Street analysts or pay dividends to...Remote workDataMedicalCasual workWork at office
- ...JOB DESCRIPTION Job Title: Payment Integrity Project Specialist Hybrid (Onsite Cadence:... ...To Have Clinical editing. CMS Medical Coding Payment integrity.... ...varies for text messages. Message and data rates may apply. Carriers are not liable...Remote workDataMedical
- ...industry-leading programs in data analytics, customer acquisition... ...DAY ONE! Including 401K, Medical, Dental, Vision, Flexible time... ...Merchant Services + is a complete payment processing solution that... ...is critical role focused integrated payments on sourcing, signing...Remote workDataMedicalBase plus commissionPermanent employmentFull timeTemporary workFlexible hours
- ...Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop... ...This role involves identifying medical billing errors and fraudulent... ...collaborating with Medical Coders and Data Sciences teams. Candidates... ...companies. This position is remote within the United States. #J-1...Remote workDataMedical
- ...To enhance claims payment accuracy and integrity, the full-time salaried Medical Management Research Analyst will identify, develop, and implement solutions while working remotely from Oregon, Washington, or California... ...spending Analyze claims data and develop...Remote workDataMedicalFull time
$33.05 - $51.3 per hour
...Description Research Analyst - Remote Under the direction of the Head of Providence Health Plan (PHP) Payment Integrity (PI), the Research and Development... ...initiatives, analyzing claims data, developing a thorough... ...provider contracts, and medical coding practices....Remote workDataMedicalLocal area$128k - $145k
...Senior Software Engineer, Payment Integrity This is a great opportunity for an... ...with engineering, operations, and data science to build intelligent,... ...environment Pay & Perks: Fully remote opportunity with about 5% travel Medical, dental, vision, life,...Remote workDataMedicalFlexible hours$64.83k - $85.09k
Senior Analyst, Payment Integrity Disputes Remote Hi, we're Oscar. We're hiring a Senior Analyst... ...tooling, platform logic, data models, etc., to work... ...regarding policies and edits. Research industry standard coding... ...3+ years experience in medical coding Medical coding...Remote workDataMedicalFull timeContract workWork at office- ...innovations - think AI, automation and data transformation. We then bring... ..., and QlikSense to create integrated views/reports that can be... ...V&I, including V&I Global Medical and Value Capabilities (V&I GMVC... ..., and attempting to setup payment for the job seeker's new hire...Remote workDataMedicalFor contractorsWork at officeLocal area
$92.7k - $139.1k
...arrangements that include remote and hybrid... ...organization, you're an integral part of our team and your... ...depth analysis of claim payments and its methodology, identifying... ...as applicable. Ensure medical claims, records, and... ...opportunities using large data sets on multiple...Remote workDataMedicalContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week- ...Value Based Care Analyst for the Finance Managed... ...is a hybrid remote opportunity with occasional... ...for the accuracy, integrity of system-level data for the entirety of... ..., Value Based Payment Models, the technical... ...portals, Electronic Medical Records, and EDW/UDP...Remote workDataMedicalFull timeMonday to FridayShift work
- ...Business Intelligence Analyst/Developer This is a remote position. The... ...eligibility; provide medical, housing, food, and... ...processes for a reporting data mart named HAL (... ...Analytics and Data Integration) Unit housed within... ...(CCOs) to receive payment for health services...Remote workDataMedicalFor contractorsWork at officeLocal area
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