Talent.com
Lead Analyst, Payment Integrity
Lead Analyst, Payment IntegrityVirtualVocations • Fontana, California, United States
Lead Analyst, Payment Integrity

Lead Analyst, Payment Integrity

VirtualVocations • Fontana, California, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Lead Analyst, Payment Integrity.

Key Responsibilities

Assist in executing tasks to meet regulatory requirements and improve operational outcomes related to Payment Integrity

Manage Scorable Action Items to ensure health plan targets are met and improve claim payment accuracy

Collaborate with various teams to identify issues and implement resolution strategies while providing recommendations to health plan leadership

Required Qualifications

At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization or health plan setting

Proven experience in managing operational projects related to provider reimbursement and claims payment integrity

Strong knowledge of managed care claims coding and federal / state Medicaid payment rules

Skilled in Excel and SQL for data analysis to inform business decisions

Demonstrated ability to work independently in a highly regulated environment

Create a job alert for this search

Payment Analyst • Fontana, California, United States

Related jobs
Compliance Analyst

Compliance Analyst

VirtualVocations • Irvine, California, United States
Full-time
A company is looking for a Compliance Analyst - Program Integrity.Key Responsibilities Prepare and file annual and renewal program integrity filings with state and federal regulators Review and ...Show more
Last updated: 30+ days ago • Promoted
State Licensed Payment Integrity Analyst

State Licensed Payment Integrity Analyst

VirtualVocations • Mission Viejo, California, United States
Full-time
A company is looking for a Senior Analyst, Payment Integrity.Key Responsibilities Serve as a subject matter expert for reimbursement policies and claims processing edits Research industry coding...Show more
Last updated: 3 days ago • Promoted
Remote Senior Financial Analyst - AI Trainer

Remote Senior Financial Analyst - AI Trainer

Data Annotation • Lake Elsinore, California
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show more
Last updated: 30+ days ago • Promoted
Remote Finance Director - AI Trainer

Remote Finance Director - AI Trainer

Data Annotation • San Jacinto, California
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show more
Last updated: 30+ days ago • Promoted
Mortgage Compliance Analyst

Mortgage Compliance Analyst

VirtualVocations • Moreno Valley, California, United States
Full-time
A company is looking for a Remote Mortgage Compliance Analyst.Key Responsibilities : Analyze and integrate compliance activities to ensure adherence to state and federal regulations Collaborate w...Show more
Last updated: 4 days ago • Promoted
Site Payment Specialist

Site Payment Specialist

VirtualVocations • Mission Viejo, California, United States
Full-time
A company is looking for a Site Payment Specialist to provide advanced analytical support to the Investigator Payments Group. Key Responsibilities Design and develop reports and dashboards to moni...Show more
Last updated: 13 hours ago • Promoted • New!
Lien Resolution Analyst

Lien Resolution Analyst

VirtualVocations • Moreno Valley, California, United States
Full-time
A company is looking for a Claims Specialist.Key Responsibilities Perform data entry, intake, and payment reconciliation tasks Support lien resolution teams by ensuring timely and accurate docum...Show more
Last updated: 5 days ago • Promoted
Remote Commercial Banking Analyst - AI Trainer

Remote Commercial Banking Analyst - AI Trainer

Data Annotation • San Jacinto, California
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show more
Last updated: 30+ days ago • Promoted
Remote Financial Analyst - AI Trainer

Remote Financial Analyst - AI Trainer

Data Annotation • Beaumont, California
Remote
Full-time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show more
Last updated: 30+ days ago • Promoted
Continuity of Care Specialist - Hemet

Continuity of Care Specialist - Hemet

KPC GLOBAL MEDICAL CENTERS INC. • Hemet, CA, US
Full-time
Department : Clinical Services / Case Management Reports To : VP Case Management / Social Services.The Continuity of Care Specialist is responsible for supporting seamless transitions across the care c...Show more
Last updated: 30+ days ago • Promoted
Revenue Integrity Service Line Analyst - Revenue Integrity - FT Days HYBRID

Revenue Integrity Service Line Analyst - Revenue Integrity - FT Days HYBRID

University of California - Irvine Health • Irvine, CA, United States
Full-time
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Show more
Last updated: 30+ days ago • Promoted
Payments Operations Analyst

Payments Operations Analyst

VirtualVocations • Moreno Valley, California, United States
Full-time
A company is looking for an Analyst II, Payments Pricing & Operations.Key Responsibilities Analyze payment pricing strategies and operational efficiencies Collaborate with cross-functional teams...Show more
Last updated: 30+ days ago • Promoted
Lead Analyst, Payment Integrity

Lead Analyst, Payment Integrity

VirtualVocations • San Bernardino, California, United States
Full-time
A company is looking for a Lead Analyst, Payment Integrity.Key Responsibilities Assist in executing tasks to meet regulatory requirements and improve operational outcomes related to Payment Integ...Show more
Last updated: 2 days ago • Promoted
Credit Analyst

Credit Analyst

TradeJobsWorkForce • 92507 Riverside, CA, US
Full-time
Conduct thorough analysis of financial statements and assessment of credit requests, including new requests, changed requests, refinancing and annual due diligence Provide recommendations tied to a...Show more
Last updated: 30+ days ago • Promoted
Coding and Charging Capture Integrity Analyst

Coding and Charging Capture Integrity Analyst

KPC GLOBAL MEDICAL CENTERS INC. • Hemet, CA, US
Full-time
Coding & Charging Capture Integrity Analyst frequently interact with patients, doctors, and insurance companies, so they need some experience with customer service tasks and the ability to main...Show more
Last updated: 23 days ago • Promoted
Senior Contract Analyst

Senior Contract Analyst

The Rockridge Group • Ontario, CA, US
Full-time
Director Vendor Management Office.Under minimal direction the Sr.Contract Analyst is responsible for reviewing IT contract requests for completeness, accuracy and proper process flows to assist the...Show more
Last updated: 30+ days ago • Promoted
PayPal Fraud Analyst

PayPal Fraud Analyst

TradeJobsWorkforce • 92514 Riverside, CA, US
Full-time
Be part of our success story as a PayPal Fraud Analyst to review transactions and identify suspicious activity.Work with your team to maintain efficiency and high standards.Stay adaptable to changi...Show more
Last updated: 30+ days ago • Promoted
ABA Program Supervisor

ABA Program Supervisor

Accel Therapies • Hesperia, CA, US
Full-time
Arial, sans-serif;"> Program Supervisor<...Show more
Last updated: 2 days ago • Promoted
Underpayment Analyst

Underpayment Analyst

VirtualVocations • Corona, California, United States
Full-time
A company is looking for an Underpayment Analyst Remote.Key Responsibilities Conduct financial and operational analysis of contracts and develop key performance indicators Support Managed Care l...Show more
Last updated: 12 hours ago • Promoted • New!
Construction Accounts Payable Analyst

Construction Accounts Payable Analyst

JLM Strategic Talent Partners • Irvine, CA, US
Full-time
Who Is Jlm Strategic Talent Partners & What Is Our Role.We partner with national and international prime contractors to provide them with qualified talent they can trust. We accomplish this by sourc...Show more
Last updated: 30+ days ago • Promoted