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Optum Payment Integrity Jobs (NOW HIRING)

Financial Counselor

Greenbrae, CA

$21.50 - $28/hr

Description - External Optum is a global organization that delivers care, aided by technology to ... Work with patients to set up payment plans and loan programs * Act as a liaison between patients ...

Optum is a global organization that delivers care, aided by technology to help millions of people ... B), and payment integrity. * Contracts with health plans such as Aetna, Anthem Blue Cross ...

Division 3: Optum * Daily output of ≥ 5 cases * Collaborate on the review of daily operational ... Claims Reviews * Payment Integrity Reviews * DRG Validation * Quality of Care Reviews * Fraud ...

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Optum Payment Integrity information

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$10

$17

$26

How much do optum payment integrity jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for optum payment integrity in the United States is $17.99, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.71 per hour, depending on experience, location, and employer.

What is Optum Payment Integrity?

Optum Payment Integrity refers to a set of services and solutions provided by Optum, a health services and innovation company, aimed at ensuring that healthcare claims are paid accurately and appropriately. This involves detecting and preventing improper payments, identifying fraud, waste, and abuse, and ensuring compliance with healthcare regulations. Professionals working in Optum Payment Integrity analyze claims data, implement safeguards, and work with healthcare providers and payers to resolve billing issues and recover overpayments. The goal is to improve financial outcomes for healthcare organizations while maintaining quality patient care.

What is the difference between Optum Payment Integrity vs Optum Claims Analyst?

AspectOptum Payment IntegrityOptum Claims Analyst
CertificationsRelevant healthcare and insurance certifications, such as CPC or CCSLikely similar certifications, often including CPC or equivalent
Work EnvironmentHealthcare insurance companies, focusing on fraud detection and payment accuracyHealthcare insurance companies, focusing on claims processing and analysis
Employer & Industry UsageUsed in healthcare insurance to prevent fraud and ensure payment accuracyUsed in healthcare insurance to process and analyze claims data

Optum Payment Integrity and Optum Claims Analyst roles both operate within healthcare insurance companies, sharing similar certifications and work environments. However, Payment Integrity focuses on fraud detection and payment accuracy, while Claims Analysts handle claims processing and analysis. Both roles are essential for maintaining efficient healthcare payment systems.

What are the key skills and qualifications needed to thrive in Optum Payment Integrity, and why are they important?

To thrive in Optum Payment Integrity, you need analytical skills, attention to detail, and a background in healthcare administration, finance, or related fields. Familiarity with claims management systems, healthcare coding (such as ICD-10, CPT), and data analysis tools is typically required. Strong problem-solving abilities, effective communication, and teamwork are essential soft skills in this role. These skills ensure accurate claims review, fraud prevention, and effective collaboration, ultimately supporting financial health and compliance within the healthcare system.

What are some common challenges faced by professionals in Optum Payment Integrity roles, and how can they be addressed?

Professionals in Optum Payment Integrity often encounter challenges such as interpreting complex healthcare claims, keeping up with regulatory changes, and balancing accuracy with efficiency. These roles require careful attention to detail and strong analytical skills, as well as the ability to collaborate closely with both clinical and data analytics teams. Staying current with training on evolving healthcare policies and leveraging internal resources can help address these challenges, ensuring accurate payment and minimizing errors or fraud.
More about Optum Payment Integrity jobs
Infographic showing various Optum Payment Integrity job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 17% In-person, and 83% Remote job distribution, with an average salary of $37,422 per year, or $18 per hour.
Senior Director Software Engineering - MINNETONKA, MN

Senior Director Software Engineering - MINNETONKA, MN

UnitedHealth Group

Minnetonka, MN

$159K - $273K/yr

Full-time

Retirement

Posted 13 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

189th of 872 rated healthcare providers


Job description

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together.


Primary Responsibilities:

  • Provide single-threaded engineering leadership across Core PI, Medical Records, Editing Platform, CEP, SAM Edits, Audit Hub, and CRI, critical platforms driving claims accuracy, regulatory compliance, and operational stability
  • Own end-to-end technical accountability: architecture governance, platform reliability, modernization roadmap, and execution discipline
  • Stabilize and integrate multiple transitioning teams post-org realignment, ensuring continuity and delivery alignment
  • Lead PI team and manage $10.25M funding (Capital OM) with clear prioritization and outcomes
  • Drive platform modernization and AI/automation adoption aligned to enterprise PI and AI 10.0 strategy
  • Act as enterprise leader with CIO/ELT visibility, influencing cross-LOB stakeholders and ensuring business outcomes
  • Willing to travel 10 - 20%
  • Will be working with multiple offshore teams 
  • IN OFFICE MINNETONKA, MN


You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 15 years engineering experience
  • 7 years leading large multi-team orgs at scale
  • 7 years managing mission-critical, regulated, high-availability platforms
  • 7 years portfolio ownership at enterprise scale with technology, financials, and risk
  • Experience in Healthcare
  • Solid experience in platform architecture, modernization, and distributed systems


Preferred Qualifications:

  • Experience with AI/ML-enabled platforms, rules engines, and audit systems
  • Background in Payment Integrity / Claims processing
  • Track record of leading large-scale transformations / platform consolidation


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


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