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Remote Payment Integrity Analyst Jobs (NOW HIRING)

Corvel

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: * Supervises all daily activities of payment integrity team related to quality assurance and provider appeals * Ability to assist ...

CareFirst

Payment Integrity Intern (Remote)

Columbia, MD · Remote

$14.50 - $19.50/hr

The intern position resides within the Payment Integrity Department. This team is responsible for ... Strong attention to detail, strong analytical, problem solving and organizational skills. * Must be ...

CERiS

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: * Supervises all daily activities of payment integrity team related to quality assurance and provider appeals * Ability to assist ...

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday - Friday | Full-Time Position Summary The Healthcare Revenue Integrity Analyst is responsible for ...

Zelis

Senior Solution Advisor, Payment Integrity

Atlanta, GA · Remote

$131K - $131K/yr

Provide expertise on Payment Integrity portfolio, including PowerPoint creation and presentation, data analyses, evaluating product fit, and answering client/prospect questions. Strategic partner ...

Zelis

Senior Solution Advisor, Payment Integrity

Boston, MA · Remote

$148K - $148K/yr

Provide expertise on Payment Integrity portfolio, including PowerPoint creation and presentation, data analyses, evaluating product fit, and answering client/prospect questions. Strategic partner ...

Zelis

Senior Solution Advisor, Payment Integrity

Plano, TX · Remote

$130K - $131K/yr

Provide expertise on Payment Integrity portfolio, including PowerPoint creation and presentation, data analyses, evaluating product fit, and answering client/prospect questions. Strategic partner ...

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How much do remote payment integrity analyst jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote payment integrity analyst in the United States is $35.97, according to ZipRecruiter salary data. Most workers in this role earn between $25.24 and $42.07 per hour, depending on experience, location, and employer.

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.
More about Remote Payment Integrity Analyst jobs
What cities are hiring for Remote Payment Integrity Analyst jobs? Cities with the most Remote Payment Integrity Analyst job openings:
What are the most commonly searched types of Payment Integrity Analyst jobs? The most popular types of Payment Integrity Analyst jobs are:
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Remote Payment Integrity Analyst jobs near you
Infographic showing various Remote Payment Integrity Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 88% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $74,823 per year, or $36 per hour.
Senior Lead Payment Integrity

Senior Lead Payment Integrity

SmartLight Analytics

Plano, TX • On-site, Remote

Full-time

Posted 27 days ago

Job description

Position Overview
The Senior Lead of Payment Integrity is responsible for the end-to-end performance, satisfaction, and operational excellence of the company's carrier network. This role develops, manages, and strengthens strategic carrier relationships while ensuring accuracy, compliance, service quality, and a consistently positive carrier experience. Acting as the primary liaison between carriers and internal teams, the Senior Lead drives alignment, transparency, and continuous improvement across communication, operations, payment processes, and partnership programs.
This position oversees key functions including payment operations, quality assurance, carrier engagement, and experience management. The Senior Lead initiates and maintains savings and performance improvement initiatives with carrier partners, identifying opportunities for operational enhancements and friction reduction. The role also provides analytical insights and performance reporting during internal and external business reviews, representing the organization in client and carrier facing discussions.
Additionally, the Senior Lead collaborates closely with IT and cross functional teams to enhance tools, processes, and technology impacting carriers and the carrier engagement team. By championing operational integrity, strengthening partnerships, and driving data-informed improvements, this role ensures a seamless, reliable, and transparent end-to-end experience for carriers, partners, and internal stakeholders while supporting organizational growth.
Responsibilities
  • Attend monthly Business Review meetings with clients providing detailed and analytical data insights as it relates to carrier engagement.
  • Attend monthly Carrier meetings providing referral findings and leading data-driven discussion
  • Facilitate feedback loops to understand carrier needs and drive continuous improvement
  • Hands-on delivery of the carrier experience vision, standards and service models
  • Lead initiatives that strengthen trust, transparency, and partnership with carriers
  • Identify performance gaps and lead cross-functional improvement plans
  • Manage escalations and ensure timely resolution of carrier issues
  • Champion a consistent, high-quality experience across all carrier and client touchpoints
  • Serve as an executive liaison for carrier and client relationships focusing on service, performance and partnership
  • Develop team capabilities in communication, analytics, relationship management, and problem-solving

Qualifications
  • Bachelor's degree in business, operations, or related field; advanced degree preferred
  • Payor/Carrier experience is required
  • 5 - 10+ years of experience in payment integrity operations, financial operations, or quality management
  • Experience managing the payment integrity operations process, workflow patterns and complex operational programs
  • Experience managing external partners or vendors preferred
  • Strong analytical, problem-solving, and process-improvement skills

Skills & Competencies
  • Strong relationship-building and communication skills
  • Ability to navigate, understand and explain claims and billing data
  • Some combination of coding/medical records or carrier payment integrity work
  • Analytical mindset with the ability to interpret large data sets and drive decisions
  • Excellent organizational and project management abilities
  • Ability to navigate complex issues with diplomacy and accountability

Success Indicators
  • Carriers consistently meet or exceed performance expectations
  • Strong, collaborative relationships with carriers and internal teams
  • Reduced escalations and improved issue-resolution timelines
  • Clear, consistent communication and documentation across all carrier interactions
  • Measurable improvements in carrier satisfaction and operational efficiency

Who is SmartLight Analytics
SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight works for self-funded employers to reduce wasteful spending in their healthcare plan through our proprietary data analysis. Our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes.

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