ZipRecruiter

Log In

2

Remote Payment Integrity Analyst Jobs in Minnesota

CSAA

Job Title Regulatory Reporting Analyst- Remote Requisition Number R7892 Regulatory Reporting ... integrity and ensure alignment with regulatory expectations. * Perform comprehensive data ...

Circle

Lead KYC Analyst

Minneapolis, MN · On-site +1

... assets, payment applications, and programmable blockchain infrastructure. Circle's platform ... High Integrity, Future Forward, Multistakeholder, Mindful, and Driven by Excellence. We have built ...

Standard Iron

Pricing Analyst

Monticello, MN · On-site +1

... hybrid or remote with travel to the Monticello, MN office. Position Overview Following the ... System Integrity: Ensure accuracy of pricing within the ERP system. Required Qualifications ...

UnitedHealth Group

Data Analyst - Remote

Minnetonka, MN · On-site +1

Responsibilities include collecting information for both pre- and post-impact analyses. You'll ... Integrity: Complies with applicable laws, regulations, and policies * Performance Value: Deliver ...

previous pagenext page

Showing results 21-40

All JobsPayment Integrity Analyst JobsRemote Payment Integrity Analyst JobsRemote Payment Integrity Analyst Jobs in Minnesota

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 Minnesota?

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

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

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

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

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

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

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

Remote Payment Integrity Analyst jobs near you
Infographic showing various Remote Payment Integrity Analyst job openings in Minnesota as of August 2026, with employment types broken down into 82% Full Time, 15% Part Time, and 3% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

Product Capability Manager - AI Transformation, UMR - Remote

UnitedHealth Group

Eden Prairie, MN • On-site, Remote

Full-time

Retirement

Posted 21 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
UMR is seeking Product Capability Manager - AI Transformation to support the design and implementation of Agentic AI solutions transforming healthcare claims operations. These roles will work closely with product leaders, technology teams, and domain experts to translate complex claims processing rules into clear business requirements, AI prompts, decision logic, and operational workflows. The Product Capability Manager will play a critical role in enabling AI-driven capabilities that improve claim adjudication efficiency, payment integrity outcomes, and operational accuracy across multiple AI products.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
  • Partner with stakeholders to identify and prioritize AI use cases based on business value
  • Drive capability vision, strategy, priority and roadmap and engage appropriate enterprise-wide stakeholders to enable awareness and alignment. Own capability backlog and feature/use case prioritization decisions
  • Define success metrics and measure product and capability performance and own outcomes
  • Lead product lifecycle management from ideation through deployment and enhancement
  • Manage the capability and its usage across businesses across the lifecycle, using a defined development process. Drive adoption and value realization of AI-enabled capabilities
  • Lead detailed requirements gathering and analysis for AI-enabled claims operations initiatives
  • Translate healthcare claims policies, SOPs, and operational guidelines into structured requirements, decision rules, and AI prompts
  • Collaborate with Product, IT, Data Science, UX, Clinical, Pricing, and Payment Integrity stakeholders to design AI-assisted claims workflows
  • Convert complex claims logic (eligibility/benefits, coding edits, modifiers, COB, authorization rules, contract pricing, bundling/unbundling, and recoupment logic) into testable system requirements
  • Develop detailed user stories, functional specifications, acceptance criteria, and traceability documentation
  • Support development and refinement of AI agent prompts, decision logic, and rule configurations used in claims automation workflows
  • Participate in solution design sessions to ensure business logic is accurately represented in system functionality
  • Support testing, validation, and operational readiness of AI-enabled claims capabilities
  • Document business processes, operational workflows, and system interactions for new AI-driven capabilities
  • Collaborate with program leadership to ensure alignment across multiple Agentic AI products and maintain consistency in requirements standards
  • Serve as the capability champion and apply deep expertise to credibly represent, manage and engage with business(es)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 5+ years of experience in healthcare payer operations, healthcare consulting, or healthcare technology delivery
  • 3+ years of experience working with healthcare claims processing including eligibility/benefits, claims edits, coding logic, COB, or pricing
  • Experience writing business requirements, user stories, functional specifications, and acceptance criteria
  • Experience collaborating with cross-functional teams including IT, product management, and operations stakeholders
  • Experience defining or contributing to AI use case strategy, including problem framing, value hypotheses, and measurable success metrics
  • Experience in creating structured strategies and solution artifacts (e.g., use case briefs, process flows) and integrating models into existing products/capabilities
  • Experience in PDLC and AIDLC while leveraging modern product management tools - Aha!, JIRA, FIGMA, MIRO, GitHub, etc.
  • Proven solid analytical skills with the ability to translate complex operational processes into structured requirements
  • Proven solid written and verbal communication skills
  • Proven ability to design or operate within AI intake and prioritization frameworks, including evaluating initiatives based on business impact, feasibility, and adoption potential

Preferred Qualifications:
  • Experience supporting AI, automation, or advanced analytics initiatives within healthcare payer operations
  • Experience translating policy or clinical guidelines into operational or system rules
  • Experience working with large payer organizations or TPAs
  • Experience evaluating and supporting legal, compliance, and risk considerations for AI solutions, including areas such as model governance, responsible AI, and regulatory alignment
  • Exposure to prompt engineering, rule engines, or decision automation platforms
  • Knowledge of claims adjudication systems, payment integrity platforms, or healthcare pricing tools
  • Working knowledge of production AI systems, including MLOps or deployment considerations
  • Familiarity with Agile development methodologies and product delivery frameworks

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

What UnitedHealth Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply