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Payment Integrity Remote Jobs

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14 fresh jobs found
Senior Specialist, Payment Integrity
Remote Oscar logo Oscar
Healthcare Claims Health care operations Payment Integrity Dispute resolution Business Insights Technology Platform Knowledge Management Lean Six Sigma Medical Coding +32
Senior Full Time
USD 59K+
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Senior Specialist, Payment Policy
Remote Oscar logo Oscar
Payment policy Healthcare Claims Health care operations Payment Integrity Business Insights Technology Platform Knowledge Management Lean Six Sigma Medical Coding +32
Senior Full Time
USD 59K+
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Senior Manager, Payment Integrity
Remote Oscar logo Oscar
Operational frameworks Healthcare Claims Payment Integrity Quality audits OKRs Technology Platform Lean Six Sigma Performance Indicators Medical Coding +29
Senior Full Time
USD 107K+
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Medical Policy Analyst
Remote-MO, United States Centene Corporation logo Centene Corporation
Medical literature research Abuse management Medical policy development Clinical Practice Guidelines Technology assessments Waste management Evidence-based medicine Fraud Management Payment Integrity +18
Entry Mid Full Time
USD 68K+
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VP Engineering (Data Strategy & Product Management)
Remote, United States Cotiviti logo Cotiviti
Fihr Cloudera Healthcare Data Management Data Normalization Big Data Solutions Data Fabric Healthcare data analysis Data Mesh Payment Integrity +51
Exec Senior Full Time
USD 180K+
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Payment Integrity Clinician - (Remote)
PA, Working at Home - Pennsylvania, United States Highmark Health logo Highmark Health
Coding criteria Medical Policies Medical Documentation Payment Integrity Health care services Claims analysis Provider education Utilization management Quality improvement +11
Senior Mid Full Time
USD 57K+
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Payment Accuracy Specialist*
Remote, United States Cotiviti logo Cotiviti
Claims auditing Payment accuracy Large data sets Payment Integrity Healthcare Billing Payment Exchange Healthcare industry Retail +24
Entry Mid Full Time
USD 42K+
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Clinical Reviewer, Advisor
Any city, NE, US, 99999 Gainwell Technologies logo Gainwell Technologies
Audit and review criteria Program performance monitoring Regulatory monitoring Itemized bill review Claims recovery Healthcare payment methodologies Program performance Policy Documentation Clinical Policy +55
Mid Full Time
USD 69K+
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Clinical Policy Specialist
Any city, NE, US, 99999 Gainwell Technologies logo Gainwell Technologies
Audit and review criteria Program performance monitoring Itemized bill review Claims recovery Regulatory monitoring Clinical Policy Program performance Policy Documentation Healthcare payment methodologies +55
Mid Full Time
USD 69K+
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AVP Engineering
Remote, United States Cotiviti logo Cotiviti
Metrics establishment Budget Administration Scaled Agile Payment Integrity Agile Environment Payment Healthcare Data Healthcare Technology SDLC +34
Exec Senior Full Time
USD 176K+
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Medical Director
Remote, United States Cotiviti logo Cotiviti
Medical payment policy Health Plan Operations Coding expertise Payment Integrity Payment Medical policy Claims Adjudication Adjudication Exchange +27
Exec Senior Full Time
USD 190K+
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Payment Integrity Clinician - RN (Remote)
PA, Working at Home - Pennsylvania, United States Highmark Health logo Highmark Health
Coding criteria Health care services Medical Documentation Payment Integrity Claims analysis Provider education Utilization management RN Managed Care +10
Senior Mid Full Time
USD 57K+
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Senior Generative AI Scientist II
Remote, United States Cotiviti logo Cotiviti
Big Data Solutions Model Creation Advanced statistics HuggingFace Nltk Llama OpenAI Model Validation Payment Integrity +59
Senior Full Time
USD 145K+
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Concept Development Analyst
Remote, United States Cotiviti logo Cotiviti
Billing guidelines Technological improvements Claim selection methods Medicare reimbursement Coding logic development Audit Procedures Healthcare coding Chart validation Claim adjudication +50
Entry Senior Full Time
USD 95K+
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