Ability to analyze medical claim data to identify opportunities for claim edits preferred. * Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred. * Ability ...
Ability to analyze medical claim data to identify opportunities for claim edits preferred. * Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred. * Ability ...
Ability to analyze medical claim data to identify opportunities for claim edits preferred. * Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred. * Ability ...
Ability to analyze medical claim data to identify opportunities for claim edits preferred. * Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred. * Ability ...
Ability to analyze medical claim data to identify opportunities for claim edits preferred. * Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred. * Ability ...
Ability to analyze medical claim data to identify opportunities for claim edits preferred. * Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred. * Ability ...
Reporting to the Manager, Payment Variance and Resolution, the RI Analyst, Payment Variance and ... Revenue Integrity (RI) is a distinct function that drives proactive charge capture opportunity ...
Reporting to the Manager, Payment Variance and Resolution, the RI Analyst, Payment Variance and ... Revenue Integrity (RI) is a distinct function that drives proactive charge capture opportunity ...
Reporting to the Manager, Payment Variance and Resolution, the RI Analyst, Payment Variance and ... Revenue Integrity (RI) is a distinct function that drives proactive charge capture opportunity ...
Reporting to the Manager, Payment Variance and Resolution, the RI Analyst, Payment Variance and ... Revenue Integrity (RI) is a distinct function that drives proactive charge capture opportunity ...
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Cert...
Dewitt, MI · On-site
The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of ...
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Cert...
Dewitt, MI · On-site
The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of ...
BI Analyst
Detroit, MI · On-site
$89K - $142K/yr
Serves as a strategic analytics partner to the Special Investigations Unit (SIU) and Payment Integrity teams by delivering actionable business intelligence, financial reporting, operational insights ...
BI Analyst
Detroit, MI · On-site
$89K - $142K/yr
Serves as a strategic analytics partner to the Special Investigations Unit (SIU) and Payment Integrity teams by delivering actionable business intelligence, financial reporting, operational insights ...
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Cert...
The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of ...
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Cert...
The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of ...
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Cert...
The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of ...
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Cert...
The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of ...
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective ...
New
Principal Data Scientist
Detroit, MI · On-site
$143K - $229K/yr
Incorporate Industry benchmarks into analysis * Perform outlier detection * Strong healthcare experience with Payment Integrity/FWA business knowledge is required * understanding of FWA concepts, CMS ...
Principal Data Scientist
Detroit, MI · On-site
$143K - $229K/yr
Incorporate Industry benchmarks into analysis * Perform outlier detection * Strong healthcare experience with Payment Integrity/FWA business knowledge is required * understanding of FWA concepts, CMS ...
Sr Actuarial Analyst - Medical Economics
Detroit, MI · On-site
$98K - $156K/yr
Blue Cross NC is hiring a Senior Actuarial Analyst to support healthcare economics and financial ... payment integrity, value-based care, and other key areas. This is an opportunity to contribute ...
Sr Actuarial Analyst - Medical Economics
Detroit, MI · On-site
$98K - $156K/yr
Blue Cross NC is hiring a Senior Actuarial Analyst to support healthcare economics and financial ... payment integrity, value-based care, and other key areas. This is an opportunity to contribute ...
Consultant, Revenue Cycle
Troy, MI · On-site
... Payment Integrity, Coding, Billing, Collections, etc.). * Experience with workflow redesign and system implementation is a plus. * Ability to conduct operational data analysis and synthesize ...
Consultant, Revenue Cycle
Troy, MI · On-site
... Payment Integrity, Coding, Billing, Collections, etc.). * Experience with workflow redesign and system implementation is a plus. * Ability to conduct operational data analysis and synthesize ...
Consultant, Revenue Cycle
Troy, MI · On-site
... Payment Integrity, Coding, Billing, Collections, etc.). * Experience with workflow redesign and system implementation is a plus. * Ability to conduct operational data analysis and synthesize ...
Consultant, Revenue Cycle
Troy, MI · On-site
... Payment Integrity, Coding, Billing, Collections, etc.). * Experience with workflow redesign and system implementation is a plus. * Ability to conduct operational data analysis and synthesize ...
Principal Actuary, Cost of Care
Detroit, MI · On-site
$118K - $189K/yr
... payment integrity, value-based care, and more. What You'll Do * Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work * Provide ...
Principal Actuary, Cost of Care
Detroit, MI · On-site
$118K - $189K/yr
... payment integrity, value-based care, and more. What You'll Do * Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work * Provide ...
Lease Analyst
Livonia, MI · On-site
Responds timely to all landlord inquiries, payment notices, and default letters on supported ... Ensures data integrity by performing quality control review of work performed by others as directed ...
Lease Analyst
Livonia, MI · On-site
Responds timely to all landlord inquiries, payment notices, and default letters on supported ... Ensures data integrity by performing quality control review of work performed by others as directed ...
Lease Analyst
Livonia, MI · On-site
Responds timely to all landlord inquiries, payment notices, and default letters on supported ... Ensures data integrity by performing quality control review of work performed by others as directed ...
Lease Analyst
Livonia, MI · On-site
Responds timely to all landlord inquiries, payment notices, and default letters on supported ... Ensures data integrity by performing quality control review of work performed by others as directed ...
Payment Integrity Analyst information
See Michigan salary details
$14.67 - $17.16
2% of jobs
$17.16 - $19.66
9% of jobs
$19.66 - $22.15
13% of jobs
$22.25 is the 25th percentile. Wages below this are outliers.
$22.15 - $24.65
20% of jobs
The median wage is $25.63 / hr.
$24.65 - $27.14
15% of jobs
$27.14 - $29.64
15% of jobs
$30.03 is the 75th percentile. Wages above this are outliers.
$29.64 - $32.13
8% of jobs
$32.13 - $34.63
5% of jobs
$34.63 - $37.12
4% of jobs
$37.12 - $39.62
3% of jobs
$39.62 - $42.11
5% of jobs
$14
$27
$42
How much do payment integrity analyst jobs pay per hour?
What does a payment integrity analyst do?
A Payment Integrity Analyst is responsible for reviewing healthcare claims, payments, and billing practices to identify errors, fraud, waste, or abusive billing patterns. They analyze data, conduct audits, and work with providers and internal teams to ensure compliance with healthcare regulations and payer policies. Their role helps prevent financial losses and improves the accuracy of payments in the healthcare industry.
What are the key skills and qualifications needed to thrive as a payment integrity analyst?
To thrive as a Payment Integrity Analyst, you need strong analytical skills, attention to detail, and a background in healthcare billing, finance, or related fields. Experience with data analysis tools (such as Excel, SQL, or Tableau), healthcare claims systems, and knowledge of industry regulations or certifications like CPC or CPMA are highly valued. Strong problem-solving abilities, effective communication, and collaboration skills help analysts navigate complex data and work efficiently with cross-functional teams. These competencies are vital for accurately identifying discrepancies, optimizing payment processes, and ensuring financial accuracy within healthcare organizations.
How much does a Payment Integrity Analyst make?
Is a payment integrity analyst a good job?
What are the most commonly searched types of Payment Integrity Analyst jobs in Michigan?
The most popular types of Payment Integrity Analyst jobs in Michigan are:
What are popular job titles related to Payment Integrity Analyst jobs in Michigan?
For Payment Integrity Analyst jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Payment Integrity Analyst jobs in Michigan look for?
The top searched job categories for Payment Integrity Analyst jobs in Michigan are:
What cities in Michigan are hiring for Payment Integrity Analyst jobs?
Cities in Michigan with the most Payment Integrity Analyst job openings:

Full-time
Posted 7 days ago
Job description
Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers.
- Identify and analyze operational data and develop insights in support of business objectives.
- Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality.
- Identify and/or analyze business problems and develop recommendations for solutions to problems.
- Lead the development and implementation of projects and/or teams in order to produce desired results.
- Document and communicate project concepts, milestones and results.
- Recommend and assist with implementing standard policies and procedures.
- Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis.
- Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
- Provide support to internal departments and external entities by answering questions, supplying information and training.
- Create and present reports and presentations to display operational data and proposed business changes.
"Qualifications"
- Bachelor's Degree in a related field is preferred.
- Four (4) years of experience in a related field is required.
- Excellent analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.
- Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines.
- Excellent verbal, written communication and interpersonal skills.
- Ability to lead and contribute to business unit and/or corporate projects.
- Proficient in Microsoft Office Suites.
- Ability to develop and maintain effective working relationships.
Departmental Preferences:
- Ability to analyze medical claim data to identify opportunities for claim edits preferred.
- Broad understanding of BCBSM PPO/BCN reimbursement, medical and payment policies is preferred.
- Ability to apply advanced data analytic techniques and root cause analysis is preferred.
- Intermediate skill using Microsoft applications including Excel, Word and PowerPoint is preferred.
- Expert level experience with NASCO claims system preferred.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
About Advantasure
Sourced by ZipRecruiter
Industry
It services
Company size
501 - 1,000 Employees
Headquarters location
Glen Allen, VA, US
Year founded
2016