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Payment Integrity Remote Jobs

57 fresh jobs found

Data Scientist II - AI/ML
Remote, United States

Mistral HuggingFace Nltk Big Data Solutions Llama Exploratory Data Analysis Payment Integrity Payment Data Pipeline +52

USD 110K+

HR Operations Specialist
Remote, United States

Personify Health

Wellbeing HRIS Systems HR Operations HRIS Employee Relations Data processing Auditing Onboarding Process Improvement +13

USD 50K+

Senior Revenue Cycle Specialist
Remote, United States

Audit Resolution Spreadsheet Applications Yield management Payment Adjudication Audit Support Exchange Invoicing Word Processing +38

Senior Full Time

USD 48K+

Regional Vice President Payer Sales
Remote, United States

Health insurance sales Enterprise software sales Exchange Middleware Value-based care Data Transformation Software Sales Cross-selling MS Office Suite +24

Exec Senior Full Time

USD 120K+

Delivery Manager/ Project Manager- Public Sector
Remote, United States

Healthcare Software Implementation management Process Analysis Change Control Enterprise Applications Test plans Exchange Lifecycle Management Project management tools +37

Senior Mid Full Time

USD 101K+

VP Total Rewards
Remote, United States

Benchmarking surveys Compensation governance Global market trends Recognition programs Salary structure design Total rewards strategy Market benchmarking Incentive Programs Market pricing +26

Exec Senior Full Time

USD 190K+

Senior Investigator (Healthcare FWA)
Remote, United States

Exchange Healthcare Compliance Prioritization Multi-tasking Investigation Access Computer Written communication Compensation +10

Senior Full Time

USD 64K+

Auditor I Contract Compliance
Remote, United States

IDEA Audit tools Audit Procedures Payment accuracy Payment Contract Compliance Knowledge Sharing Exchange VBA +32

USD 58K+

Payment Accuracy Specialist (Coordination of Benefits)
Remote, United States

Client dispute resolution Coordination of benefits Audit tools Large data sets Payment accuracy RMS Claims analysis Payment Audit Support +36

Entry Full Time

USD 40K+

UX Designer, Platforms & Design Systems
Remote, United States

Personify Health

Grid Systems HCI Best Practices Color Systems Health plan administration Service blueprints Journey maps Wireframes Prototypes Wellbeing +19

USD 95K+

Investigator (Fraud, Waste & Abuse)
Remote, United States

Healthcare fraud investigation Statistical sampling Medical claims Exchange Healthcare Compliance Report Writing Healthcare Data Interviewing Prioritization +14

USD 56K+

Client Service Associate (Healthcare)
Remote, United States

US healthcare Coordination of benefits Yield management Payment accuracy Deductive reasoning Payment Integrity Payment Exchange Client Experience +37

USD 49K+

Senior Database Administrator
Remote, United States

.NET Development SQL Tuning Oracle database PL/SQL Database Administration Enterprise Applications RDBMS Science Oral communication +24

Senior Full Time

USD 110K+

Sr Implementation Consultant
Remote, United States

Integration design patterns STX Active MQ WMBI WebMethods JCAPS US healthcare AquaLogic ACORD +46

Senior Full Time

USD 101K+

Director, Commercial Enablement
Remote, United States

Personify Health

Health plan administration Strategy execution Commercial enablement Seismic Wellbeing Proposal Management Adult Learning Principles Gainsight Sales methodologies +27

Exec Mid Full Time

USD 120K+

Sales Development Representative
Remote, United States

Personify Health

Wellbeing Value Based Selling Salesforce.com Cold Calling B2B Sales Hubspot Lead Generation Relationship building Development +13

USD 25K+

VP, Global Enablement & Proposal Management
Remote, United States

Personify Health

Global commercial strategy Commercial enablement Technology Platforms Wellbeing Proposal Management Strategic vision Event Management Content Strategy Advocacy +18

USD 200K+

Director Audit Operations (Contract Compliance Recovery Audit)
Remote, United States

Service Assurance Audit concepts Financial auditing Audit Procedures Contract Compliance Knowledge Sharing Contract Review Audit Support Renewals +40

Exec Senior Contract Full Time

USD 175K+

Senior Payment Accuracy Specialist
Remote, United States

Contract Knowledge Claims Validation Audit concepts Audit Procedures Business optimization Audit tools Payment accuracy Payment Integrity Report development +35

Senior Full Time

USD 78K+

Senior Support Engineer-PPM
Remote, United States

Training and Mentoring Octopus VBScript JBOSS Oracle SQL Exchange OpenShift CD Scripting Languages +49

Senior Mid Full Time

USD 100K+

Senior Support Engineer-CCV
Remote, United States

Training and Mentoring Octopus VBScript JBOSS Oracle SQL Exchange OpenShift CD Scripting Languages +49

Senior Mid Full Time

USD 100K+

Auditor II Contract Compliance (Retail)
Remote, United States

IDEA Audit tools Audit Procedures Payment accuracy Payment Contract Compliance Knowledge Sharing Exchange VBA +33

USD 65K+

Revenue Cycle Specialist
Remote, United States

Cash application Payment Account Reconciliation Adjudication Healthcare Analytics Revenue Cycle Reconciliation Collection Revenue Cycle Management +21

Entry Mid Full Time

USD 44K+

VP Audit Operations (Contract Compliance Recovery Audit)
Remote, United States

Service Assurance Financial auditing Client relationship Audit Procedures Market trend analysis Contract Compliance Knowledge Sharing Contract Review Audit Support +51

Exec Senior Contract Full Time

USD 200K+

Subrogation Investigation Specialist
Remote, United States

Personify Health

Wellbeing Medical claims HIPAA Compliance Detail oriented Data Entry Microsoft Word Microsoft Excel Written communication Development +10

Entry Mid Full Time

USD 50K+

Case Manager, RN
Remote, United States

Personify Health

Telephonic case management Emotional support Wellbeing Hcpcs coding Medical claims HCPCS ICD-10 Utilization management CPT +24

Entry Mid Full Time

USD 72K+

Supervisor of Member Services
Remote, United States

Personify Health

Wellbeing Healthcare Knowledge Supervisory Healthcare industry Auditing Quality Assurance Team Leadership Written communication Process Improvement +16

USD 52K+

Product Director
Remote, United States

Payment accuracy Product Discovery Claim adjudication Payment Integrity Payment Dashboarding Adjudication Exchange Solution Development +70

Exec Senior Full Time

USD 135K+

Software Engineer, Backend (Remote)
Remote/Palo Alto, CA

Test Writing Asynchronous Programming Data Structures Java Critical thinking Machine Learning SQL Python Problem-solving

USD 155K+

Medical Director
Remote, United States

Medical payment policy Payment policy Client relationship Clinical Medicine Health Plan Operations Medical policy Payment Integrity Payment Adjudication +30

Exec Senior Full Time

USD 190K+

Clinical Consultant I
Remote, United States

Coding validation Appeals management Medical payment policy Payment policy Payment CMS guidelines MicroStrategy Adjudication Claims Adjudication +45

USD 75K+

Utilization Review Intake Specialist
Remote, United States

Personify Health

Wellbeing Medical claims Hcpcs coding Utilization Review HCPCS ICD-10 Utilization management CPT Claims processing +15

Entry Mid Full Time

USD 36K+

QA I Coding Operations
Remote, United States

Medical record auditing Data storage program Clinical Validation HCC coding Internal Audits Coding accuracy Anatomy and physiology Coding Guidelines Physiology +29

Entry Mid Full Time

USD 62K+

Sales VP, Coordination of Benefits & Data Mining
Remote, United States

Coordination of benefits Payment Integrity Payment Technology Trends Market Penetration Market development Segmentation Data Mining Software Sales +27

Exec Senior Full Time

USD 166K+

Interoperability Strategy Analyst
Remote, United States

EMR systems Health Information Management Healthcare Sales Medical Records Healthcare services Information Technology Supervision Prospecting Implementation +15

USD 108K+

Client Policy Manager I
Remote, United States

Medical payment policy Payment policy Healthcare Claims Clinical coding Reimbursement methodologies Medical policy ICD CMS guidelines Payment +32

USD 75K+

Power Platform Developer CCV
Remote, United States

AI Builder Co-Pilot Azure AI Studio Dataverse Microsoft Power Platform Agile Environment Power Apps OCI Power Automate +32

USD 88K+

Senior Power Platform Developer CCV
Remote, United States

AI Builder Co-Pilot Azure AI Studio Dataverse Microsoft Power Platform Agile Environment Power Apps OCI Power Automate +32

Senior Full Time

USD 110K+

Senior Data Scientist
Remote, United States

Personify Health

Wellbeing Data Audits Statistical techniques Model Deployment Healthcare Data Predictive Modeling SAS Data Pipelines Data integrity +13

Senior Mid Full Time

USD 125K+

Vice President, Consultant and Broker Relations
Remote, United States

Personify Health

Health navigation TPA services Broker relations Consultant engagement Wellbeing Market Growth Strategic engagement Client Retention Employee Benefits +15

Exec Senior Full Time

USD 205K+

Senior Vice President, Wellbeing Sales
Remote, United States

Personify Health

Customer Insight Channel Partnerships Client Retention Market strategy Revenue growth Decision making Written communication Technology Presentation +8

Senior Full Time

USD 200K+

Data Engineer II
Remote, United States

Personify Health

MicroStrategy AWS Lambda REST API JSON PowerBi Kafka ETL Data engineering Git +11

USD 87K+

Enterprise Sales Director
Remote, United States

Personify Health

GoToMeeting Market awareness Value Based Selling LinkedIn Sales Navigator Salesforce.com Lead Generation Forecasting Relationship building Account management +9

Exec Senior Full Time

USD 130K+

Manager Audit Operations (Retail Payment Accuracy)
Remote, United States

Retail Payment Accuracy Audit concepts Payment accuracy Customer Orientation Revenue Optimization Payment Staff training Knowledge Sharing Audit Management +41

USD 115K+

Product Manager, Analytic Development
Remote, United States

Personify Health

Backlog Management User Stories Stakeholder communication Technical Documentation Data engineering Product Management Account management Agile Time Management +9

USD 85K+

Data Scientist, Analytic Development
Remote, United States

Personify Health

Advanced statistics Data auditing MicroStrategy MS PowerPoint Predictive Modeling Atlassian Smartsheet MS Word Statistical analysis +22

USD 85K+

Auditor Clinical Validation DRG
Remote, United States

Medical claims billing Payer reimbursement policies Coding terminology Medical audit Clinical chart validation Chart validation Payer reimbursement Coding Principles Billing guidelines +45

USD 45K+

Senior Accountant Financial Reporting
Remote, United States

Workiva Wdesk Oracle NetSuite Technical Accounting US GAAP Research and development Trend Analysis Netsuite Advanced Excel Oracle +18

Senior Full Time

USD 80K+

Senior Manager Engineering
Remote, United States

Oracle SQL Agile Environment Collection Healthcare Data Data Architecture Client Services Quality improvement SDLC Science +34

Senior Full Time

USD 135K+

Program Manager Operations
Remote, United States

Enterprise project management Exchange Risk Adjustment Interpersonal Communication Client Management Accountability Microsoft Outlook Microsoft PowerPoint Coding +21

USD 68K+

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