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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, TX2 days ago$69.4k - $99.2k
...leadership 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...SuggestedFull timeContract workFlexible hoursGainwell Technologies LLC
Columbus, OH23 hours ago- ...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
Community Care Plan
Sunrise, FL1 day ago - ...Gainwell Technologies LLC is seeking a seasoned healthcare data professional to join our team, focusing on payment integrity and data mining to identify overpayments across dental, medical, and pharmacy claims. You will review guidelines and contracts, develop algorithms...SuggestedFlexible hours
Gainwell Technologies LLC
Columbus, OH22 hours ago - ...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....SuggestedRemote work
CorVel
United States1 day ago - ...Mosaic Life Care seeks a Payment Validation Analyst to ensure accurate payments from payors and validate line-item payments in Epic where needed, reporting to the Director of Revenue Integrity. You will analyze underpayments, price/contract discrepancies, and rebill projects...SuggestedContract workRemote work
Mosaic Life Care
Arkansas City, KS1 day ago - ...Mosaic Life Care is seeking a Payment Validation Analyst to ensure accurate payments from payors and manage line-item validation within Epic WQs. The role reports to the Director of Revenue Integrity and focuses on improving reimbursement accuracy across hospital financial...SuggestedRemote work
Mosaic Life Care
Minneota, MN2 days ago - ...Mosaic Life Care, a health care system serving northwest Missouri, seeks a Payment Validation Analyst to ensure accurate payment from payors. The role reports to the Director of Revenue Integrity and focuses on resolving contractual underpayments, price discrepancies,...SuggestedRemote work
Mosaic Life Care
New York, NY2 days ago - Oscar Health, Inc. seeks an Associate for its Payment Integrity team to drive process improvement and issue resolution across the claims environment. You will leverage deep knowledge of Oscar’s workflows, data models and policies to translate friction into actionable opportunities...SuggestedRemote job
- ...Texas Children’s Hospital is seeking a Payment Integrity Analyst II to help improve claims-payment accuracy and support cost- reduction initiatives. You will analyze data, identify payment trends, and develop solutions in partnership with internal teams and vendors. Responsibilities...Suggested
Texas Children's Hospital
Bellaire, TX1 day ago - ...Oscar Health is hiring a Senior Analyst to join the Payment Integrity team. This role supports process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity translates...SuggestedRemote work
Oscar Health
New York, NY1 day ago - ...Mosaic Life Care Payment Validation Analyst role focuses on ensuring accurate payor payments and line-level validation within Epic when applicable... ...practices, with oversight by the Director of Revenue Integrity. The role emphasizes resolving underpayments, price/contract...SuggestedContract workRemote work
Mosaic Life Care
Des Moines, IA1 day ago $132.8k - $188.5k
...Position 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 complex...SuggestedContract workLocal areaFlexible hoursJudi Health
Denver, CO3 days ago- ...strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. As a Payment Integrity Analyst II , you'll help improve claims-payment accuracy, support cost-reduction initiatives, and ensure compliance with payment policies...SuggestedContract work
- Texas Children's seeks a Payment Integrity Analyst II to improve claims-payment accuracy, support cost-reduction initiatives, and ensure policy compliance. You will analyze data, identify trends, and collaborate with internal teams and vendors to develop solutions that...Suggested
- ...Payment Integrity Analyst (COB) Required skills and experience: 1-3+ years of healthcare claims, benefits, COB, or payment integrity experience Understanding of payer operations and insurance coverage rules Experience analyzing healthcare claims data Strong attention...Work at office
- ...strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. As a Payment Integrity Analyst II , you’ll help improve claims-payment accuracy, support cost-reduction initiatives, and ensure compliance with payment policies...Contract workLocal area
$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...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX24 days ago- ...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...Work at office
Henry Ford Health
Troy, MI2 days ago - ...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
Prosidian Consultng
Alexandria, VA2 days ago $140k - $170k
...Mark McMullenPiper Companies is seeking a Senior Business Analyst, Merger Card Integration & Data Mapping to support complex credit card... ...years of experience in data analysis, data integration, payment processing, card operations, financial services technology...ZP Group
McLean, VA2 days ago- ...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
- ...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, and execution...Work at officeLocal areaRemote work
Neumo
Fort Wayne, IN3 days ago $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...Full timeContract workYoh, A Day & Zimmermann Company
Jersey City, NJ1 day ago$94.41k - $115.39k
Ready to help us transform healthcare? Bring your true colors to blue. The Role:The Payment Integrity Project Manager will report to the Program Manager, Payment Integrity and will lead the implementation of critical projects focused on improving how Blue Cross ensures...Full timeShift workBlue Cross and Blue Shield Association
Boston, MA3 days ago$49 per hour
...****@*****.*** *Heavy data analysis/integration *DBT or airflow is a plus * SWP is... ...experience Senior Systems Technical Analyst (Integration Focus) Job Description:\n... ...that appears suspicious or requests payment, contact Yoh directly before responding...Contract workWork at officeYoh, A Day & Zimmermann Company
Jersey City, NJ2 days ago- ...Payment Systems Business AnalystWe are seeking an experienced Payment Systems Business Analyst / Product Owner to lead the requirements gathering, implementation, and ongoing... ...payment systems, including in-store terminal integrations, card-present transactions, EMV/chip,...
JConnect Infotech
Lincolnshire, IL4 days ago - ...are seeking a detail-oriented Housing Compliance Data Analyst to support the accuracy, integrity, reporting, and day-to-day administration of... ...including unreported income and potentially fraudulent payments. Ensure required system information is entered and...Interim roleWork at office
VIA98 Workforce
Jacksonville, FL9 days ago - ...Job Title: Technical Business Analyst – Banking Location: Berkely Height, NJ ( Onsite)... ...• Strong understanding of Core banking /payments ecosystem) • Knowledge of card lifecycle... ...• API understanding (REST/OpenAPI) and integration concepts • MS Office (Excel-heavy reporting...Contract work
Envision Technology Solutions
Berkeley Heights, NJ13 hours ago - ...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...
