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Zpic Jobs (NOW HIRING)

Montefiore

Senior Compliance Auditor (JR229173)

Bronx, NY · On-site

$89K - $110K/yr

Zone Program Integrity Contractor (ZPIC) * Health Care Fraud Prevention and Enforcement Action Team (HEAT) * Ensure timely and accurate response to external audit, in order to mitigate Medical Center ...

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$93K

$172.7K

$376.5K

How much do zpic jobs pay per year?

As of Jun 30, 2026, the average yearly pay for zpic in the United States is $172,668.00, according to ZipRecruiter salary data. Most workers in this role earn between $127,000.00 and $205,000.00 per year, depending on experience, location, and employer.

What is a Zpic job?

A ZPIC (Zone Program Integrity Contractor) job involves investigating potential Medicare fraud, waste, and abuse. ZPIC auditors review claims, medical records, and billing practices to ensure compliance with federal regulations. They work to identify improper payments, conduct interviews, and may recommend corrective actions or further audits. These roles require strong analytical skills and knowledge of healthcare laws.

What does ZPIC stand for?

ZPIC stands for Zone Program Integrity Contractor, a role within healthcare fraud prevention responsible for auditing and investigating Medicare and Medicaid claims to detect and prevent fraud, waste, and abuse. These contractors analyze data, conduct audits, and work with healthcare providers to ensure compliance with regulations.

What jobs pay $10,000 a month without a degree?

Jobs related to sales, real estate, or entrepreneurship can pay $10,000 or more monthly without a degree, often requiring strong communication skills, experience, or self-employment. High-paying roles in these fields typically depend on performance, commissions, or business success rather than formal education.

What jobs pay 2000 a day?

High-paying jobs that can earn $2,000 or more per day include specialized roles such as surgeons, anesthesiologists, corporate lawyers, and certain high-level consultants or traders. These positions typically require advanced education, extensive experience, and often involve high-stakes environments or specialized skills. Freelance or contract work in fields like software development or consulting can also reach this earning level with significant expertise and client volume.

What are some of the main responsibilities for a ZPIC position on a typical day?

As a ZPIC, your daily responsibilities often include reviewing Medicare claims for irregularities, conducting audits of healthcare providers, and analyzing data for patterns indicative of fraud or abuse. You’ll collaborate with healthcare organizations, legal teams, and sometimes law enforcement to gather evidence and ensure compliance with federal regulations. The work is both investigative and analytical, requiring you to document findings and prepare detailed reports that support enforcement actions. This role also involves ongoing education to keep up with changing healthcare policies and fraud detection strategies. The position is ideal for those who enjoy problem-solving, working independently, and making a direct impact on the integrity of the healthcare system.

What are the key skills and qualifications needed to thrive in the Zpic position, and why are they important?

To thrive as a ZPIC (Zone Program Integrity Contractor), you need a strong background in healthcare compliance, auditing, and the analysis of Medicare claims data, typically supported by experience in healthcare administration or fraud investigation. Familiarity with audit management tools, health information systems, and relevant certifications such as Certified Professional Medical Auditor (CPMA) or Certified Fraud Examiner (CFE) are highly beneficial. Excellent critical thinking, attention to detail, and professional communication skills are essential for managing complex investigations and reporting findings. These qualifications ensure ZPICs can effectively detect and prevent healthcare fraud, safeguarding the integrity of Medicare programs.

What are 5 jobs that don't exist anymore?

Jobs like lamplighter, switchboard operator, typesetter, elevator operator, and film projectionist are no longer common due to technological advancements. These roles have been replaced by automation, digital systems, and modern equipment, reducing the need for specialized manual labor in these areas.
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Zpic jobs near you
Infographic showing various Zpic job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $172,668 per year, or $83 per hour.
Director, Post Pay Audit

Director, Post Pay Audit

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Posted 16 days ago

Job description

Job Summary:

We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.

The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.

Key Responsibilities:

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
  • Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
  • Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
  • Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
  • Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
  • Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
  • Develop and execute training programs and professional development plans for onshore and offshore audit staff.
  • Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
  • Analyze audit outcomes and present regular performance and risk reports to senior leadership.

Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
  • Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
  • Proven experience managing global teams, including operations based in the Philippines
  • Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
  • Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
  • Demonstrated ability to lead process improvement initiatives in large-scale audit operations
  • High proficiency with audit and recovery systems, reporting tools, and workflow platforms
  • Strong communication, leadership, and analytical skills
  • Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.

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