Average salary: $158,642 /yearly
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$200k - $250k
Are you ready to make an impact?Healthcare Payment Integrity DirectorWest Monroe has an immediate opportunity for a Director aligned to the Healthcare Practice. This role will focus on delivering business and technology consulting solutions for payer organizations, with...SuggestedLocal areaImmediate startFlexible hours$129.57k - $194.35k
...members, partners, colleagues and communities. Learn more about who we are at Point32Health.Job SummaryPosition will report into Payment Integrity’s Sr Manager Provider Audit.The Sr Data Scientist is responsible for delivering innovative, data-driven solutions through the...SuggestedFull timeWork experience placementWork at officeWork from home- Claims Cost Senior Manager HealthPartners is hiring a Claims Cost Senior Manager to manage a comprehensive claim cost containment area for HealthPartners. This role provides direct administrative support to Claims Department processes, new business initiatives and participates...Suggested
$66.94k - $101.26k
...Job Description Job Description The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX5 days ago- Job Description To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and coding requirements and post payment recoupment, to promote accuracy in claims payment and...Suggested
$206.4k - $258k
...learn more, visit Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area) Position Summary The Director, Payment Integrity will build and lead Judi Health's payment integrity program from inception, establishing the infrastructure, processes, and team...SuggestedLocal areaFlexible hours- Cotiviti seeks a Payment Accuracy Specialist 1 to audit client data and generate recoverable claims. You will work under supervision in... ...Cotiviti tools to identify overpayments and improve payment integrity. The role emphasizes data-driven analysis, collaboration with the...Suggested
- Shape the payment experience behind every pharmacy transaction! At Liberty Software, we proudly partner with client pharmacies across... ...software. We're excited to grow our team by hiring aPayment Integration Developer to own and advance Liberty’s credit card processing,...SuggestedH1bWork at office
$65k - $92k
# Payment Integrity AnalystClinical Audit & Revenue IntegrityRemoteJune 30, 2026$65,000 - $92,000 / yearFull TimeRemoteApplication ends: **August 31, 2026**Apply Now### Job Description**Location:** Remote (US-based)We are seeking a **Payment Integrity Analyst** to identify...SuggestedHourly payFull timeWork at officeLocal areaRemote workWork from homeMonday to Friday- The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing...SuggestedDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours
- ...development, inspiring solutions, and shaping the future with your strategic vision and influence.As a Client Integrations Product Director in Healthcare Payments, you lead innovation through the development of products and features that delight customers. As a leader on...Suggested
- ...future at Fiserv.We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world... ...a difference at Fiserv.Job TitleSenior Software Engineer - Integrated Payment Experience (IPX)About your role:Fiserv is a global leader...SuggestedFull timeWork at officeWorldwideMonday to Friday
- Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist Location: 100 % Remote, but Candidates must be based in EST or CST and must be comfortable working EST-hours Terms of Employment This position is 100% remote. Candidates must...SuggestedContract workRemote work
- Position Overview: TheManager of Payment Integrity servesas the bridge between clinicalexpertiseand business operations. This role evaluatespayment integrityprocesses as it relates to carrier reimbursements, supports operational decision‑making, ensures quality and compliance...Suggested
$107.7k - $199.3k
Position Purpose Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan. Manage internal and external vendors...SuggestedFull timePart timeWork at officeRemote workFlexible hours$112.7k - $193.2k
...revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.The Payment Integrity Platform organization is responsible for building and scaling the core technology platforms, workflows, and capabilities that...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work- Cambia Health Solutions is seeking a Payment Integrity Nurse I to review claims and medical records for accurate payments. The role supports post service review and coding guidelines within the Post Service Claim Review team. The position requires clinical experience, RN...Remote jobFlexible hours
- Cambia Health Solutions is seeking a Payment Integrity Nurse I to perform post service reviews of claims, ensuring accurate coding and appropriate reimbursements. You will apply medical policies and collaborate with physician advisors to support fair determinations. The...Remote job
- Liberty Software is looking for a Payment Integration Developer in Southlake, TX, to own and enhance the company's credit card processing and payment integrations. The ideal candidate has over 3 years of software development experience focusing on payment solutions, along...
$73.35k - $113.25k
...Job Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular duties and responsibilities of this role which is accurately reviewing pre and post pay claim audits...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX17 days ago- Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence. This executive will oversee...
- Client Experience Manager, Payment Integrity Atlanta, GA or Remote Rialtic is an enterprise software platform empowering health insurers and healthcare providers to run their most critical business functions. Founded in 2020 and backed by leading investors including Oak...Remote workWork from homeHome office
- Cambia Health Solutions in the United States is hiring a Payment Integrity Nurse I to review post-service claims and ensure accurate coding within defined medical policies. The role supports patient care while maintaining compliance and high-quality review standards. You...Remote jobWork from home
- Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence. The role reports to the executive...
$107.7k - $199.3k
...editing and retrospective audits to ensure accurate and timely payments of coding and pricing issues. Interpret audit results, develop... ...report stage. Design, develop, and implement internal payment integrity edit and audit programs, policies, and procedures. Monitor...Full timePart timeWork at officeRemote workFlexible hours$160k - $190k
Overview The Sr. Director of Payment Policy Management (PPM) Operations is responsible for overseeing the business operations within Cotiviti’s Payment business unit. This role plays a critical part in supporting sales, client engagement, business improvement, and operational...Temporary workWork at office$87.7k - $157.8k
...potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a team focused on expanded readmission... ...applying: 5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities,...Full timePart timeWork at officeRemote workFlexible hours- ...sufficient and receives no financial support from Harris Health or from Harris County taxpayers. JOB SUMMARY The Director of Payment Integrity Strategy and Operations provides strategic leadership and oversight in the design, execution, and optimization of Payment Integrity...Work experience placement
- A healthcare staffing agency is seeking a Payment Posting Specialist to ensure timely and accurate posting of accounts. The role includes... ...in CPT and ICD.9 codes. This position promotes revenue integrity and requires effective communication and data organization skills...
- Acclaim is building the payments infrastructure for insurance. We’re seeking a Solutions Engineer to help customers adopt Acclaim from... ...payment requirements into technical solutions and guiding integrations. In this hands-on, customer-facing role, you’ll work at the intersection...
