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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 hours- Job ID: 29182714Reference Number: 26-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika ChaudharyContact Email: ****@*****.*** Phone: (***) ***-****Company...SuggestedContract workRemote work
- ...Community Care Plan is seeking an experienced Senior Payment Integrity Analyst to serve as a key business lead for payment integrity across our Medicaid and Marketplace lines of business . In this role, you’ll help drive strategies that prevent, detect, and recover...SuggestedFull timeContract workWork experience placementRemote work
$75k - $90k
...client requirements, coding guidelines, pricing rules, and claim payment methodologies. The ideal candidate brings strong healthcare... ...of experience in medical claims, healthcare auditing, Payment Integrity, coding, claim quality review, or related healthcare operations...SuggestedFull timeContract workTraineeshipRemote work$66.94k - $101.26k
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 & RESPONSIBILITIES: Reviews, analyzes, and...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours- CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning audits, documentation review, and coordination with clinical teams.The...SuggestedRemote job
- ...analysis. Essential Functions Coordinate with vendors to review findings and identify methods to increase claims payment accuracy and integrity. Ability to manage and resolve conflicting points of view from providers and internal departments (includes appeals...SuggestedFull timeShift workWeekend work
$76.9k - $100k
...delivering the highest value to those who need it most. Clover’s Payment Integrity team is responsible for ensuring claims are paid accurately,... ...requirements. We’re looking for a Payment Integrity Analyst who brings strong Medicare Advantage claims and reimbursement...SuggestedFull timeContract workWork experience placementWork at officeRemote workFlexible hours$80k - $120k
...intelligence company with expertise across the payment continuum, delivering unmatched value,... ...Team, the Concept Development Analyst applies subject matter expertise across... ...maintenance, testing, and optimization of payment integrity audit concepts. This role works closely...SuggestedFull timeWork at officeRemote workFlexible hours$110.6k - $188.5k
...Summary: We are seeking a highly analytical Analyst to join our Analytics team and support pharmacy claims integrity, adjudication validation, and operational... ...financial reconciliation, contract compliance, or payment-integrity analysis. ~ Ability to interpret...SuggestedFull timeContract workLocal areaFlexible hours$96.8k - $145.2k
...apply now.We are currently seeking a Senior Business Systems Analyst - Data Integration (Data Connect) (FTE / Onsite Interview) to join our team... ...and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed...SuggestedFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours- DescriptionSummary:The QA Testing Analyst - Senior is responsible for leading quality assurance activities for complex payments organization platform initiatives across multiple applications, integrations, and development environments. This role owns end-to-end test planning...SuggestedFull timeH1bWork at officeRemote workWork from homeFlexible hours
- ...collaborates with CBO teams and payors to enhance efficiencies. Focus on payment accuracy, reconciliation, and process optimization. This role... ...experience requiredPreferably within a large, complex, integrated healthcare organizationRequired Skills & KnowledgeStrong...SuggestedWork at office
- ...Senior Business Analyst – Credit Card Integration & Data Mapping Location: Tysons, VA – Hybrid (approximately 50% onsite) Employment Type: Full... ...in business analysis, card operations, card servicing, payments, or a related technical financial-services environment....SuggestedFull time
- ...end testing, and build and execute automated test cases for our payments platform, including web-based applications, APIs, and physical... ...2-5 years of experience in a QA role, including: ~ System, integration, and user acceptance testing ~ Test plans, documentation,...SuggestedWork at officeLocal areaRemote work
- ...Payment Integrity Drg Coding & Clinical Validation Analyst 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...Work experience placementRemote work
- ...the ProSidian website at DescriptionProSidian Seeks a Data Integration Analyst | Learning Management System (LMS) & Training Support - E-learning... ..., 10 ProSidian holidays, and government holidays..Pre-Tax Payment Programs: Pre-Tax Payment Programs are premium-only plans (...Full timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours
$60 per hour
...Top Must haves: *7+ or more years of analyst experience ideally Financial Services experience *Heavy data analysis/integration, Strong SQL experience *DBT or airflow is... ...communication that appears suspicious or requests payment, contact Yoh directly before responding or...Contract work$69.4k - $99.2k
...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 hours- ...Agent Builder -a development toolkit for fungible agents integrated into enterprise systems; and the Agent Marketplace -an internal... ...in the AWS Partner Network. Job Title- Business Analyst – Banking & Payments Location: Berkeley Heights, NJ (Onsite) Ideal...Full time
- ...JOB DESCRIPTION You are excited to utilize your background in Payments and as a trusted sales professional to make an impact. You have... ...with internal teams to ensure seamless onboarding and integration of suppliers into the commercial card program. Track and report...
$89.25k - $150.25k
...Risk ManagementCompany: American ExpressDescriptionThe Rewards Integrity Team within Membership Rewards is a part of Proprietary... ...Analytics, or a related fieldExperience in financial services, payments, or risk-focused environmentsFamiliarity with large-scale data...- ...: 25911331Reference Number: 25-00799Title: Business Analyst - Cloud Modernization (Banking & Payments)Location: Troy, MIPosted Date: 2025-07-17Contact: Mahi... ...and banking operations. Support the design of integration points between legacy systems and new cloud platforms...
$111.17k - $181.17k
...organization, apply now.We are currently seeking a Senior Business Analyst - Payments Transformation (Wire Payments) to join our team in the... ...modernization.Support data mapping, message standards, and integration design.Identify operational, regulatory, and settlement...Temporary workWork at officeRemote workFlexible hours- ...Business Analyst - Payments Duration: 6+ months Contract Remote only CST/EST Note: Deep proficiency with Banking Payment process... ...data migration Working internal SMEs in analyzing the data integration between multiple source systems and work with IDB IT team...Contract workRemote work
$155,000 per week
Everpure, Inc. is seeking a Senior Payment Application Analyst to lead the design, analysis, and optimization of payment workflows for data-driven... ...closely with data engineers and consultants. You’ll integrate payment data into cloud analytics platforms, build dashboards...Flexible hours$79.6k - $156.7k
Lead Business Systems Analyst - Data & Payments - Local to Dallas or Pittsburgh Position Description This role can be filled from the... ...for proposed changes to business processes, applications, integrations, data structures, and reporting solutions. . Identify...Local area- ...Agent Builder -a development toolkit for fungible agents integrated into enterprise systems; and the Agent Marketplace -an internal... ...make your application promptly. Job Title- Business Analyst – Banking & Payments Location: Berkeley Heights, NJ (Onsite) Ideal...
- ...overpayment identification with direct engagement of carrier analyst teams. It is designed to complement our clinical review strength... ...adjudication. POSITION SUMMARY As a Senior Payment Integrity Analyst on 4C Digital Health’s payment integrity team, you own...
$101.1k - $115.4k
...Sr. Business Analyst - Global Payment Network Summary: The Global Payment Network is a unique network built for global connectivity... ...risk management Strong business judgment, leadership and integrity: He/she should be a tenacious decision maker, able to bring...Full timeTemporary workPart timeLocal area







