Lead Analyst, Payment IntegrityVirtualVocations • Brownsville, Texas, United States
serp_jobs.error_messages.no_longer_accepting
Lead Analyst, Payment Integrity
VirtualVocations • Brownsville, Texas, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.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
serp_jobs.job_alerts.create_a_job
Payment Analyst • Brownsville, Texas, United States
Job_description.internal_linking.related_jobs
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 quality of ...serp_jobs.internal_linking.show_more 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 quality of ...serp_jobs.internal_linking.show_more 
Are you interested in a career where you have the power to influence outcomes and make a difference in the future - yours, your clients’, and the company’s? When you join FM as a Consultant Enginee...serp_jobs.internal_linking.show_more
Board Certified Behavior Analyst, BCBA, LBA,.Total Compensation Package from $75,000 to $107,000 annually.Your total compensation consists of a competitive base salary and performance bonuses.Earn ...serp_jobs.internal_linking.show_more
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
Calling all experienced tax preparers! Join our team for an exciting seasonal opportunity that offers flexible schedules.
Leverage your tax expertise, business background, and knowledge of tax laws ...serp_jobs.internal_linking.show_more
IBC Bank successes are the result of an aggressive and innovative attitude.The Bank's "We Do More" philosophy reflects its dedication to the growth and success of its employees, customers and commu...serp_jobs.internal_linking.show_more 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 quality of ...serp_jobs.internal_linking.show_more 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 quality of ...serp_jobs.internal_linking.show_more 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 quality of ...serp_jobs.internal_linking.show_more 
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and other irrelevant information.
The goal is to present a clean, beautiful, and high-signal-to-noise rat...serp_jobs.internal_linking.show_more 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 quality of ...serp_jobs.internal_linking.show_more 
Are you interested in a career where you have the power to influence outcomes and make a difference in the future - yours, your clients’, and the company’s? When you join FM as a Consultant Enginee...serp_jobs.internal_linking.show_more
I want a satisfying career with good benefits and great opportunities for advancement.I have a lot to offer and I want to grow.
The Job for Me Get a job that inspires your best and moves you forwar...serp_jobs.internal_linking.show_more
Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.It is one of the nation's leading health systems with nearly 57,000 employees an...serp_jobs.internal_linking.show_more Total Compensation Package from $85,000 to $112,000 annually.Earn up to $1,000 per month, up to.CEUs per year + Annual CEU Stipend + CASP Membership.
You’ll support an average of 7 clients.Includes ...serp_jobs.internal_linking.show_more 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 quality of ...serp_jobs.internal_linking.show_more Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.It is one of the nation's leading health systems with nearly 57,000 employees an...serp_jobs.internal_linking.show_more Seasonal Entry Level Tax Preparer.If you join our team as a Seasonal Entry Level Tax Preparer, you'll conduct one-on-one tax interviews with clients, start to develop your book of business, and pro...serp_jobs.internal_linking.show_more )
The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store / m...serp_jobs.internal_linking.show_more
Remote Investment Analyst – AI Trainer ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Consultant Engineer I - Puerto Rico
FM Corporation • Santa Rosa, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Board Certified Behavior Analyst (BCBA)
BrightPath Behavior • Harlingen, TX, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Customs and Border Protection Officer
U.S. Customs and Border Protection • Palm Valley, TX, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Experienced Tax Preparer
Jackson Hewitt • San Benito, TX, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Credit Analyst
IBC Bank • Brownsville, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote Equity Research Analyst – AI Trainer ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Remote Corporate Development Analyst – AI Trainer ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Remote Finance Director - AI Trainer ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Patient Access Rep II - Days Valley Baptist
Tenet Healthcare • Harlingen, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Senior Financial Analyst ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Consultant Engineer I - Puerto Rico
FM • LA FERIA, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Department Leader
McDonald's • San Benito, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Reimbursement Analyst
Prime Healthcare • Harlingen, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Board Certified Behavior Analyst (BCBA)-$10,000 Sign-On Bonus
BrightPath Behavior • Harlingen, TX, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Remote Financial Analyst - AI Trainer ($50-$60 / hour)
Data Annotation • Harlingen, Texas
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Account Resolution Analyst
Prime Healthcare • Harlingen, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Entry-Level Tax Preparer
Jackson Hewitt • Harlingen, TX, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Asset Protection Specialist
Home Depot (Retail) • Harlingen, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted