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Ideation Payment Integrity Jobs (NOW HIRING)

Lead Genetic Testing and Laboratory SME

$45K - $58K/yr

This role is a key enabler of Cotiviti's genetic testing and laboratory payment integrity strategy ... ideation. * Complete all responsibilities as outlined in the annual performance review and/or goal ...

New

If you want to make a difference and contribute to the improvement of healthcare payment integrity ... Champion the entire product lifecycle from visionary feature ideation to successful launch ...

New

$44K - $56K/yr

This role is a key enabler of Cotiviti's genetic testing and laboratory payment integrity strategy ... ideation. * Complete all responsibilities as outlined in the annual performance review and/or goal ...

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Ideation Payment Integrity information

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How much do ideation payment integrity jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for ideation payment integrity in the United States is $17.54, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $18.75 per hour, depending on experience, location, and employer.

What is Ideation Payment Integrity?

Ideation Payment Integrity refers to the process within healthcare organizations or insurers focused on identifying, preventing, and correcting errors or fraud in payment systems. The 'ideation' aspect emphasizes the generation of innovative ideas and solutions to improve payment accuracy and reduce financial losses. Professionals in this field analyze data, develop strategies, and implement technologies to ensure that claims are paid correctly and efficiently. Their work helps organizations save money, improve compliance, and enhance the overall integrity of payment processes.

How does an Ideation Payment Integrity professional typically collaborate with other departments to improve healthcare payment accuracy?

Ideation Payment Integrity professionals often work closely with teams such as claims processing, data analytics, and clinical review to identify areas of overpayment or fraud within healthcare payment systems. They facilitate cross-functional brainstorming sessions to develop innovative solutions, leveraging insights from each department to design and implement new payment integrity strategies. Regular meetings and collaborative projects are common, ensuring that initiatives are practical and aligned with both regulatory requirements and organizational goals. This collaborative approach not only improves payment accuracy but also helps create a culture of continuous improvement across the organization.

What are the key skills and qualifications needed to thrive as an Ideation Payment Integrity Specialist, and why are they important?

To excel as an Ideation Payment Integrity Specialist, you need strong analytical skills, healthcare industry knowledge, and experience with claims processing or auditing, often supported by a bachelor's degree in a related field. Familiarity with data analysis tools (such as SQL, Excel, or specialized healthcare analytics platforms) and knowledge of claims management systems are highly valuable. Creative problem-solving, attention to detail, and effective communication are crucial soft skills for identifying inefficiencies and collaborating across teams. These abilities ensure the development of innovative solutions that reduce errors, prevent fraud, and optimize financial outcomes in healthcare payment systems.

Payment Integrity Concept Ideation Analyst III

Software Development/Technology

Franklin, TN โ€ข Remote

$120K - $130K/yr

Full-time

Dental, Vision, Retirement, PTO

Posted 16 days ago


Job description

Job Summary
As a Concept Ideation Analyst III, you will lead the development of innovative Payment Integrity concepts that drive strategic initiatives and business growth. In this role, you will partner across multiple clients, managing the end-to-end client experience while leveraging analytics aligned to client goals to deliver post-pay savings.


You will combine market analysis, creative thinking, and strategic planning to identify emerging trends, customer needs, and new market opportunities. This position requires a balance of visionary thinking, analytical rigor, and leadership to help shape the future direction of products and initiatives.


Critical Requirement
Candidates must bring strong experience in both Data Systems and Concept Ideation. At a minimum, they should be able to independently test and validate concepts, with advanced SQL proficiency and the ability to assess technical and analytical feasibility.

A strong foundation in Payment Integrity is essential, including experience researching and identifying trends related to claims payment accuracy. Candidates must also be comfortable working with provider contracts and policies, Medicare guidelines, and state Medicaid regulations.


Benefits:

  • Competitive health benefits to support overall well-being
  • Retirement savings support to help plan for the future
  • Company-paid financial wellness resources for added peace of mind
  • Home office support to help you get set up for success
  • Optional pet insurance for the furry members of your family
  • Paid holidays and flexible time off to recharge and reset
  • Virtual health and wellness resources for convenient support
  • Paid parental leave to support growing families
  • Professional development support to keep learning and growing


Role Responsibilities
(80% Individual Contributor / 20% Team Coaching & Solutioning)

  • Strategic Ideation: Lead the development of innovative ideas across products, services, business models, and market strategies, while fostering a culture of creativity and innovation.
  • Market Insights: Conduct in-depth research and analysis to identify industry trends, competitive dynamics, customer insights, and emerging opportunities.
  • Concept Development: Create comprehensive concept proposals, including value propositions, business cases, target segments, and go-to-market strategies aligned with business objectives.
  • Cross-functional Collaboration: Partner with product, marketing, sales, and other teams to refine concepts, gather feedback, and drive alignment. Facilitate workshops and brainstorming sessions.
  • Feasibility Assessment: Evaluate technical, operational, and financial viability of concepts, identifying risks and mitigation strategies.
  • Strategic Planning: Develop innovation roadmaps, define key milestones, and establish success metrics.
  • Thought Leadership: Stay current on industry trends, emerging technologies, and innovation best practices.
  • Client Management: Support multiple clients by delivering analytics, financial insights, ideation support, and solutions to complex challenges.
  • End-to-End Ownership: Oversee the full ideation lifecycleโ€”from concept development through testing, validation, and performance evaluation.

Qualifications

  • 5+ years of experience in concept development, innovation, strategic planning, or similar roles in a fast-paced, technology-driven environment
  • Demonstrated success leading ideation initiatives and bringing concepts to market
  • Strong Data Systems experience, including advanced SQL and hands-on concept validation
  • Experience with agile methodologies and lean startup principles
  • Knowledge of emerging technologies and their practical applications
  • Proven leadership experience, including mentoring and coaching others
  • Strong analytical and problem-solving skills with a data-driven mindset
  • Excellent communication and stakeholder management skills
  • Experience with both qualitative and quantitative market research
  • Familiarity with prototyping tools (e.g., Adobe Creative Suite, Sketch, InVision) is a plus
  • Ability to thrive in a collaborative, cross-functional environment
  • Strategic mindset with the ability to anticipate future trends and opportunities