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Zpic Jobs (NOW HIRING)

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$93K

$172.7K

$376.5K

How much do zpic jobs pay per year?

As of May 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 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 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.
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What job categories do people searching Zpic jobs look for? The top searched job categories for Zpic jobs are:
Zpic jobs near you
Infographic showing various Zpic job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% 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

Cooper City, FL • Remote

Full-time

Posted 15 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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