Hybrid Analyst, Payments Integrity, QA

Posted 2 days ago

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About the role

  • Analyst in Payments Integrity & QA ensuring healthcare payment accuracy and compliance. Contributing to internal audits and identifying payment discrepancies using data tools.

Responsibilities

  • Perform routine quality assurance audits on internal payment transactions to verify adherence to company policies and regulatory standards.
  • Assist in the preparation of documentation for external client audits, ensuring all requested data is validated and organized for presentation.
  • Use analytics tools to identify payment discrepancies and surface potential errors for further investigation.
  • Assist with investigating why payment errors occur, such as system logic gaps or manual processing mistakes.
  • Maintain tracking logs of audit findings and help update dashboards that highlight accuracy trends for Operations and Product/Engineering teams.
  • Identify bottlenecks or 'friction points' in the daily payment workflow and suggest simple procedural updates to improve efficiency.

Requirements

  • 2+ years of experience in healthcare claims, payment integrity, financial auditing, or a related data-heavy operational role.
  • Foundational understanding of payment cycles, claims adjudication, or billing processes.
  • Experience using data tools (e.g., Looker, Excel) to pull reports and identify patterns.
  • An uncompromising eye for accuracy and the ability to manage recurring audit tasks with precision.
  • Ability to clearly document audit findings and explain them to teammates and managers.
  • A proactive approach to identifying issues and a desire to help implement solutions.

Benefits

  • Health insurance
  • 401K matching for US-based employees, with immediate vesting
  • Flexible hybrid work
  • 16 weeks 100% paid parental leave and new parent stipend
  • Annual professional development stipend and access to a personal career coach
  • Whole-self care through wellness partnerships
  • Hybrid work, in office meals, and work together days

Job title

Analyst, Payments Integrity, QA

Job type

Experience level

JuniorMid level

Salary

$81,000 - $95,000 per year

Degree requirement

Associate's Degree

Location requirements

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