Payment Integrity Analyst - Denver

Only for registered members Denver, United States

2 weeks ago

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Full time $77,400 - $96,800 (USD)

Job summary

The Payment Integrity Analyst provides quality and operational support for PACE program administration including claims auditing support testing data analysis issue resolution systems support and process improvement initiatives This role supports internal teams external partners and stakeholders to ensure accurate and efficient network operations across claims processing provider data management and claims customer services

Responsibilities

  • Analyze troubleshoot and resolve operational issues related to claims provider networks and benefits
  • Act as a liaison between internal departments e.g IT claims customer service and external vendors or PACE program partners

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