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Payment Integrity Analyst at Collective Health
, , - Full Time
Skills Needed
Medical Coding, Data Analysis, Vendor Management, Policy Interpretation, Business Requirement Translation, Root Cause Analysis, Audit, Healthcare Reimbursement, Cross Functional Collaboration, Issue Resolution, Process Improvement, Sql, Data Visualization, Project Management, Communication, Problem Solving
Specialization
Candidates should have 2+ years of experience in healthcare claims auditing or payment integrity, with a preference for medical coding certification. Proficiency in data analysis and healthcare reimbursement methodologies is also required.
Experience Required
Minimum 2 year(s)
Table Games Assistant Manager at Ameristar Casino Resort Spa Black Hawk
Black Hawk, Colorado, United States - Full Time
Skills Needed
Table Games Operations, Leadership, Customer Service, Budget Management, Communication, Problem Solving, Confidentiality, Team Collaboration, Microsoft Office, Gaming Compliance, Inventory Management, Strategic Planning, Conflict Resolution, Mathematical Skills, Proactive Approach, Engagement Management
Specialization
An associate degree and two years of experience in Table Games are required, along with prior leadership experience preferred. Candidates must possess excellent communication skills and knowledge of Table Games operations.
Experience Required
Minimum 2 year(s)
Maintenance Associate, Woodbury at Equinox
Woodbury, New York, United States - Full Time
Skills Needed
Cleaning, Customer Service, Organization, Communication, Multi Tasking, Maintenance, Laundry Services, Athletic Equipment
Specialization
Candidates should have a clear understanding of cleanliness and prior experience in cleaning and laundry services is preferred. Strong customer service, organizational, communication, and multi-tasking abilities are essential.
Certified Personal Coach at GOLFTEC
Schaumburg, Illinois, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should possess relevant certifications and demonstrate strong interpersonal skills. Experience in coaching or related fields is preferred.
Certified Personal Coach at GOLFTEC
Macomb, Michigan, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should be certified personal coaches. Experience in coaching and a passion for helping others are likely important.
Certified Personal Coach at GOLFTEC
Vernon Hills, Illinois, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should possess relevant coaching certifications and have a passion for helping others. Strong communication and interpersonal skills are essential for this position.
Assistant.e Développement et Production (Produit Fini) at Soeur
Paris, Ile-de-France, France - Full Time
Skills Needed
Organization, Rigorous, Versatility, Dynamic, Team Spirit, English Fluency, Excel Proficiency, Plm Knowledge, Erp Knowledge
Specialization
Candidates should be students in business or fashion schools, organized, and demonstrate versatility. Fluency in English and proficiency in Excel are required, with knowledge of PLM and ERP systems as a plus.
Assistant Facilities Manager at Public Storage
Chicago, Illinois, United States - Full Time
Skills Needed
Organizational Skills, Multitasking, Communication Skills, Interpersonal Skills, Maintenance Management Software, Emergency Response, Maintenance Procedures, Vendor Management
Specialization
Candidates should have a high school diploma or equivalent, with at least 2 years of experience in maintenance or project management. A valid driver's license and strong organizational and communication skills are also required.
Experience Required
Minimum 2 year(s)
Build Specialist, Automation & Controls (Starship Launch Pad) at SpaceX
Cape Canaveral, Florida, United States - Full Time
Skills Needed
Electrical Systems, Controls Systems, Mechanical Disciplines, Fluid Disciplines, Troubleshooting, Production Support, Documentation, Planning, Communication, Instrumentation, Cable Harnesses, Soldering, Crimping, Problem Solving, Interpersonal Skills, Adaptability
Specialization
Candidates must have a high school diploma and at least 2 years of experience in mechanical, fluid, or electrical disciplines. Preferred skills include proficiency in interpreting technical documents and the ability to install and use various instrumentation.
Experience Required
Minimum 2 year(s)
Build Specialist, Automation & Controls (Starship Launch Pad) at SpaceX
, Texas, United States - Full Time
Skills Needed
Electrical Systems, Controls Systems, Mechanical Disciplines, Fluid Disciplines, Troubleshooting, Production Support, Documentation, Cable Harness Fabrication, Instrumentation, Communication Skills, Problem Solving, Planning, Supply Chain Management, Test Plans, Tooling, Data Review
Specialization
Candidates must have a high school diploma and at least 2 years of experience in mechanical, fluid, or electrical disciplines. Preferred skills include proficiency in planning documents, instrumentation installation, and strong communication abilities.
Experience Required
Minimum 2 year(s)
Primary Care Nurse Practitioner or Physician Assistant at One Medical
Los Angeles, California, United States - Full Time
Skills Needed
Patient Management, Acute Care, Chronic Care, Well Visits, Telehealth, Collaboration, Clinical Proficiency, Human Centered Care, Communication, Technology Utilization, Feedback Openness, Adaptability, Larc Insertion, Colposcopy Procedures
Specialization
Candidates must have completed an accredited NP or PA program with national certification and be state licensed in California by their start date. They should have at least 2 years of experience in an outpatient primary care setting or equivalent experience.
Experience Required
Minimum 2 year(s)
Senior Compounding Pharmacist at LifeMD
Lancaster, Pennsylvania, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should have significant experience in compounding and a strong understanding of pharmaceutical regulations. A relevant degree and licensure are typically required.
Experience Required
Minimum 5 year(s)
Automotive Service Technician at Martin Automotive Group
Clarksburg, West Virginia, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should have relevant experience in automotive service and repair. Specific qualifications or certifications are not mentioned.
Stage - Assistant.e Développement et Production (Accessoires) at Soeur
Paris, Ile-de-France, France - Full Time
Skills Needed
Development, Production, Sourcing, Communication, Quality Control, Excel, Power Point, Plm, Organization, Rigorous, Interest In Luxury, Interest In Fashion, Interest In Leather Goods
Specialization
Candidates should be students in business or fashion schools with proficiency in English and computer skills, particularly in Excel and PowerPoint. An interest in luxury, fashion, and leather goods is also required.
Elementary Special Education Teacher (2026-2027) at Hebrew Public
Philadelphia, Pennsylvania, United States - Full Time
Skills Needed
Special Education, Instructional Services, Iep Development, Classroom Management, Curriculum Development, Differentiation, Communication, Collaboration, Professional Growth, Data Analysis, Parent Engagement, Problem Solving, Feedback Reception, Teaching Techniques, Urban Education Experience, Cultural Competence
Specialization
Candidates must have a bachelor's degree and hold or be working towards PA teacher certification. Experience in K-12 lead teaching and urban or Title I schools is preferred.
AZAFATO/A CRUCEROS BARCELONA at Staff Global Group
Barcelona, Catalonia, Spain - Full Time
Skills Needed
Customer Service, Attention To Detail, Assistance, Support, Check In, Passenger Orientation
Specialization
Candidates should enjoy helping customers and have the ability to capture their attention. Experience in customer service is likely beneficial.
DSW Store Supervisor Full-Time at Designer Brands Inc.
Indianapolis, Indiana, United States - Full Time
Skills Needed
Customer Service, Communication, Teamwork, Problem Solving, Inventory Management, Sales, Coaching, Leadership, Time Management, Technology Proficiency, Feedback, Safety Awareness, Delegation, Motivation, Positive Energy, Enthusiasm
Specialization
Candidates must have a minimum of 2 years of management experience and a high school diploma or equivalent. Strong customer service skills, the ability to communicate effectively, and a willingness to work flexible hours are also required.
Experience Required
Minimum 2 year(s)
COJHS Adjunct Instructor - CTU Online at PERDOCEO EDUCATION CORPORATION FKA
, , United States - Full Time
Skills Needed
Organizational Skills, Time Management, Interpersonal Skills, Oral Communication, Written Communication, Teamwork, Office Applications, Mobile Applications
Specialization
Candidates must have a minimum of 18 graduate semester credit hours in the subject domain and relevant teaching and professional experience. Additional requirements may be driven by state licensing or accreditation considerations.
Experience Required
Minimum 2 year(s)
Family Nurse Practitioner OR Physician Assistant at One Medical
El Segundo, California, United States - Full Time
Skills Needed
Patient Management, Acute Care, Chronic Care, Well Visits, Telehealth, Collaboration, Clinical Proficiency, Human Centered Care, Communication, Technology Utilization, Feedback Openness, Adaptability, Teamwork, Continuous Learning, Evidence Based Care, Problem Solving
Specialization
Candidates must have completed an accredited FNP or PA program with national certification and have at least 2 years of experience in outpatient primary care. State licensure in CA is required by the start date.
Experience Required
Minimum 2 year(s)
Family Nurse Practitioner OR Physician Assistant at One Medical
Los Angeles, California, United States - Full Time
Skills Needed
Patient Management, Acute Care, Chronic Care, Well Visits, Telehealth, Collaboration, Clinical Proficiency, Human Centered Care, Communication, Technology Utilization, Feedback Openness, Adaptability, Teamwork, Continuous Learning, Evidence Based Care, Problem Solving
Specialization
Candidates must have completed an accredited FNP or PA program with national certification and have at least 2 years of experience in outpatient primary care. State licensure in CA is required by the start date.
Experience Required
Minimum 2 year(s)
Payment Integrity Analyst at Collective Health
, , -
Full Time

Start Date

Immediate

Expiry Date

27 Mar, 26

Salary

37.4

Posted On

27 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medical Coding, Data Analysis, Vendor Management, Policy Interpretation, Business Requirement Translation, Root Cause Analysis, Audit, Healthcare Reimbursement, Cross-Functional Collaboration, Issue Resolution, Process Improvement, SQL, Data Visualization, Project Management, Communication, Problem Solving

Industry

Hospitals and Health Care

Description
At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design. The Payment Integrity Analyst is a critical role within our operations, focused on ensuring every claim is paid accurately and compliantly, which directly impacts our clients’ financial health and our members’ trust. You will support the Payment Integrity team, developing professional expertise in medical coding, reimbursement rules, and data analysis to proactively detect, prevent, and resolve payment inaccuracies across our health plan claims. This role requires moving beyond simple auditing—it requires supporting the translation of complex policy into technical system requirements, working in close collaboration with our Product and Engineering teams, and the Claims Integrity Manager who you will report to. What you'll do: Vendor Management & Tool Implementation Serve as an operational liaison with external Payment Integrity vendors. Support the Coordination of implementation, testing, and ongoing maintenance of vendor-developed edits and reviews within the overall payment integrity stack. Policy & Rule Ideation Assist in the research and support the interpretation of federal/state regulations (e.g. CMS), commercial payer policies, and develop expertise in industry-standard coding rules (CPT, ICD-10, HCPCS, NCCI, MUE). Business Requirement Translation Document clear, actionable business requirements and system logic (edits, rules) based on translations provided by senior analysts and managers. Data-Driven Investigation Utilize analytical tools to identify and document aberrant billing patterns and potential payment error opportunities, and support senior analysts in performing root cause analysis on identified issues. Audit & Recovery Support the execution of detailed pre- and post-payment audits, accurately calculate overpayment and underpayment amounts, and prepare comprehensive documentation to support claim recovery efforts and issue resolution. Cross-Functional Partnership Collaborate with key internal stakeholders, including Product, Engineering, Claims Operations, and others, to ensure new edits are accurately implemented, tested, and communicated. Issue Resolution Act as a point of escalation for complex payment disputes and claim inquiries, providing definitive analysis and support for the Payment Integrity team. Process Excellence Support continuous improvement efforts within the Payment Integrity workflow, focusing on streamlining processes, increasing automation, and enhancing overall claim accuracy. To be successful in this role, you'll need: 2+ years of relevant experience in healthcare claims auditing, payment integrity, or complex claims processing/adjudication, ideally within a payer or TPA setting. Medical coding certification is Preferred (e.g., CPC, COC, or CIC from AAPC, or CCS from AHIMA), or the candidate is Required to obtain it within the first year of employment if they possess comparable experience. Experience working directly with external Payment Integrity or FWA vendors to develop, deploy, and manage claim editing capabilities or similar experience. Demonstrated proficiency in leveraging data to solve business problems, with hands-on experience in SQL or other database skills (e.g., Looker) for retrieving and analyzing data against large claims datasets. Strong, practical knowledge of healthcare reimbursement methodologies (e.g., RBRVS, DRG, fee schedules) and the end-to-end claims lifecycle. Experience handling cross-functional projects at a small to mid-sized organization Ability to handle multiple tasks/projects under tight deadlines Strong internal & external communication Working in a highly matrixed environment Nice to have: Experience in a process improvement methodology (e.g., Lean Six Sigma, Six Sigma). Familiarity with data visualization tools (e.g., Looker, Tableau, Power BI) and/or leveraging AI for process optimization/automation. Bachelor’s degree in Healthcare Administration, Finance, Business, or a related quantitative field. Project Management Experience working with medical healthcare insurance carriers Pay Transparency Statement This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).#LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for 10,000 stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/. Lehi, UT Pay Range $27.20—$34 USD Plano, TX Pay Range $29.85—$37.40 USD Why Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.
Responsibilities
The Payment Integrity Analyst ensures accurate and compliant claim payments, impacting clients' financial health and member trust. Responsibilities include vendor management, policy interpretation, data-driven investigations, and cross-functional collaboration.
Payment Integrity Analyst at Collective Health
, , - Full Time
Skills Needed
Medical Coding, Data Analysis, Vendor Management, Policy Interpretation, Business Requirement Translation, Root Cause Analysis, Audit, Healthcare Reimbursement, Cross Functional Collaboration, Issue Resolution, Process Improvement, Sql, Data Visualization, Project Management, Communication, Problem Solving
Specialization
Candidates should have 2+ years of experience in healthcare claims auditing or payment integrity, with a preference for medical coding certification. Proficiency in data analysis and healthcare reimbursement methodologies is also required.
Experience Required
Minimum 2 year(s)
Table Games Assistant Manager at Ameristar Casino Resort Spa Black Hawk
Black Hawk, Colorado, United States - Full Time
Skills Needed
Table Games Operations, Leadership, Customer Service, Budget Management, Communication, Problem Solving, Confidentiality, Team Collaboration, Microsoft Office, Gaming Compliance, Inventory Management, Strategic Planning, Conflict Resolution, Mathematical Skills, Proactive Approach, Engagement Management
Specialization
An associate degree and two years of experience in Table Games are required, along with prior leadership experience preferred. Candidates must possess excellent communication skills and knowledge of Table Games operations.
Experience Required
Minimum 2 year(s)
Maintenance Associate, Woodbury at Equinox
Woodbury, New York, United States - Full Time
Skills Needed
Cleaning, Customer Service, Organization, Communication, Multi Tasking, Maintenance, Laundry Services, Athletic Equipment
Specialization
Candidates should have a clear understanding of cleanliness and prior experience in cleaning and laundry services is preferred. Strong customer service, organizational, communication, and multi-tasking abilities are essential.
Certified Personal Coach at GOLFTEC
Schaumburg, Illinois, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should possess relevant certifications and demonstrate strong interpersonal skills. Experience in coaching or related fields is preferred.
Certified Personal Coach at GOLFTEC
Macomb, Michigan, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should be certified personal coaches. Experience in coaching and a passion for helping others are likely important.
Certified Personal Coach at GOLFTEC
Vernon Hills, Illinois, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should possess relevant coaching certifications and have a passion for helping others. Strong communication and interpersonal skills are essential for this position.
Assistant.e Développement et Production (Produit Fini) at Soeur
Paris, Ile-de-France, France - Full Time
Skills Needed
Organization, Rigorous, Versatility, Dynamic, Team Spirit, English Fluency, Excel Proficiency, Plm Knowledge, Erp Knowledge
Specialization
Candidates should be students in business or fashion schools, organized, and demonstrate versatility. Fluency in English and proficiency in Excel are required, with knowledge of PLM and ERP systems as a plus.
Assistant Facilities Manager at Public Storage
Chicago, Illinois, United States - Full Time
Skills Needed
Organizational Skills, Multitasking, Communication Skills, Interpersonal Skills, Maintenance Management Software, Emergency Response, Maintenance Procedures, Vendor Management
Specialization
Candidates should have a high school diploma or equivalent, with at least 2 years of experience in maintenance or project management. A valid driver's license and strong organizational and communication skills are also required.
Experience Required
Minimum 2 year(s)
Build Specialist, Automation & Controls (Starship Launch Pad) at SpaceX
Cape Canaveral, Florida, United States - Full Time
Skills Needed
Electrical Systems, Controls Systems, Mechanical Disciplines, Fluid Disciplines, Troubleshooting, Production Support, Documentation, Planning, Communication, Instrumentation, Cable Harnesses, Soldering, Crimping, Problem Solving, Interpersonal Skills, Adaptability
Specialization
Candidates must have a high school diploma and at least 2 years of experience in mechanical, fluid, or electrical disciplines. Preferred skills include proficiency in interpreting technical documents and the ability to install and use various instrumentation.
Experience Required
Minimum 2 year(s)
Build Specialist, Automation & Controls (Starship Launch Pad) at SpaceX
, Texas, United States - Full Time
Skills Needed
Electrical Systems, Controls Systems, Mechanical Disciplines, Fluid Disciplines, Troubleshooting, Production Support, Documentation, Cable Harness Fabrication, Instrumentation, Communication Skills, Problem Solving, Planning, Supply Chain Management, Test Plans, Tooling, Data Review
Specialization
Candidates must have a high school diploma and at least 2 years of experience in mechanical, fluid, or electrical disciplines. Preferred skills include proficiency in planning documents, instrumentation installation, and strong communication abilities.
Experience Required
Minimum 2 year(s)
Primary Care Nurse Practitioner or Physician Assistant at One Medical
Los Angeles, California, United States - Full Time
Skills Needed
Patient Management, Acute Care, Chronic Care, Well Visits, Telehealth, Collaboration, Clinical Proficiency, Human Centered Care, Communication, Technology Utilization, Feedback Openness, Adaptability, Larc Insertion, Colposcopy Procedures
Specialization
Candidates must have completed an accredited NP or PA program with national certification and be state licensed in California by their start date. They should have at least 2 years of experience in an outpatient primary care setting or equivalent experience.
Experience Required
Minimum 2 year(s)
Senior Compounding Pharmacist at LifeMD
Lancaster, Pennsylvania, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should have significant experience in compounding and a strong understanding of pharmaceutical regulations. A relevant degree and licensure are typically required.
Experience Required
Minimum 5 year(s)
Automotive Service Technician at Martin Automotive Group
Clarksburg, West Virginia, United States - Full Time
Skills Needed
N/A
Specialization
Candidates should have relevant experience in automotive service and repair. Specific qualifications or certifications are not mentioned.
Stage - Assistant.e Développement et Production (Accessoires) at Soeur
Paris, Ile-de-France, France - Full Time
Skills Needed
Development, Production, Sourcing, Communication, Quality Control, Excel, Power Point, Plm, Organization, Rigorous, Interest In Luxury, Interest In Fashion, Interest In Leather Goods
Specialization
Candidates should be students in business or fashion schools with proficiency in English and computer skills, particularly in Excel and PowerPoint. An interest in luxury, fashion, and leather goods is also required.
Elementary Special Education Teacher (2026-2027) at Hebrew Public
Philadelphia, Pennsylvania, United States - Full Time
Skills Needed
Special Education, Instructional Services, Iep Development, Classroom Management, Curriculum Development, Differentiation, Communication, Collaboration, Professional Growth, Data Analysis, Parent Engagement, Problem Solving, Feedback Reception, Teaching Techniques, Urban Education Experience, Cultural Competence
Specialization
Candidates must have a bachelor's degree and hold or be working towards PA teacher certification. Experience in K-12 lead teaching and urban or Title I schools is preferred.
AZAFATO/A CRUCEROS BARCELONA at Staff Global Group
Barcelona, Catalonia, Spain - Full Time
Skills Needed
Customer Service, Attention To Detail, Assistance, Support, Check In, Passenger Orientation
Specialization
Candidates should enjoy helping customers and have the ability to capture their attention. Experience in customer service is likely beneficial.
DSW Store Supervisor Full-Time at Designer Brands Inc.
Indianapolis, Indiana, United States - Full Time
Skills Needed
Customer Service, Communication, Teamwork, Problem Solving, Inventory Management, Sales, Coaching, Leadership, Time Management, Technology Proficiency, Feedback, Safety Awareness, Delegation, Motivation, Positive Energy, Enthusiasm
Specialization
Candidates must have a minimum of 2 years of management experience and a high school diploma or equivalent. Strong customer service skills, the ability to communicate effectively, and a willingness to work flexible hours are also required.
Experience Required
Minimum 2 year(s)
COJHS Adjunct Instructor - CTU Online at PERDOCEO EDUCATION CORPORATION FKA
, , United States - Full Time
Skills Needed
Organizational Skills, Time Management, Interpersonal Skills, Oral Communication, Written Communication, Teamwork, Office Applications, Mobile Applications
Specialization
Candidates must have a minimum of 18 graduate semester credit hours in the subject domain and relevant teaching and professional experience. Additional requirements may be driven by state licensing or accreditation considerations.
Experience Required
Minimum 2 year(s)
Family Nurse Practitioner OR Physician Assistant at One Medical
El Segundo, California, United States - Full Time
Skills Needed
Patient Management, Acute Care, Chronic Care, Well Visits, Telehealth, Collaboration, Clinical Proficiency, Human Centered Care, Communication, Technology Utilization, Feedback Openness, Adaptability, Teamwork, Continuous Learning, Evidence Based Care, Problem Solving
Specialization
Candidates must have completed an accredited FNP or PA program with national certification and have at least 2 years of experience in outpatient primary care. State licensure in CA is required by the start date.
Experience Required
Minimum 2 year(s)
Family Nurse Practitioner OR Physician Assistant at One Medical
Los Angeles, California, United States - Full Time
Skills Needed
Patient Management, Acute Care, Chronic Care, Well Visits, Telehealth, Collaboration, Clinical Proficiency, Human Centered Care, Communication, Technology Utilization, Feedback Openness, Adaptability, Teamwork, Continuous Learning, Evidence Based Care, Problem Solving
Specialization
Candidates must have completed an accredited FNP or PA program with national certification and have at least 2 years of experience in outpatient primary care. State licensure in CA is required by the start date.
Experience Required
Minimum 2 year(s)