Become a Digital Payer

Senior Payment Integrity Analyst

AnalystAnalystFull TimeRemoteTeam 1,001-5,000Since 2005H1B SponsorCompany Site LinkedIn

Location

United States

Posted

25 days ago

Salary

$80K - $110K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Develop requirements for proprietary healthcare edits, conducting comprehensive reviews of contracts, policies, and state/federal guidelines. • Drive collaboration with subject matter experts and technical teams to translate these requirements into functional specifications. • Own the communication of proposed proprietary healthcare edits to internal and external stakeholders. • Create and maintain detailed documentation to support the building and implementation of proprietary healthcare edits. • Provide continuous monitoring and evaluation of the performance of proprietary healthcare edits.

Job Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, Computer Science, or a related field.
Minimum of 3 years of experience in healthcare payment integrity, content & policy, contracts, claims processing, or a closely related field.
Proven track record of developing and implementing proprietary healthcare edits, and/or healthcare content & policy.
Excellent communication and interpersonal skills.
Strong analytical and problem-solving abilities
Experience with documentation management tools and methodologies, such as Confluence or SharePoint.