Telecommute Program Integrity Analyst

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, May 07, 2019

Job Category: Investigations, Research

Telecommute Level: Majority

Travel Requirements: Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Additional Information: Benefits Available

Job Summary

A consumer transaction technology company is seeking a Telecommute Program Integrity Analyst.

Core Responsibilities Include:

  • Conducting independent investigations resulting from the discovery of situations
  • Utilizing electronic health information imaging and medical review decisions
  • Performing comprehensive claims reviews

Applicants must meet the following qualifications:

  • Travel by land or air transportation 5%
  • 1 - 6 years of experience
  • Experience working with business processes and re-engineering
  • High School Diploma or equivalent related experience
  • Experience working with proper claims handling, process and procedures
  • Must have a valid driver's license issued by the state of residence