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Senior Analyst, Payments Integrity & QA
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Job Description
- Req#: 8390158002
Employer Industry: Digital Healthcare
Why consider this job opportunity:
- Salary up to $115,000 per year
- Opportunity for stock options and comprehensive benefits package
- Flexible hybrid work model with in-person collaboration encouraged
- 16 weeks of 100% paid parental leave and new parent stipend for eligible employees
- Access to a personal career coach and annual professional development stipend
- Recognized as one of the best workplaces and for innovation in healthcare
What to Expect (Job Responsibilities):
- Conduct complex, data-driven quality assurance audits on internal payment transactions
- Support external client audits by gathering documentation and validating data accuracy
- Perform deep-dive investigations into payment discrepancies and their root causes
- Track audit findings and create actionable insights and dashboards for internal teams
- Identify friction points in payment workflows and propose procedural improvements
What is Required (Qualifications):
- 4+ years of experience in healthcare claims, payment integrity, or financial auditing
- Strong understanding of payment cycles, claims adjudication, or billing integrity
- Experience with data and analytics tools (e.g., Looker) to identify patterns
- Exceptional attention to detail and ability to manage multiple high-priority tasks
- Ability to document findings clearly and explain payment logic to various stakeholders
How to Stand Out (Preferred Qualifications):
- Experience with external client-facing audits
- Familiarity with healthcare payment systems and regulations
- Previous experience in a fast-paced, high-impact role
- Strong problem-solving skills with a proactive mindset
- Ability to work collaboratively in a diverse team environment
#DigitalHealthcare #QualityAssurance #CareerOpportunity #CompetitivePay #HybridWork
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