ZipRecruiter

Log In

1

Upic Jobs (NOW HIRING)

Pennant Services

Denials Management Specialist

$18.50 - $24.50/hr

Manages assigned audit reviews from intake through submission, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC ...

PACS Inc

Regional Director of Therapy Services

Support facility in responding to outside 3rd party reviews such as CERTs, ADR's, ALJ hearings, UPIC defense etc. * Report to Chief Compliance Officer any concerns with compliance, including policies ...

Pennant Services

Denials Management Specialist

$18.50 - $24.50/hr

Manages assigned audit reviews from intake through submission, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC ...

PurposeCare

Vice President of Quality and Compliance

$129K - $173K/yr

Manage responses to Medicare, Medicaid, commercial payer, and regulatory audits, including ADRs, UPIC, and TPE requests. * Monitor CMS regulations, accreditation standards, and payer requirements ...

Baba

RCM Lead

Manhattan, NY · On-site

You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer reviews) and won them: you know how to assemble documentation, respond on time, and run a billing ...

Baba Care, Inc

RCM Lead

New York, NY · On-site

$19.75 - $26.25/hr

You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer reviews) and won them: you know how to assemble documentation, respond on time, and run a billing ...

New

CoventBridge Group

Medical Review Supervisor (MCP)

$93K - $100K/yr

Monitor and manage the quality of reviews and department productivity to meet CMS and UPIC management expectations * Ensure that claim reviews meet the standards defined by the Statement of Work ...

Baba

RCM Lead

New York, NY · On-site

$19.75 - $26.25/hr

You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer reviews) and won them: you know how to assemble documentation, respond on time, and run a billing ...

Baba Care, Inc

RCM Lead

Manhattan, NY · On-site

$19.75 - $26.50/hr

You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer reviews) and won them: you know how to assemble documentation, respond on time, and run a billing ...

New

previous page

Showing results 21-34

All JobsTechnology JobsUpic Jobs

Upic information

See salary details

$8

$26

$61

How much do upic jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for upic in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What is an Upic?

A UPIC (Unified Program Integrity Contractor) job typically involves investigating and preventing fraud, waste, and abuse in Medicare and Medicaid programs. Employees in these roles analyze claims data, conduct audits, and collaborate with law enforcement agencies to ensure compliance with federal regulations. UPIC staff may include analysts, auditors, and investigators who work to protect program integrity and taxpayer funds.

What are the key skills and qualifications needed to thrive as a UPIC investigator, and why are they important?

To thrive as a UPIC Investigator, you need a background in healthcare fraud investigation, data analysis, and knowledge of Medicare/Medicaid regulations, often supported by a relevant bachelor's degree or investigative experience. Familiarity with fraud detection software, claims processing systems, and certification such as Certified Fraud Examiner (CFE) is highly beneficial. Strong attention to detail, critical thinking, and effective communication are important soft skills for conducting thorough investigations and reporting findings. These skills and qualifications are essential for ensuring program integrity, detecting fraudulent activities, and protecting public healthcare resources.

What are some common challenges faced by Upic team members when managing client projects, and how can they be addressed?

Upic team members often juggle multiple client projects simultaneously, which can make prioritization and time management challenging. Clear communication with clients and internal teams is essential to set expectations and prevent misunderstandings. Utilizing project management tools and participating in regular check-ins helps ensure that deadlines are met and deliverables are aligned with client needs. Developing strong organizational habits and seeking feedback from colleagues can help team members continuously improve their workflow and client satisfaction.

What is the difference between Upic vs Photogrammetrist?

AspectUpicPhotogrammetrist
Required CredentialsTypically requires a certificate or diploma in surveying, GIS, or related fieldsBachelor's degree in geomatics, surveying, or geography; often with certification
Work EnvironmentFieldwork, construction sites, or office-based GIS analysisField surveys, aerial photo analysis, office GIS work
Industry UsageConstruction, land development, surveying companiesMapping, land surveying, environmental consulting
Common Search/ComparisonUpic vs Photogrammetrist

Upic and Photogrammetrist roles both involve land measurement and mapping, but Upic typically focuses on survey data collection and basic GIS tasks, while Photogrammetrist specializes in aerial photo analysis and advanced mapping techniques. Both roles are essential in land development and surveying industries, with overlapping skills but different areas of expertise.

More about Upic jobs

What are the most commonly searched types of Upic jobs?

The most popular types of Upic jobs are:

What job categories do people searching Upic jobs look for?

The top searched job categories for Upic jobs are:

Upic jobs near you
Infographic showing various Upic job openings in the United States as of August 2026, with employment types broken down into 9% Internship, 82% Full Time, and 9% Part Time. Highlights an 46% In-person, 9% Hybrid, and 45% Remote job distribution, with an average salary of $54,791 per year, or $26.3 per hour.

Denials Management Specialist

Pennant Services

Remote

$18.50 - $24.50/hr

Full-time

Posted 17 days ago

Job description

JOB SUMMARY
The Denials Management Review Specialist is responsible for performing comprehensive clinical and regulatory review of records submitted in response to payer, government, and external audit requests. This role evaluates documentation for medical necessity, eligibility, compliance with Medicare, Medicaid, payer, and program-specific requirements, and overall defensibility of the claim. The position partners closely with agency leadership, clinical operations, revenue cycle, finance, legal, and compliance teams to support timely audit response, identify documentation risk, communicate trends, and contribute to process improvements that reduce denial exposure and strengthen audit outcomes.
ESSENTIAL DUTIES & RESPONSIBILITIES
  • Consistently demonstrates CAPLICO Core Values and complies with the organization's Code of Conduct, confidentiality standards, and applicable policies and procedures.
  • Manages assigned audit reviews from intake through submission, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Medicaid, managed care, and other payer or regulatory reviews.
  • Reviews medical records for completeness, accuracy, medical necessity, eligibility, certification/recertification support, plan of care compliance, visit documentation, orders, signatures, and other payer-specific documentation requirements.
  • Applies Medicare Conditions of Payment, Medicare Benefit Policy Manual guidance, Medicaid requirements, payer policies, hospice and home health regulatory standards, and internal review expectations when evaluating claim defensibility.
  • Identifies documentation gaps, audit vulnerabilities, technical deficiencies, and recurring denial drivers; clearly communicates findings to agency and clinical leaders in a professional, objective, and actionable manner.
  • Prepares organized audit packets and review summaries that support timely, accurate, and defensible submissions to external reviewers, payers, and government contractors.
  • Supports appeal development by analyzing denied claims, summarizing clinical and regulatory support, and assisting with documentation review for all applicable appeal levels.
  • Partners with agencies, clinical operations, revenue cycle, finance, compliance, and legal partners to coordinate audit response activities, clarify documentation needs, and support appropriate follow-up.
  • Provides recommendations for corrective action, process improvement, and targeted education based on audit findings and identified risk trends.
  • Maintains proficiency in required systems and tools, including HCHB, EMR platforms, PDF-X-Change, Excel, Smartsheet, payer portals, and other audit tracking or reporting platforms.
  • Demonstrates sound judgment, strong critical thinking, attention to detail, organization, flexibility, and the ability to manage multiple deadlines in a remote, fast-paced environment.

The above statements are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. Incumbents may be asked to perform other job-related duties as assigned and in alignment with organizational needs.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
  • Registered Nurse or other applicable clinical licensure strongly preferred; equivalent clinical, audit, compliance, revenue cycle, or denials management experience may be considered based on business need.
  • Minimum of five years of experience in home health, hospice, post-acute care, clinical documentation review, audit response, appeals, compliance, or denials management preferred.
  • Strong working knowledge of Medicare, Medicaid, managed care, and payer documentation requirements, including home health and hospice eligibility, medical necessity, certification, recertification, plan of care, orders, signatures, and visit documentation standards.
  • Ability to interpret payer audit requests, identify required documentation, evaluate record completeness, and organize submission packets accurately and timely.
  • Demonstrated ability to synthesize complex clinical, operational, and regulatory information into clear findings, recommendations, and education opportunities.
  • Excellent written and verbal communication skills, including the ability to provide professional, objective feedback to agency and clinical leaders.
  • Highly detail-oriented, deadline-driven, and able to prioritize competing assignments with minimal supervision.
  • Comfortable working independently in a remote environment while maintaining strong collaboration with cross-functional partners.
  • Proficient with healthcare information systems, electronic medical records, Microsoft Office applications, Excel, PDF tools, Smartsheet, payer portals, and audit tracking or reporting platforms.

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Apply