Payment Integrity Specialist Claims & Data Insights
Oscar Health
Oscar Health seeks a claims analytics professional to support process improvement and issue resolution in the Oscar claim environment for Oscar Insurance and +Oscar clients. You will translate stakeholder friction into actionable opportunities using deep knowledge of claim infrastructure, workflows, and data models. You will provide SME on Payment Integrity edits, respond to inquiries, document coding rules, and collaborate with partners to scope improvements, deriving insights to guide policy #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Payment Integrity Specialist Claims & Data Insights in New York, NY vacancy
- Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must... ...warrants a change in claim payment. This is a non-phone,... ...Exceptional attention to detail for data entry and record-keeping. Preferred...DataClaimsContract workRemote work
- ...Health is seeking an Associate to join our Payment Integrity team. This role supports process improvement and issue resolution in the Oscar claim environment for both Oscar Insurance and... ...of claim infrastructure, workflows and data models to translate friction into...DataClaimsRemote work
Oscar Health
New York, NY1 day ago - ...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... ...include analyzing medical records, handling claims, and utilizing systems like Facets and NASCO. Ideal applicants...ClaimsContract workRemote work
nTech Workforce
New York, NY3 days ago $240k - $265k
...is seeking a Vice President, Payment Integrity to own the strategy, market positioning... ...payment integrity strategy, claims accuracy, payment policy, and... ...analytics strategy and insight-driven innovation for payment... ...in partnership with Data teams Ensure alignment across...DataClaimsPermanent employmentFull timeWork at officeRemote workHealthEdge
New York, NY2 days ago- MedReview Inc. is seeking an Outpatient Payment Integrity Production Coder to perform claim-level outpatient coding reviews, ensuring accuracy, defensible audit findings, and client savings. You will apply CPT/HCPCS, ICD-10-CM, NCCI, and CMS guidance to identify overpayments...Claims
$124.4k - $207.4k
...Summary Pfizer’s Specialty Care Integrated Insights & Strategy (IIS) team is... ...strategy, delivering real-time, data-driven signals to field-... ...commercial data sources such as claims, specialty pharmacy, hub and... ...Sunshine Act Pfizer reports payments and other transfers of value...DataClaimsPermanent employmentH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation package2 days per week3 days per weekPfizer
New York, NY5 days ago$162.9k - $271.5k
...Pfizer is seeking a Director of Integrated Insights & Strategy (IIS) to lead... ...research and integrated secondary data analytics support these... ...sets (for example sales claims EHR payer) to generate actionable... ...Act Pfizer reports payments and other transfers of value...DataClaimsPermanent employmentFull timeH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageShift workPfizer
New York, NY22 days ago$44.37 - $57.97 per hour
...complete and accurate charge capture before claim finalization. Reviews physician operative... ...teams. This role is part of Revenue Integrity and collaborates with OR/Cath/IR departments... ..., negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive...DataClaimsFull timeTemporary workPart timeFlexible hours$98k - $140.25k
...connect, transact, and complete payments, whether they are online or... .... Job Summary The Senior Specialist, Integrated Marketing will be a key player... ...goals Analyze marketing data to identify trends and opportunities... ...strategies Provide insights and recommendations for optimizing...DataWork at officeLocal areaImmediate startFlexible hoursHoney
New York, NY1 day ago$60.2k - $100.4k
...GCA) harnesses the power of data and insights to inform some of Pfizer’s most... ...analytics environments Integrate insights across multiple sources... ...including customer, sales, claims or field analytics... ...Sunshine Act Pfizer reports payments and other transfers of value...DataClaimsPermanent employmentInternshipH1bLocal areaVisa sponsorshipWork visaRelocation packagePfizer
New York, NY4 days ago- ...AI with clinical, payment, regulatory, and policy... ..., auditable insights in milliseconds across real-time claims workflows. Lyric augments... ...(Post-Pay), Specialist is the primary client... ...-payment payment integrity continuum,... ...of Benefits (COB), data mining, DRG and coding...DataClaimsContract workVisa sponsorship
$172k - $355k
...analyze, and act on their data and applications... ...cloud, so they can turn insights into outcomes at the speed... ....The CloudOps Channel Specialist is a strategic partner... ...of any third party claiming to represent the... ...information or make any payments and report the incident...DataClaimsFull timeWork experience placementWork at officeLocal areaImmediate start2 days per weekHewlett Packard Enterprise
New York, NY1 day ago- ...Join a team using innovation and insight to make a real impact on the... ...of health, material and data science that change patients’... ...maintaining the highest standards of integrity and professionalism in our... ...recruitment schemes that falsely claim to represent Solventum and seek...DataClaimsRemote work
Solventum
New York, NY5 days ago $49.6k - $74.41k
...vision is to be a dynamic, integrated professional services... ...subject matter specialists and operations executives... ...up on unpaid Medicare claims. This role involves processing... ...and reconcile payments with Medicare remittance... ...to analyze complex data, identify patterns, and...DataClaimsHourly payTemporary workWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hoursQHR Health, LLC dba Ovation Healthcare
New York, NY1 day ago$50.24k - $69.08k
...team using innovation and insight to make a real impact... ...Facility Homecare Specialist (Kaiser SME) - Remote (... ...of health, material and data science that change patients... ...highest standards of integrity and professionalism in... ...recruitment schemes that falsely claim to represent Solventum...DataClaimsH1bRemote workRelocation packageFlexible hoursShift workUSA SOLVENTUM US LLC
New York, NY1 day ago$104.8k - $144.1k
...team using innovation and insight to make a real impact... ...health, material and data science that change patients... ...Advanced Wound Care Specialist , you will have the... ...the highest standards of integrity and professionalism in... ...recruitment schemes that falsely claim to represent Solventum...DataClaimsH1bWork at officeRelocation packageFlexible hoursNight shiftSOLVENTUM
New York, NY5 days ago- ...serves as a mentor to junior specialists and a key interface with... ...production reports and insights for management; Leverage data analytics to improve... ...CAP reviews for quality claims with the QM team. Facilitate... ...personal and professional integrity and ethics. Passion for product...DataClaimsWork at officeOverseas
VF Corporation
New York, NY5 days ago $126.4k - $173.8k
...team using innovation and insight to make a real impact... ...health, material and data science that change patients... ...Infection Prevention Specialist, Peri-op , you will... ...the highest standards of integrity and professionalism in... ...recruitment schemes that falsely claim to represent Solventum...DataClaimsContract workH1bLocal areaRelocation packageFlexible hoursNight shiftSolventum-
New York, NY4 days ago- ...detail-oriented, organized, and motivated Payment Posting Specialist to join our team on a temporary/... ...important role in maintaining revenue integrity, reducing accounts receivable (AR)... ...Support Review denied and underpaid claims and conduct research as needed. Support...ClaimsContract workTemporary work
$126.4k - $173.8k
...team using innovation and insight to make a real impact... ...: Infection Prevention Specialist, Peri-op (Solventum) 3M... ...health, material and data science that change patients... ...highest standards of integrity and professionalism in... ...schemes that falsely claim to represent Solventum...DataClaimsContract workH1bWork at officeRemote workRelocation packageFlexible hoursNight shiftSOLVENTUM
New York, NY4 days ago- ...company or individual claiming to recruit on behalf of... ...looking for a Churn Specialist to help us get closer... ...customer lifecycle and turn data into initiatives that... ...research, surface insights, and identify patterns... ...also use Revolut for payments, so we are open to hiring...DataClaimsRemote jobFull timePart timeCurrently hiringHome office
$51k - $82k
...leading mission capability integrator and transformative... ...Overview Performs data analysis, investigation... ...to add an Admin Action Specialist to our SGS team of talented... ...as it relates to payment suspensions, revocations... ...in reviewing claims, performing medical reviews...DataClaimsContract workTemporary workFor contractorsRemote workShift workNight shiftPeraton
New York, NY3 days ago- ...Program, and more What You Will Do The Revenue Integrity Specialist supports revenue optimization, regulatory... ...functions, including CPT, documentation review, and claim denial review. Review's documentation, abstract data, and ensure charges/coding are in alignment...DataClaimsRemote workMonday to Friday
- ...values of excellence, integrity, compassion, and teamwork... ...a Technical Denials Specialist! This position is remote... ...appeals to payers when payment is denied including escalation... ...expectations for data quality, customer service... ...of third Party claim filing, contract reimbursement...DataClaimsFull timeContract workWork at officeLocal areaRemote workFlexible hoursDay shift
$55k - $68k
...Workforce Management Specialist owns capacity planning... ...forecasting models from clean data and trusts the numbers... ...and Operational Insights Produce weekly and... ...will never ask you for payment or sensitive personal... ...encounter any communications claiming to be from DrFirst...DataClaimsTemporary workSeasonal workImmediate startRemote workFlexible hours- ...Infinx is seeking a Revenue Cycle Specialist to join our remote team. You will process, review, and file insurance to claim payment resolutions, and assist patients with billing questions... ...claims processing, entering insurance data, submitting claims, and following up with...DataClaimsRemote work
Infinx Inc
New York, NY2 days ago $112.7k - $177.6k
...including underwriting, pricing, claims, operations, reinsurance, and... ...and providing forward-looking insights, you will have a direct impact... ...Microsoft Office skills for data extraction, manipulation, reporting... ...AXA XL, Sustainability is integral to our business strategy. In...DataClaimsWork experience placementWork at officeFlexible hoursAXA Group
New York, NY3 days ago- ...Are Centauri delivers data-driven technology solutions... ..., advanced data insights, and intelligent clinical... ...Bilingual Disability Specialists. If you find deep... ...management, disability/claims processing, using contact... ...eligible to receive bonus payments for exceptional...DataClaimsRemote work
Centauri Health Solutions Inc
New York, NY2 days ago - ...About the Role We're looking for a Trust & Integrity Specialist to protect the integrity of the patient... ...Monitor patient feedback, escalation data, and operational signals to identify... ...root causes, and repeat issues; surface insights to CX leadership with recommended mitigations...DataWork at office
OpenKrill
New York, NY2 days ago - ...-in-one financial B2B solution that integrates banking functions, accounting, financial... ..., of course, our business. Senior Specialist, T2 (Target2) Payment Operations Location: Remote in... ...(U2A/A2A), maintain CRDM reference data, and set up four-eyes controls and the...DataRemote workWorldwide
OpenKrill
New York, NY3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Payment Integrity Specialist Claims & Data Insights. Be the first to apply!
Related searches
- graduation specialist New York, NY
- cybersecurity specialist New York, NY
- deduction specialist New York, NY
- entry level safety specialist New York, NY
- disclosure specialist New York, NY
- gaming specialist New York, NY
- community relations specialist New York, NY
- creative specialist New York, NY
- transition specialist New York, NY
- cash posting specialist New York, NY