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Payment Integrity Analyst II - Remote

Posted Yesterday
All others
Full Time
WA, USA

Overview

The Payment Integrity Analyst ensures assigned payment integrity programs are delivered efficiently and with high quality, using claims expertise and analytics capability to manage day-to-day operations.

In Short

  • Provide strong analytical, problem-solving and quality assurance skills.
  • Combine healthcare knowledge and technical skills using QicLink and Excel.
  • Track, manage, and report on daily program inventory.
  • Evaluate existing business processes and develop measurable improvements.
  • Produce clear written documentation for service provision.
  • Collaborate effectively with internal teams and vendors.
  • Interact with payment integrity program vendors and government agencies.
  • Maintain knowledge of claims processing and associated regulations.

Requirements

  • Experience in payment integrity or related field.
  • Strong analytical and problem-solving skills.
  • Proficiency in Excel and data evaluation.
  • Ability to collaborate with cross-functional teams.
  • Excellent communication skills.
  • Knowledge of healthcare regulations.
  • Experience in writing documentation.

Benefits

  • Inclusive and flexible work culture.
  • Comprehensive salary and benefits package.
  • Opportunities for personal development and growth.
  • Work/life balance.
  • Meaningful work with a clear purpose.
Healthcare Management Administrators logo

Healthcare Management Administrators

Healthcare Management Administrators (HMA) is a leading third-party health plan administrator serving the Pacific Northwest and beyond. The company is dedicated to providing medium to large-size employers with tailored health plans that prioritize quality and affordability, backed by exceptional customer service. Recognized as one of 'Washington’s Best Workplaces' for four consecutive years, HMA fosters a culture centered around its core values: People First!, Be Extraordinary, Work Courageously, Own It, and Win Together. The organization is committed to creating an inclusive and flexible work environment that encourages personal development and teamwork, while striving to make a meaningful impact in the healthcare industry.

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