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Payer Integrity Analyst, Revenue Cycle - Remote

Posted 2 days ago
All others
Full Time
USA
$43,888.00 - $85,068.00/year

Overview

The Payer Integrity Analyst plays a key role in supporting the implementation, maintenance, and optimization of payer contracts, ensuring seamless integration of payer requirements into internal systems and workflows.

In Short

  • Support implementation and maintenance of payer contracts.
  • Collaborate with cross-functional teams.
  • Manage payer fee schedules for assigned contracts.
  • Serve as primary contact for assigned payers.
  • Identify and implement process improvements.
  • Assist in onboarding and training new team members.
  • Collaborate with departments for effective contract integration.
  • Support data analysis and reporting.
  • Work remotely with a dedicated workspace.
  • 5+ years of experience in the health insurance industry required.

Requirements

  • Strong knowledge of insurance payers and contract structures.
  • Proficiency in Microsoft Excel and Microsoft Teams.
  • Excellent communication and collaboration skills.
  • Experience with Epic or AthenaHealth preferred.
  • Strong analytical skills.
  • Education: High School Diploma or GED required.

Benefits

  • Comprehensive medical plan options.
  • 401(k) plan with company matching.
  • Employee stock purchase plan.
  • No-cost wellness programs.
  • Flexible work schedules.
  • Tuition assistance.
  • Paid time off and family leave.
  • Confidential counseling and financial coaching.
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Wellpartner

CVS Health is a leading health care innovator dedicated to improving access, lowering costs, and enhancing the quality of care for millions of people every day. With a commitment to continuous improvement, CVS Health fosters a culture that empowers its colleagues to learn and grow professionally. The company operates a network of pharmacies and health services, providing essential support in managing prescriptions and chronic conditions. CVS Health values empathy, collaboration, and a patient-centered approach, striving to deliver exceptional care while promoting a dynamic and inclusive work environment. As a top workplace, CVS Health is recognized for its commitment to sustainability, employee development, and community health initiatives.

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