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$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...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX10 days ago$28.27 - $50.48 per hour
A healthcare organization in San Antonio seeks a Payment Integrity Coding Consultant to ensure medical coding accuracy and compliance. This role offers the flexibility to work remotely from anywhere in the U.S. Candidates should have a degree in Healthcare Administration...SuggestedRemote jobHourly pay$24.2 - $36.3 per hour
Color Employer, LLC is seeking a Payment Integrity Analyst to support its Data Mining program by investigating payment errors related to billing and coding processes. The role requires at least one year of experience in healthcare claims processing and data analytics. Key...SuggestedHourly pay$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, you will be responsible for expansively growing CGI's edits library and driving measurable value by identifying...SuggestedLocal areaRemote workCGI
Atlanta, GA4 days ago- EmblemHealth is seeking a candidate for a position that involves analyzing contracts in Enterprise Payment Integrity. This role requires managing vendor relationships and ensuring effective contract management across the organization. The ideal applicant will have a Bachelor...SuggestedContract work
$59.81k - $129.59k
...JOB DESCRIPTION Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution of operational initiatives...SuggestedTemporary workWork experience placementWork at officeMolina Healthcare
Starkville, MS2 days ago- ...Identify Pharmacy billing activities leading to improper payments. Review Pharmacy claims, insured members, or the broker community... ...billing, Pharmacy claims adjudication, Pharmacy auditing, payment integrity operations and/or healthcare reimbursement, CPhT, CPC, CCS or...SuggestedWork experience placement
Jobtailor
Wausau, WI1 day ago $68.04k - $118.8k
EmblemHealth in New York is seeking a professional to manage vendor contracts within Enterprise Payment Integrity. You will ensure contract compliance, perform root cause analysis, and coordinate with various internal units. The ideal candidate should hold a Bachelor’s...SuggestedContract work- General Summary Reporting to the Manager, Payment Variance and Resolution, the RI Analyst, Payment Variance and Resolution is responsible for maintenance... ...provider, and ambulatory revenue cycle operations. Revenue Integrity (RI) is a distinct function that drives proactive...SuggestedFull timeContract workWork at officeShift work
$66.94k - $101.26k
...Payment Integrity Analyst II 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. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews,...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- Analyst - Senior - Payment Integrity Unit Apply for the Analyst - Senior - Payment Integrity Unit role at Emergent Holdings. Responsibilities Identify and analyze operational data and develop insights in support of business objectives. Develop and improve workflows...SuggestedFull timeWork at office
$23.65 - $35.48 per hour
...to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling... ...recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 202...SuggestedFull timeVisa sponsorship- 6AM City, LLC is looking for a talented Data Analyst in False Pass, Alaska. The role focuses on analyzing customer-specific value... ...SQL and advanced Excel while improving models and supporting payment integrity processes in healthcare. The ideal candidate will have experience...Suggested
- ...Title: Business Analyst III Location: Indianapolis, IN Hybrid This role requires associates to be in-office 1 - 2 days per... ...business operations is strongly preferred. ~ Experience in payment integrity or recovery operations, including leakage analysis. ~...SuggestedFull timeTemporary workWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week
- A leading insurance provider in Detroit is seeking a Senior Analyst for their Payment Integrity Unit. The role requires expertise in analyzing operational data, enhancing workflows, and leading projects. Candidates should possess a Bachelor’s degree and four years of relevant...Suggested
$92.7k - $139.1k
...successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued... ...This Job Matters Conduct complex, in-depth analysis of claim payments and its methodology, identifying trends and patterns, to...Contract workWork at officeRemote workWork from homeFlexible hoursShift work2 days per week1 day per week$77k - $81k
Deluxe in Monterey Park, CA is seeking a Business Analyst to document requirements, analyze processes, and assess system changes impacting end users across M&A integrations. The role requires a Bachelor's degree in Business/IT, 2 years' BA experience, strong communication...- Deluxe Corporation is seeking a Technical Business Analyst to collaborate with key business stakeholders and technology partners to document... ...through user acceptance, supporting the delivery team in achieving business goals. #J-18808-Ljbffr First American Payments Systems
$69.4k - $99.2k
...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 across...Full timeContract workFlexible hoursPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Ce[...]
Job Description Summary The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG...Work experience placementRemote work- A financial services company in Houston, TX is seeking a Financial Payment Accuracy and Recovery Analyst III. This role involves ensuring accurate vendor payments according to contracts, conducting invoice audits, and providing financial analyses to recover improper payments...Contract work
$69.4k - $99.2k
...technologies to help improve the health and well-being of those most vulnerable in our country and communities. The Payment Integrity Analytics, Senior Analyst plays a critical, client-facing role supporting state Medicaid agencies by applying existing fraud, waste, and...Full timeWork at officeRemote workFlexible hoursGainwell Technologies LLC
Remote4 days ago- ...minds shaping the future of banking and payments in the US, Finzly makes bank transformation... ...passionate and driven Payments Business Analyst to join our growing team. This role... ...controls. Experience with APIs, payment integrations, and file-based payment processing. Exposure...Temporary work
Finzly
Charlotte, NC2 days ago - ...We are seeking Senior Payments Business Analysts with deep expertise in SAP IDoc-based payment integrations to support an enterprise-wide ISO 20022 and Hybrid Address migration initiative. This role requires hands‑on experience with legacy payment formats, complex field...Permanent employmentContract workLocal area
Robotics Technologies LLC
Jersey City, NJ3 days ago - ...Job role: Business Analyst - Payments Duration: 6+ months Contract Remote only CST/EST Note: Deep proficiency with Banking... ...migration Working internal SMEs in analyzing the data integration between multiple source systems and work with IDB IT team in...Contract workRemote work
Veracity
United States2 days ago $95k
Position: PMS Business Analyst Location: Rockville, MD (Onsite) Terms: Full Time Clearance... ...-driven IT services company and systems integrator supporting digital transformation and... ..., and business operations for the Payment Management System (PMS). Position Overview...Full timeTemporary workWork at officeFlexible hours- ...Role: Senior Payments Business Analyst (EDIFACT & ISO 20022 Mapping) Location: Jersey City, NJ - Onsite Job description: Primary... ...and transformation rules. • Collaborate with product, integration, and migration teams across regions. • Support testing,...
Lorven Technologies
Jersey City, NJ3 days ago - A healthcare organization is seeking an RI Analyst for Payment Variance and Resolution. This role requires a Bachelor's degree in a relevant field or extensive experience in Healthcare Revenue Cycle. Responsibilities include managing underpayment recovery strategies and...
- Business Analyst II - Commercial Claims Data Mining Shift: Monday - Friday The Business Analyst II is responsible for translating basic business needs into application software requirements. Identifies, analyzes, and validates overpayment recovery opportunities. Determines...Contract workTemporary workLocal areaMonday to FridayShift work
- ...Role: Business Analyst - Actimize IFM (Integrated Fraud Management) Location: NYC, NJ (Local candidates only). Type of hire: FTE/FTC.... ...knowledge of Anti-Money Laundering (AML), Fraud Prevention, and Payment's domain (FedNow, RTP, ISO 20022). Technical...Fixed term contractLocal area
Diverse Lynx
New York, NY1 day ago
