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Remote Payment Integrity Analyst Jobs in Colorado

Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and ... USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ...

Analyst, Traffic Quality

Broomfield, CO · On-site +1

$70K - $80K/yr

... remote, T/W/TH in-office) At Magnite, we cultivate an environment of continuous growth and ... integrity of our platform. In Colorado, the base salary range for this role is $65,000 - $75,000.

Showing results 21-40

Remote Payment Integrity Analyst information

How much does a remote payment integrity analyst make?

A remote payment integrity analyst typically earns between $50,000 and $80,000 annually, depending on experience, location, and certifications. The role often requires strong analytical skills and familiarity with healthcare or financial systems, with some positions offering additional bonuses or benefits for remote work arrangements.

What are the key skills and qualifications needed to thrive as a remote payment integrity analyst, and why are they important?

To excel as a Remote Payment Integrity Analyst, you need strong analytical skills, experience in healthcare claims or payment analysis, and a bachelor’s degree in a related field. Familiarity with data analysis tools (such as Excel, SQL, or claims processing systems) and knowledge of industry regulations like HIPAA are typically required. Attention to detail, problem-solving abilities, and effective communication are vital soft skills for investigating discrepancies and collaborating with stakeholders. These competencies ensure the accurate identification of improper payments, cost savings, and compliance within healthcare organizations.

What is the difference between Remote Payment Integrity Analyst vs Remote Claims Auditor?

AspectRemote Payment Integrity AnalystRemote Claims Auditor
Required CredentialsCertifications in healthcare compliance, coding, or auditingCertifications in claims processing, auditing, or healthcare reimbursement
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance or healthcare organizations
Industry UsageHealthcare payers, insurance companiesInsurance companies, third-party administrators
Common Search IntentUnderstanding roles in payment integrity and fraud preventionAuditing claims for accuracy and compliance

The Remote Payment Integrity Analyst focuses on detecting and preventing improper payments, fraud, and abuse within healthcare claims, often requiring compliance and coding certifications. In contrast, the Remote Claims Auditor reviews claims for accuracy and adherence to policies, typically with auditing certifications. Both roles are remote, industry-specific, and involve analyzing healthcare or insurance claims, but they emphasize different aspects of claims management and compliance.

What is a remote payment integrity analyst?

A Remote Payment Integrity Analyst is a professional who works from a remote location to review healthcare or insurance claims for accuracy, compliance, and potential fraud. Their primary role is to ensure that payments made by insurance companies or healthcare providers are correct and align with policy guidelines. They use data analysis, auditing processes, and investigative techniques to identify improper payments or billing errors. This helps organizations recover overpayments, prevent financial losses, and maintain regulatory compliance. Remote Payment Integrity Analysts typically work for health insurers, government agencies, or third-party vendors.

How does a remote payment integrity analyst typically collaborate with other departments to resolve payment discrepancies?

As a Remote Payment Integrity Analyst, you'll regularly work with teams such as billing, claims, and provider relations to investigate and resolve payment discrepancies. Clear communication—often via email, virtual meetings, or internal platforms—is crucial for gathering documentation, clarifying complex cases, and ensuring timely resolution. Collaboration may also involve sharing findings or trends to help improve overall payment processes and prevent future errors. This cross-functional teamwork is essential for maintaining accuracy and compliance in healthcare or insurance payment systems.

What are the most commonly searched types of Payment Integrity Analyst jobs in Colorado?

The most popular types of Payment Integrity Analyst jobs in Colorado are:

What are popular job titles related to Remote Payment Integrity Analyst jobs in Colorado?

For Remote Payment Integrity Analyst jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Payment Integrity Analyst jobs in Colorado look for?

The top searched job categories for Remote Payment Integrity Analyst jobs in Colorado are:

What cities in Colorado are hiring for Remote Payment Integrity Analyst jobs?

Cities in Colorado with the most Remote Payment Integrity Analyst job openings:

Actuarial Analyst II (Intermediate) - Forecasting Analytics

USAA

Colorado Springs, CO • On-site, Remote

$77K - $138K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago


USAA rating

8.2

Company rating: 8.2 out of 10

Based on 262 frontline employees who took The Breakroom Quiz

51st of 171 rated banks


Job description

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.

The Opportunity

Relocation assistance is available for this position.

We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL.

This position will be part of our Property Pricing State Team handling forecasting analytics. This role will require an experienced analyst to independently apply actuarial methods for accurate pricing and process improvement, mentor colleagues, provide strategic insights, and manage business risks in compliance with internal risk management policies.

Experienced analyst responsible for independently applying actuarial methodologies to complete structured projects and serves as a technical subject matter expert on assigned tasks.

What you'll do:

  • Independently applies actuarial methodologies to complete structured projects (e.g.,

  • Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale).

  • Identifies and  improves existing processes utilizing actuarial, mathematical, or statistical techniques.

  • Proactively resolves technical issues and identifies appropriate issues for escalation.

  • Assists others with troubleshooting issues.

  • Creates instructions and training materials for actuarial tools and processes.

  • Mentors new team members.

  • Apply business acumen to provide actionable insights that help solve business problems.

  • Effectively communicates insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.

  • Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • Bachelor’s degree OR 4 years of related actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.

  • 2 years of actuarial or analytical business experience.

  • 3 Casualty Actuarial Society (CAS) exams.

  • Experience with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.

  • Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.

What sets you apart:

  • Experienced pricing forecaster with a background in trend analysis, claims analytics, and reserving.

  • Familiarity with Excel and at least one programming language or modeling software package (Python, SQL, R, SAS, etc.).

  • Demonstrated experience with basic actuarial pricing methodologies.

  • Demonstrated experience aggregating and analyzing data to solve problems.

  • Ability to effectively communicate insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.

  • P&C Personal Lines pricing experience.

  • Familiarity and experience with industry pricing software such as Earnix.

  • US military experience through military service or a military spouse/domestic partner.

Compensation range: The salary range for this position is: $77,120 - $138,810.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


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