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Payment Integrity Remote Jobs

16 fresh jobs found

Product Manager - Payment Integrity (COB)
Remote, United States

Payment accuracy Feature prioritization Roadmap planning Payment Integrity Reimbursement methodologies Payment Metrics Tracking Claims Adjudication Exchange +56

USD 88K+

Payment Accuracy Data Mining Senior Specialist
Remote, United States

Claims Validation Audit Productivity Contract research Technological improvements Audit tools Payment accuracy Audit concepts Report Analysis Audit Procedures +34

Senior Full Time

USD 78K+

Manager Audit Content (CCV)
Remote, United States

Operational intelligence Coding methodologies Billing guidelines Medicare reimbursement Audit concepts Claim adjudication Healthcare coding Concept Development Payment Integrity +63

Senior Mid Full Time

USD 110K+

Senior Analyst, Network Analytics
Remote

Medical economics Payment Integrity Quality of care Models Healthcare Analytics Technology Platform Contract negotiations Network Operations Risk Adjustment +32

Senior Mid Full Time

USD 72K+

Payment Integrity Clinician - RN (Remote)
PA, Working at Home - Pennsylvania, United States

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+

Senior Generative AI Scientist II
Remote, United States

Big Data Solutions Model Creation Advanced statistics HuggingFace Nltk Llama OpenAI Model Validation Payment Integrity +59

Senior Full Time

USD 145K+

Analyst I Content Enablement
Remote, United States

Business reporting tools Database query knowledge Spreadsheet knowledge Auditing processes Power Pivot SOP creation Template Development Chart validation Payment Integrity +52

Entry Mid Full Time

USD 70K+

Senior Product Director
Remote, United States

Coordination of benefits SAFe Agile Payment Integrity DRG Payment Contract Compliance Clinical services Sprint planning Exchange +65

Senior Full Time

USD 160K+

Medical Review Manager Government Services
Remote, United States

Healthcare coding Claim adjudication Payment Integrity DRG Reimbursement methodologies Payment ICD-9 Adjudication ICD +35

Senior Mid Full Time

USD 100K+

Concept Development Analyst
Remote, United States

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+

Data Product Manager
Remote, United States

MicroStrategy Payment Integrity Payment DOMO User Interface Design Agile Environment Healthcare Analytics User Experience Design Revenue Cycle +37

Senior Mid Full Time

USD 110K+

Principal Payment Integrity Product Manager
Any city, TX, US, 99999

Gainwell Technologies

Clinical medical record review Technology architecture Bill audit Payment Integrity Medical Record Review Analytical Techniques Processes Edge Posting +29

Senior Full Time

USD 108K+

Experienced Product Manager- Payment Integrity
Any city, TX, US, 99999

Gainwell Technologies

Product Development Methodology Technology architecture Payment Integrity Customization Usability Product lifecycle management Posting Client satisfaction Business Case Development +37

Senior Full Time

USD 108K+

Principal Product Manager- Payment Integrity
Any city, TX, US, 99999

Gainwell Technologies

Customization Strategies Business Area Architecture Financial Operations Concepts Product Systems Design Product Development Methodology Technology architecture Payment Integrity Customization Usability +38

Senior Full Time

USD 108K+

Nurse Coder (Product Specialist) - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Itemized bill review Clinical content development Healthcare payment methodologies DRG validation Audit and review criteria Regulatory monitoring Coding certification Claims recovery Policy Documentation +57

USD 69K+

Director Risk and Responsible AI
Remote, United States

Model Creation Llama Payment Integrity HuggingFace Nltk Advanced statistics Vector databases OpenAI Transformers +66

Exec Senior Full Time

USD 200K+

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