Senior Payment Integrity Analyst
HealthEdge
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $80,000 - $110,000 per year
Job Level
About the role
- 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 for our proprietary healthcare edits.
- Own the communication of proposed proprietary healthcare edits to internal and external stakeholders, ensuring clarity and addressing any questions or concerns.
- Provide continuous monitoring and evaluation of the performance of proprietary healthcare edits, proactively identifying opportunities for optimization and enhancement based on industry trends and regulatory changes.
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, preferably within a software development or healthcare IT environment.
- Experience with documentation management tools and methodologies, such as Confluence or SharePoint.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare payment integrityproprietary healthcare editsclaims processingcontract managementhealthcare content & policysoftware developmenthealthcare IT
Soft skills
collaborationcommunicationproblem-solvingstakeholder managementevaluation