Senior Integrity Analyst

Employer Industry: Healthcare Technology

• Salary up to $110,000
• Opportunity for career advancement and growth within the organization
• Work remotely anywhere within the U.S.
• Collaborative work environment that values diverse representation
• Chance to influence healthcare payment integrity and improve clinical outcomes

• Develop requirements for proprietary healthcare edits by reviewing contracts, policies, and guidelines
• Collaborate with subject matter experts and technical teams to create functional specifications for healthcare edits
• Communicate proposed healthcare edits to internal and external stakeholders, ensuring clarity and addressing concerns
• Create and maintain documentation to support the implementation of proprietary healthcare edits, including specifications and user guides
• Monitor and evaluate the performance of healthcare edits, identifying opportunities for optimization based on industry trends

• Bachelor’s degree in Healthcare Administration, Business, Finance, Computer Science, or a related field
• Minimum of 3 years of experience in healthcare payment integrity, contracts, or claims processing
• Proven track record of developing and implementing proprietary healthcare edits within a software development or healthcare IT environment
• Excellent communication and interpersonal skills for effective collaboration with cross-functional teams
• Strong analytical and problem-solving abilities with attention to detail

• Experience with documentation management tools and methodologies, such as Confluence or Share Point

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