Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met. Leads efforts to improve claim payment ...
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met. Leads efforts to improve claim payment ...
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met. Leads efforts to improve claim payment ...
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met. Leads efforts to improve claim payment ...
Proposal Lead
Milwaukee, WI · On-site +1
... hybrid or remote work (but within driving distance of the office). Why MSA At MSA, we believe ... Strong organizational, writing, editing, and verbal communication skills * Ability to manage ...
Proposal Lead
Milwaukee, WI · On-site +1
... hybrid or remote work (but within driving distance of the office). Why MSA At MSA, we believe ... Strong organizational, writing, editing, and verbal communication skills * Ability to manage ...
Public Relations Manager
Milwaukee, WI · Remote
$120K - $130K/yr
Fully remote; candidates must be based in the Central or Pacific time zone Job Summary: Indigenous ... Exceptional writing and editing skills -- you can distill complex ideas into clear, compelling ...
Quick apply
Public Relations Manager
Milwaukee, WI · Remote
$120K - $130K/yr
Fully remote; candidates must be based in the Central or Pacific time zone Job Summary: Indigenous ... Exceptional writing and editing skills -- you can distill complex ideas into clear, compelling ...
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met. Leads efforts to improve claim payment ...
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met. Leads efforts to improve claim payment ...
Exceptional written communication skills including formal business writing and copy editing ... Remote work available one day a week following a 90-day onboarding period * This role is not ...
Exceptional written communication skills including formal business writing and copy editing ... Remote work available one day a week following a 90-day onboarding period * This role is not ...
Remote Editor information
See Racine, WI salary details
$33.3K - $39.4K
4% of jobs
$39.4K - $45.5K
13% of jobs
$47.4K is the 25th percentile. Wages below this are outliers.
$45.5K - $51.6K
26% of jobs
The median wage is $54K / yr.
$51.6K - $57.7K
17% of jobs
$57.7K - $63.8K
13% of jobs
$65.3K is the 75th percentile. Wages above this are outliers.
$63.8K - $69.9K
9% of jobs
$69.9K - $76K
9% of jobs
$76K - $82K
3% of jobs
$82K - $88.1K
0% of jobs
$88.1K - $94.2K
2% of jobs
$94.2K - $100.3K
3% of jobs
$33.3K
$60K
$100.3K
How much do remote editor jobs pay per year?
What Is the Job of Remote Editors?
A remote editor’s job is to improve written communication for their employer. Unlike in-house editors, remote editors work from home or another location outside the office. Remote editors work on all types of written formats, such as books, articles, websites, corporate publications, training manuals, legal documents, and scientific papers. The specific tasks of an editor include correcting spelling, grammar, and punctuation errors; fact-checking; and rewriting unclear sentences. Background knowledge in the subject matter of the materials is essential for an editor to be able to take what was written and make it clear, organized, and appropriate for the target audience.
What are the key skills and qualifications needed to thrive as a Remote Editor, and why are they important?
What are some common challenges faced by remote editors, and how can they be managed effectively?
What are Remote Editors?
What is the difference between Remote Editor vs Remote Content Writer?
| Aspect | Remote Editor | Remote Content Writer |
|---|---|---|
| Primary Role | Reviewing, editing, and refining content for clarity, accuracy, and style | Creating original content such as articles, blog posts, and marketing copy |
| Required Skills | Strong editing, grammar, and language skills; attention to detail | Excellent writing, research, and creativity skills |
| Work Environment | Typically collaborates with writers and publishers remotely | Works independently to produce content for websites, blogs, or clients |
| Common Usage | Used by publishing houses, media companies, and content agencies | Used by marketing firms, blogs, and online publishers |
Remote Editors focus on refining and improving existing content, ensuring quality and consistency. Remote Content Writers create original content from scratch. Both roles often work remotely and require strong language skills, but their core responsibilities differ significantly.

Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
Passport Health Plan by Molina HealthcareMilwaukee, WI • Remote
Full-time
Posted 11 days ago
Job description
JOB DESCRIPTION Job Summary
Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution of operational initiatives tied to payment integrity (PI) and provider claims accuracy. Makes recommendations that inform decisions which contribute to health plan strategy, and acts as a trusted voice in assessing and assisting resolution of complex business challenges that impact cost-containment and regulatory compliance.
Essential Job Duties
Business Leadership & Operational Ownership
Assists with and executes projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general and administrative (G&A) expenses, and drive positive operational and financial outcomes for all payment integrity (PI) solutions.
Manages scorable action items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure health plan SAI targets are met.
Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
Partners with the network team to communicate recovery projects to ensure provider relations is informed and able to respond to provider inquiries.
- Analyze data to identify and develop new recovery opportunities
- Analyze data from Payment Integrity and Vendors against contracts, billing, and processing guidelines
- Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
- Conduct peer reviews of recovery concepts and offer recommendations for logical improvements; assist team members in their analysis of data sets and trends.
- Responsible for documenting policies and procedures related to concept approvals
- Conduct trainings and prepare training documentation for teams
- Other duties as assigned
Strategic Business Analysis
Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
Applies understanding of health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity related recommendations and action plans.
Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
Applied Analytical Support
Uses data analysis tools/systems to support business analysis.
Validates findings and tests assumptions through data, and leads with contextual knowledge of claims processing, provider contracts, and operational realities.
Creates succinct summaries and visualizations that enable faster leadership decision-making.
Required Qualifications
At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent combination of relevant education and experience.
Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
Strong data analysis/queries experience, and ability to analyze data to inform business decisions.
Strong business judgment, cross-functional coordination, and ownership of high-value deliverables.
Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
Strong written and verbal communication skills, including ability to synthesize complex information.
Microsoft Office suite (including advanced Excel), and applicable software program(s) proficiency.
- Claims processing background
- Experience with Medicare, Medicaid, and/or Marketplace lines of business.
- Payment integrity (PI) programs
Preferred Qualifications
Experience with Medicare, Medicaid, and/or Marketplace lines of business.
Certified Business Analysis Professional (CBAP) or Certified Coding Specialist (CCS) certification.
Project management experience.
Familiarity with Medicaid-specific scorable action items (SAIs), operational cost-management efforts, payment integrity (PI) programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $83,252 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.