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Recovery Audit Analyst Jobs (NOW HIRING)

Regal Medical Group, Inc.

$25/hr

... and/or recovery of various programs and products, to include but not limited to: Capitation ... Audit all capitation deductions submitted by all the health plans on a monthly basis. * Dispute ...

The Audit Group, Inc.

Recovery Analyst

Chesterfield, MO · On-site

Salary: $45,000 per year RECOVERY ANALYST CHESTERFIELD, MO About Us For over 37 years, TAG has proudly dedicated itself to partnering with healthcare systems nationwide to save money and make better ...

Great Plains Health

RAC Coordinator

North Platte, NE · On-site

... Recovery Audit Contractor program and has accountability for daily management, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and ...

United Airlines

Disaster Recovery Analyst

Atlanta, GA

$144K/yr

... recovery team leads, affected clients, etc. Develop and gain approval for ITO BC and DR Exercise ... audits Proven competency in use of MS Office applications, specifically Microsoft Project, Word ...

Conservice

Vacant Recovery Analyst

River Heights, UT · Hybrid

VACANT RECOVERY ANALYST Department: Synergy Location: Logan, UT Hybrid (M & F remote) Wage: $14.50 ... Audit vacant bills and comparing them to rent roll data to identify vacant recovery * Record and ...

New

Conservice

Vacant Recovery Analyst

Logan, UT · On-site

VACANT RECOVERY ANALYST Department: Synergy Location: Logan, UT Hybrid (M & F remote) Wage: $14.50 ... Audit vacant bills and comparing them to rent roll data to identify vacant recovery * Record and ...

Wsfsbank

IT Audit Manager

Wilmington, DE · Remote

... Recovery, and Incident Response, digital banking technologies (mobile, online, RDC), and vendor management practices. * Experience with audit analytics tools (ACL, IDEA or similar). * Strong ...

WSFS Bank

IT Audit Manager

Philadelphia, PA · Remote

... Recovery, and Incident Response, digital banking technologies (mobile, online, RDC), and vendor management practices. * Experience with audit analytics tools (ACL, IDEA or similar). * Strong ...

Gphealth

RAC Coordinator

North Platte, NE

... Recovery Audit Contractor program and has accountability for daily management, monitoring, and direction of RAC Activities. This position provides financial data and analysis for internal and ...

PRGX Global, Inc

Director, Sales

Atlanta, GA · On-site

This role focuses on selling PRGX's contract compliance, profit recovery, and Source-to-Pay analytics solutions to senior leaders across Procurement, Finance, Shared Services, and Internal Audit. The ...

WSFS Bank

IT Audit Manager

Philadelphia, PA · On-site

... Recovery, and Incident Response, digital banking technologies (mobile, online, RDC), and vendor management practices. * Experience with audit analytics tools (ACL, IDEA or similar). * Strong ...

WSFS Bank

IT Audit Manager

Wilmington, DE · Remote

... Recovery, and Incident Response, digital banking technologies (mobile, online, RDC), and vendor management practices. * Experience with audit analytics tools (ACL, IDEA or similar). * Strong ...

Wsfsbank

IT Audit Manager

Philadelphia, PA · Remote

... Recovery, and Incident Response, digital banking technologies (mobile, online, RDC), and vendor management practices. * Experience with audit analytics tools (ACL, IDEA or similar). * Strong ...

PRGX Global, Inc.

Director, Sales

Atlanta, GA

This role focuses on selling PRGX's contract compliance, profit recovery, and Source-to-Pay analytics solutions to senior leaders across Procurement, Finance, Shared Services, and Internal Audit. The ...

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Recovery Audit Analyst information

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$31K

$89.7K

$126.5K

How much do recovery audit analyst jobs pay per year?

As of Jun 23, 2026, the average yearly pay for recovery audit analyst in the United States is $89,650.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,500.00 and $116,500.00 per year, depending on experience, location, and employer.

How are RACs paid for their services?

Recovery Audit Analysts (RACs) are typically paid through contingency fees, earning a percentage of the recovered funds they identify and correct. This performance-based model incentivizes RACs to find and recover overpayments or underpayments for healthcare payers. Payment structures can vary depending on contracts and industry standards.

Is an auditor a high paying job?

Recovery Audit Analysts typically earn competitive salaries that can vary based on experience, location, and certifications. While some senior or specialized roles in auditing can be well-paying, entry-level positions may offer moderate compensation compared to other finance or accounting roles.

How does a Recovery Audit Analyst typically collaborate with other departments to identify and resolve discrepancies?

Recovery Audit Analysts work closely with departments such as finance, accounts payable, procurement, and compliance to investigate and resolve payment discrepancies. They often communicate findings through reports and meetings, ensuring all relevant stakeholders understand potential errors and recovery opportunities. This collaborative approach helps streamline processes, prevent future losses, and ensure accurate financial records across the organization.

What type of auditor gets paid the most?

For a Recovery Audit Analyst, senior-level auditors with extensive experience, specialized certifications, and advanced skills tend to earn the highest salaries. Auditors working in larger organizations or in regions with a higher cost of living generally receive higher pay. Expertise in data analysis tools and industry-specific knowledge can also contribute to increased compensation.

What are the 5 C's of audit?

The 5 C's of audit are Character, Capacity, Capital, Collateral, and Conditions. These criteria help auditors assess the creditworthiness and risk factors of a borrower or entity during financial reviews. For a Recovery Audit Analyst, understanding these principles can aid in evaluating financial data and identifying discrepancies.

What is the difference between Recovery Audit Analyst vs Claims Analyst?

AspectRecovery Audit AnalystClaims Analyst
CertificationsOften requires certifications like CPC, CCS, or similarMay require CPC or similar healthcare billing certifications
Work EnvironmentTypically in healthcare, insurance, or government agenciesUsually in insurance companies, healthcare providers, or government agencies
Job FocusIdentifies and recovers improper payments through auditsReviews and processes insurance claims for accuracy and compliance

Recovery Audit Analysts and Claims Analysts share overlapping skills in healthcare billing and auditing. While Recovery Audit Analysts focus on identifying and recovering improper payments, Claims Analysts primarily process and review claims for accuracy. Both roles are essential in healthcare finance and often work within similar environments, requiring certifications like CPC or CCS. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

What are the key skills and qualifications needed to thrive as a Recovery Audit Analyst, and why are they important?

To thrive as a Recovery Audit Analyst, you need strong analytical skills, attention to detail, and a background in finance, accounting, or healthcare administration, often supported by a relevant degree. Familiarity with audit software, data analysis tools like Excel or SQL, and sometimes certifications such as Certified Internal Auditor (CIA) are typically required. Excellent communication, problem-solving abilities, and organizational skills help you effectively collaborate with teams and deliver actionable insights. These skills are crucial for accurately identifying discrepancies, ensuring compliance, and recovering lost revenue for organizations.

What are Recovery Audit Analysts?

Recovery Audit Analysts are professionals who review financial transactions, such as payments and claims, to identify errors, overpayments, or discrepancies. They typically work for healthcare organizations, insurance companies, or financial institutions to ensure compliance and recover lost revenue. Their role involves analyzing large datasets, investigating anomalies, and collaborating with other departments to resolve issues and implement process improvements. Recovery Audit Analysts help organizations minimize financial losses and maintain accurate records.
More about Recovery Audit Analyst jobs
What cities are hiring for Recovery Audit Analyst jobs? Cities with the most Recovery Audit Analyst job openings:
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Recovery Audit Analyst jobs near you
Infographic showing various Recovery Audit Analyst job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $89,650 per year, or $43.1 per hour.
Senior Data Mining & Payment Integrity Analyst

Senior Data Mining & Payment Integrity Analyst

Gainwell Technologies LLC

Houston, TX

$69K - $99K/yr

Other

Medical, Retirement, PTO

Posted 21 days ago

Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

110th of 191 rated software companies

Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary
As a Senior Data Mining & Payment Integrity Analyst, you will design and develop data mining concepts that identify improper payments and improve claims accuracy across dental, medical, and pharmacy billing. Using your expertise in healthcare reimbursement, regulations, and data analysis, you will translate complex policies into scalable audit and analytics solutions. You will collaborate with cross functional teams to drive innovation, support client payment integrity strategies, and help safeguard healthcare resources for the populations our clients serve.
Your Role in Our Mission
  • Develop and implement new data mining opportunities to identify overpayments to providers through data review and analytics across dental, medical, and pharmacy claims.
  • Act as a senior member of the team and mentor lower-level analysts.
  • Research industry standard guidelines, State and Federal regulations, and client billing and reimbursement policies to develop and configure improper payment algorithms.
  • Review provider contracts to identify algorithms for the identification of contract-based overpayments.
  • Implement current Payment Analytics concepts for new and existing clients while ensuring client policy is supportive and properly applied.
  • Support the appeals, validation, and client services teams in resolving outstanding issues related to production queries.
  • Ensure individual and departmental goals are consistently met or exceeded through collaboration with other team members and management.
  • Review IT programming results for quality assurance and proof of concept validation.
  • Document query results and prepare internal and external documentation and presentations related to new overpayment issues.
  • Partner with internal operations and clinical teams to develop, implement, review, and audit protocols and internal review guidelines.
  • Collaborate with engineers to develop and implement technological improvements that support the audit process.
  • Contribute innovative ideas for improving existing audit processes and audit queries.

What We Are Looking For
  • 5 years of Healthcare Payment Integrity and/or Data Mining experience.
  • At least 3 years of Domain Specific experience in Medical, Dental, or Pharmacy claims analysis.
  • Experience in Healthcare Auditing, including Reviewing and Validating the Accuracy of Claims Data and the Accuracy of Claims Payment, is preferred.
  • Experience Applying Published Healthcare Guidelines such as CMS Regulations and Coding Guidelines to Healthcare Claims Data. Recovery audit experience is preferred.

What you should expect in this role
Opportunities to travel through your work (0-10%)
Video cameras must be used during all interviews, as well as during the initial week of orientation
The deadline to submit applications for this posting is July 30, 2026.
The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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About Gainwell Technologies

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With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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