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
