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Payment Integrity Analyst Jobs (NOW HIRING)

SmartLight Analytics

Director of Payment Integrity

The Director of Carrier Engagement leads the execution, and continuous improvement of payment integrity analysis and analytics, ensuring accuracy, compliance, and operational excellence. This role is ...

Bcbsa

Director, Payment Integrity

Chicago, IL

Preferred MS or MBA in Healthcare Administration, Public Health or Business Analytics Experience * Required 12+ Years Progressive Experience in healthcare payment integrity and claims operations ...

HealthEdge

Drive enterprise analytics strategy and insight-driven innovation for payment integrity capabilities in partnership with Data teams * Ensure alignment across teams to deliver integrated, client ...

HealthEdge

VP, Payment Integrity

Drive enterprise analytics strategy and insight-driven innovation for payment integrity capabilities in partnership with Data teams * Ensure alignment across teams to deliver integrated, client ...

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Payment Integrity Analyst information

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How much do payment integrity analyst jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for payment integrity analyst in the United States is $31.53, according to ZipRecruiter salary data. Most workers in this role earn between $25.24 and $35.82 per hour, depending on experience, location, and employer.

What healthcare jobs pay over $100k per year?

For a Payment Integrity Analyst, salaries over $100,000 annually are common in senior or specialized roles, especially with experience, certifications, and advanced skills in data analysis, healthcare reimbursement, or auditing. Other high-paying healthcare jobs include healthcare executives, physicians, and certain IT roles like health informatics managers. Salary levels vary based on location, experience, and employer size.

What are the typical responsibilities of a Payment Integrity Analyst on a daily basis?

A Payment Integrity Analyst typically reviews healthcare claims for accuracy, audits processed payments to detect errors or potential fraud, and analyzes data to identify trends or recurring issues. You’ll collaborate closely with claims adjusters, medical coders, and compliance teams to resolve discrepancies and implement improvements. The role often involves preparing reports, documenting findings, and recommending solutions to streamline payment processes. This job requires strong analytical skills and effective communication as you’ll bridge the gap between raw data and actionable business decisions.

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

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.

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.

How much does a payment integrity analyst make?

A payment integrity analyst typically earns between $50,000 and $80,000 annually, depending on experience, location, and certifications. Entry-level roles may start lower, while experienced analysts with specialized skills can earn higher salaries. The role often requires knowledge of healthcare billing, data analysis tools, and compliance standards.

What does a payments analyst do?

A payments analyst reviews and processes financial transactions to ensure accuracy and compliance with company policies and industry regulations. They analyze payment data, identify discrepancies or fraud, and collaborate with teams to resolve issues, often using tools like Excel or payment processing software. Strong attention to detail and knowledge of financial systems are essential for this role.

What does a payment integrity analyst do?

A payment integrity analyst reviews healthcare claims and payment data to identify and prevent errors, fraud, and overpayments. They analyze claims using data analysis tools, ensure compliance with regulations, and recommend process improvements to reduce financial losses for organizations. Strong attention to detail and knowledge of billing systems are essential for this role.
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Payment Integrity Analyst jobs near you
Infographic showing various Payment Integrity Analyst job openings in the United States as of June 2026, with employment types broken down into 97% Full Time, 1% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $65,589 per year, or $31.5 per hour.
Analyst, Payment Integrity

Analyst, Payment Integrity

Hawaii Medical Service Association

Honolulu, HI • On-site

Full-time

Posted 25 days ago

Key responsibilities

  • Serve as contact for external vendors and internal departments to support operations and payment integrity activities.

  • Analyze and coordinate vendor performance reviews using KPIs and coordinate reconciliation of vendor invoices.

  • Analyze operational and financial data to identify trends, savings opportunities, and anomalies.

Job description

  1. Research and Analysis
    • Serve as contact for external vendors and internal departments to support operations and payment integrity activities.
    • Research and respond to low to high priority complex internal and external inquiries.
    • Analyze and coordinate vendor performance reviews using KPIs (e.g., recovery yield, turnaround time, false positive rates, provider abrasion).
    • Coordinate reconciliation of vendor invoices, validating against contractual terms, recoveries, and performance metrics.
    • Is proficient at utilizing a variety of resources including but not limited to on-line information files and databases, Medicare/other plan guidelines, plan certificates, provider contracts.
    • Update and create CES and Cotiviti pend resolutions.
  2. Business Analysis & Reporting
    • Analyze operational and financial data to identify trends, savings opportunities, and anomalies.
    • Assess business impact of new edits and changes in medical reimbursement policies/guidelines.
    • Initiate, develop, coordinate and implement cost/benefit analysis of claims processing.
    • Develop documentation, including cost/benefit and business impact analysis and recommendations to implement and/or improve claims processing.
    • Collaborate with IT and data teams to validate extracts, reconciliations, and vendor reporting feeds.
  3. Operational & Strategic Alignment
    • Recommend process improvements to increase efficiency and results.
    • Identification and resolution of issues and trends as a result of researching and responding to implementation requests, problem reports, and inquiries.
    • Support cross-functional projects, including audit response, regulatory requests, and enterprise cost-containment strategies.
    • Act as SME (subject matter expert) on payment integrity activities, workflow design, and best practices.
  4. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid
  1. Bachelor's degree or equivalent combination of education and work experience.
  2. Two years of related work experience.
  3. Excellent organizational and analytical skills
  4. Knowledge of regulations and standards: HIPAA, state, and federal regulations, including CMS, NCQA, and state DOI requirements.
  5. Basic working knowledge of Microsoft Office applications including, but not limited to Word, Powerpoint, Outlook and Excel.

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