Senior Claims Integrity & Quality Analyst - Remote
Curative
- Remote job
Curative is seeking a Senior Claims Integrity & Quality Analyst in Austin, Texas to enhance claims accuracy and operational excellence in healthcare. This role involves conducting detailed audits of complex claims, collaborating with various operational teams, and utilizing advanced coding knowledge to ensure compliance and effectiveness. The ideal candidate will have a BA/BS degree, substantial experience in claims auditing, and relevant AAPC/AHIMA certifications. Join us to make a significant impact on the future of healthcare delivery. #J-18808-Ljbffr Curative
- Senior Claims Integrity & Quality Analyst At Curative, we're challenging the status quo in healthcare by removing barriers to care and creating a health... ...options Flexible spending accounts Flexible work options: remote and in-person opportunities Generous PTO policy plus 11...Remote workSeniorClaimsFull timeContract workFlexible hours
$28.27 - $50.48 per hour
...organization in San Antonio seeks a Payment Integrity Coding Consultant to ensure medical... ...This role offers the flexibility to work remotely from anywhere in the U.S. Candidates should... ...coding expertise, and tracking claims. Competitive hourly pay ranges from $28....Remote jobClaimsHourly pay- Valid8 Financial, Inc. is looking for a Senior Claims Integrity & Quality Analyst to enhance claims accuracy and operational excellence. This position plays a key role in auditing claims, ensuring compliance, and innovating within the claims organization. The ideal candidate...SeniorClaimsFlexible hours
$96.16k - $166.94k
...NTT DATA, Inc. is seeking a Salesforce Senior QA Analyst to be responsible for validating Salesforce changes and ensuring the integration with a new MDM platform. The applicant should... ...in testing APIs and integrations. This remote role offers a competitive salary range of...Remote workSeniorFlexible hours- ...seeking an experienced Senior Test / QA Analyst to support a... ...focused on health plan claims processing systems. This... ...compliance, and enterprise quality assurance... ...prior authorization integrations, manual review queues... ...working hours. Location: 100% Remote (US-based)...Remote workSeniorClaimsDaily paidFull time
$211.55k - $317.33k
...leading healthcare technology firm seeks a Senior Medical Director to provide strategic... ...for pre-payment edits and improve payment integrity. The role involves collaboration with executive... ...skills, and proven leadership. This remote position offers a competitive salary range...Remote workSeniorClaims- ...General Hospital is seeking a Senior Denials Specialist to lead... ...analysis, and resolution of denied claims. This role acts as a subject... ...nursing, coding, and revenue integrity teams. Candidates should have... ...This role supports a hybrid remote work schedule with full-time...Remote workSeniorClaimsFull time
- Norton Healthcare, Inc. is seeking a Sr. Revenue Integrity Pharmacy Analyst responsible for pharmacy charge audits, claims analysis, and collaboration with various teams to ensure compliance. This role offers a fully remote work opportunity for residents of select states...Remote jobSeniorClaims
- Cognizant is seeking a Senior Facets Integration Analyst to support the configuration and validation of the Facets core claims platform for a healthcare Proof of Concept. This remote role entails collaborating with various stakeholders and ensuring accurate claims processing...Remote jobSeniorClaims
$113k - $132k
Cognizant is seeking a Senior Facets Integration Analyst with hands-on expertise in Facets configuration for healthcare claims. This remote role involves supporting the configuration and validation of the Facets claims platform, collaborating with various teams to ensure...Remote jobSeniorClaims$120k - $140k
...BerryDunn is hiring a Senior Consultant focused on Medicaid program integrity and claims audits. The ideal candidate will provide assistance on risk assessments and... ...corrective action plans. This position allows for remote, hybrid, or on-site work. Preferred qualifications...Remote workSeniorClaims- ...leading technology consulting firm is seeking a Senior Analyst to join the Edits team. This remote role involves managing the edit development lifecycle... ...will have over 5 years of experience in payment integrity or claims analytics, and hold an active coding...Remote jobSeniorClaims
$113k - $132k
Cognizant is seeking a Senior Facets Integration Analyst to configure and validate the Facets core claims platform. In this remote role, you will focus on benefits setup and configuration accuracy while collaborating with various teams to ensure accurate claims adjudication...Remote jobSeniorClaims$113k - $132k
Cognizant is seeking a Senior Facets Claims Integration Engineer to implement and support healthcare claims integration. This remote position focuses on facilitating 837 and 835 transactions using the Facets HIPAA Gateway. Candidates should have hands-on experience with...Remote jobSeniorClaims$113k - $132k
Cognizant is seeking a Senior Facets Integration Analyst for a remote role focused on the Facets core claims platform within healthcare. The analyst will configure and validate claims processing scenarios, ensuring accuracy and alignment with real-world datasets. Applicants...Remote jobSeniorClaims$113k - $132k
Cognizant is hiring a Senior Facets Integration Analyst to support the configuration and validation of the Facets core claims platform. This remote position requires strong experience in Facets configuration and healthcare claims adjudication processes. Responsibilities...Remote jobSeniorClaims- ...A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1...Remote workSeniorClaims
$120k - $140k
...BerryDunn is seeking a Senior Consultant with expertise in Medicaid program integrity and claims audits. The role involves assisting clients in detecting fraud and conducting... ...ensuring compliance with federal regulations. Remote, hybrid, or office work is available, primarily...Remote workSeniorClaimsWork at office$113k - $132k
Senior Facets Integration Analyst Location: Remote Employment Type: Full-Time Job ID: 00068642041 About the role As a Senior Facets Integration Analyst, you... ...the configuration and validation of the Facets core claims platform for a healthcare Proof of Concept (POC)....Remote workSeniorClaimsFull timeTemporary work$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing Edits team. In this pivotal role... ...Development & Implementation Identify Opportunities: Use claim data analysis to pinpoint high-impact edit...Remote workSeniorClaims- ...experience. Perform Root Cause Analysis (RCA) to resolve payment integrity issues to resolution. Initiate project requests, develop or... ...skills to complete related projects and assignments. Initiate claims to determine under and overpayments, presents outcomes and...Remote workSeniorClaimsContract workInterim role
- ...Senior Director, Claims & Payment Integrity Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and... ...payment accuracy. Key Outcomes: Drives quality, timely claims processing to allow the health plan to...Remote workSeniorClaimsTemporary work
$71.7k - $103.73k
...Founded in 1977 as the Senior Care Action Network,... ...Medicare Advantage, fully integrated care models, primary... ...Job The Senior Quality Analyst is a key contributor... ...Familiarity with claims, encounter, and EMR data... ...~ Work Mode: Mostly Remote ~ An annual employee...Remote workSeniorClaimsFor contractors- ...Integration Developer Founded in 1989, United Automobile... ...to providing quality service to our agents... ...underwriting, and strategic claims handling. Our ongoing... ...are seeking a skilled Senior Guidewire Integration... ...This position offers a remote work arrangement, allowing...Remote workSeniorClaimsTemporary workFlexible hours
$113k - $132k
Senior Facets Claims Integration Engineer - Healthcare Location: Remote Employment Type: Full‑Time Job ID: 00068642151 Job Title: Facets Integration Engineer (Healthcare Claims) About the role As a Facets Integration Engineer, you will make an impact by implementing...Remote workSeniorClaimsFull timeTemporary work$165k - $225k
...Senior Backend Engineer - Client Integrations (USA) New York, NY. Remote US. About Kalepa: Insurance is a $7T global industry built on professional labor: underwriting, claims, pricing, operations, and distribution. Kalepa is building AI that can perform that...Remote workSeniorClaimsWork at office$112.8k - $188k
...Senior Advisor As a Senior Advisor, you'll provide strategy and... ...support for the Payment Integrity team inclusive of evaluating... ...operations, clinical, network, claims, product and vendor teams to... ...analytics by improving data quality, strengthening controls, and...Remote workSeniorClaimsWork from home$69.4k - $99.2k
...Senior Analyst - Payment Integrity Analytics Be part of a team that unleashes the power... ...models to Medicaid claims data and delivering monthly... ...model performance and data quality. Recommend enhancements, modifications... ...OIG stakeholders Fully remote opportunity with the...Remote workSeniorClaimsFull timeWork at officeFlexible hours$140k - $180k
...at Cresta. ABOUT THE ROLE The Senior Brand & Integrated Campaigns Manager is a brand-new role... ...office stipend to help you succeed in a remote environment. Lunches and dinners... ...from the @cresta.ai domain. Any outreach claiming to be from Cresta via other sources...Remote workSeniorClaimsWork at officeWork from homeHome officeFlexible hours$51.06 - $73.9 per hour
...Senior Manager Payment Integrity SCAN began with a simple but radical idea: that older adults deserve to... ...Enrollment, Billing, Authorizations, Claims, Encounters, Member Services, Finance... ...73.90 per hour. Work Mode: Mostly Remote. Medical Benefits. Paid Sick Time...Remote workSeniorClaimsHourly payTemporary workWork at office
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