Jobs in the United States

25+ jobs

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Added 9 mins ago
Medical Management Specialist I
The Elevance Health Companies, Inc.
United States
The Medical Management Specialist I is responsible for providing non-clinical support to the Medical Management and/or Operations areas.
Added 13 mins ago
Associate Director, Product Experience Strategy, Vital US
Kyndryl, Inc.
Remote, United States
As Associate Director, Product Experience Lead at Kyndryl Vital US, you will lead a flagship data and AI experience for a major enterprise customer. The solution unifies complex IT and…
Added 15 mins ago
Instructor, Computer Skills, CE- Adjunct Pool (West Loop Campus)
United States
i) Develop and maintain an LMS (Learning Management System) shell for each assigned course.
Added 15 mins ago
Instructor, BAT Artificial Intelligence - Adjunct Pool
United States
i) Develop and maintain an LMS (Learning Management System) shell for each assigned course.
Added 15 mins ago
SO
Transactions Specialist - Human Resources Technician 2
State of Minnesota
MN
- $24.84 to $34.84 USD / hour
Designated in Connect 700 Program for Applicants with Disabilities: Yes
Added 15 mins ago
SO
IT Licensing and Procurement Administrator - SPA Prin
State of Minnesota
MN
- $32.97 to $48.6 USD / hour
As the Licensing and Procurement Administrator you will provide professional program administration as a key member of the IT Business Service Management team for MNIT partnering with the…
Added 15 mins ago
SO
Accounting Technician
State of Minnesota
MN
- $23.31 to $32.94 USD / hour
Designated in Connect 700 Program for Applicants with Disabilities: No
Added 17 mins ago
TC
Full-Time Customer Experience Coordinator
TJX Companies
Three Rivers, MI
- Full-time
Partners with Management on Associate training needs to increase effectiveness
Added 25 mins ago
CC
Senior School Bus Technician
Chesterfield County
Chesterfield County, VA
- $56,107 to $75,744 USD / year
…medium-heavy truck faults at a journeyman technician rating; or an associate degree in automotive technology from an accredited college plus three years of hands-on automotive experience;…
Added 26 mins ago
J
Quality Assurance Analyst
Jobgether
Remote, United States
- $50,000 to $80,000 USD / year
…Analyst to support a multi-year telecommunications infrastructure program focused on C-Band spectrum clearing. You will help ensure the accuracy, completeness, and audit readiness of…
Added 28 mins ago
MW
Retail Sales Associate
MY WIRELESS
Scottsdale, AZ · Phoenix, AZ · PHOENIX, AZ
- $32,552 to $57,552 USD / year
Training and developing your skills to become a top My Wireless Retail Sales Associate, which leads to opportunities on our management team
Added 28 mins ago
MW
Retail Sales Associate
MY WIRELESS
Surprise, AZ
- $32,552 to $57,552 USD / year
Training and developing your skills to become a top My Wireless Retail Sales Associate, which leads to opportunities on our management team
Added 30 mins ago
Client Services Associate - Middletown, RI
Savant
Middletown, RI
…thoughtfully, and a question made simple. As a Client Services Associate at Savant, you will be a trusted first point of contact for clients and an essential partner to our Advisors. You…
Added 36 mins ago
MO
Full-Time Customer Experience Coordinator
Marshalls of MA
Three Rivers, MI
- Full-time
Partners with Management on Associate training needs to increase effectiveness
Added 36 mins ago
TT
PART TIME RETAIL BACKROOM COORDINATOR
The TJX Companies Inc
Ann Arbor, MI
- Part-time
Partners with Management on Associate training needs to increase effectiveness
Added 36 mins ago
TT
FULL TIME RETAIL KEY CARRIER/COORDINATOR
The TJX Companies Inc
Ann Arbor, MI
- Full-time
Partners with Management on Associate training needs to increase effectiveness
Added 36 mins ago
TT
FULL TIME RETAIL JEWELRY ASSOCIATE
The TJX Companies Inc
Ann Arbor, MI
- Full-time
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 36 mins ago
TT
FULL TIME RETAIL CUSTOMER EXPERIENCE COORDINATOR
The TJX Companies Inc
Ann Arbor, MI
- Full-time
Partners with Management on Associate training needs to increase effectiveness
Added 36 mins ago
TT
FULL TIME RETAIL BEAUTY MERCHANDISE COORDINATOR
The TJX Companies Inc
Ann Arbor, MI
- Full-time
Partners with Management on Associate training needs to increase effectiveness
Added 38 mins ago
SO
Fiscal Specialist I - Anderson Area Office
State of South Carolina
Anderson, SC
- $34,476 to $44,778 USD / year
Associate's degree in Office Systems Technology (Secretarial Science) or Accounting and one year of clerical/accounting work experience;
Added 38 mins ago
SO
Administrative Team Support Specialist I - Anderson Area Office
State of South Carolina
Anderson, SC
- $31,314 to $40,698 USD / year
You will effectively and efficiently complete all administrative duties associate with assigned caseloads.
Added 38 mins ago
SO
Fiscal Specialist (Walterboro)
State of South Carolina
Walterboro, SC
- $34,476 to $55,182 USD / year
Associate's degree in Office Systems Technology (Secretarial Science) or Accounting and one year of clerical/accounting work experience;
Added 38 mins ago
SO
Administrative Team Support Specialist I - (Richland Sub-Office, Corporate Park Blvd)
State of South Carolina
Columbia, SC
- $31,314 to $40,698 USD / year
You will effectively and efficiently complete all administrative duties associate with assigned caseloads.
Added 38 mins ago
MC
Dental Assistant Faculty (Unlimited, Full-Time)
Minneapolis Community and Technical College
United States
- $43,067 to $98,660 USD / year
- Full-time
…assistant courses to prepare students to complete their diploma or associate degree. This position may teach all components of dental assistant education: theory, lab, and…
Added 38 mins ago
BS
Accounting Technician - Student Payroll & Travel Clerk
Bemidji State University
United States
- $23.31 to $32.94 USD / hour
…billing, contribution collection, and insurance payment. Informing management and supervisors of ACA and/or FLSA issues as they…

Inova

Payment Integrity Analyst

United States

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Job details

Apply by: Nov 4, 2026
Experience: Experience - 6 years of experience in Payment Integrity, Denials Management, or similar roles.
Posting language: English
Posted: Nov 1, 2026

Original job description

Inova is looking for a dedicated Payment Integrity to join the team. This role is full-time Monday through Friday hybrid.

Must be located in these states to work remote - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities

Job Responsibilities:

Validates reimbursement accuracy against payor agreements, fee schedules, reimbursement methodologies, and payment policies.
Analyzes claims, remittances, contractual allowances, and payment activity to identify payment variances and systemic discrepancies.
Investigates reimbursement issues related to contract misapplication, processing errors, coding discrepancies, authorization requirements, or policy changes.
Monitors reimbursement trends and escalate recurring issues requiring operational, contractual, or payor intervention.
Conducts detailed reviews of claims, remittances, refunds, and recoupments to identify overpayment recovery opportunities.
Determines root causes of overpayments and recommends corrective actions to prevent recurrence.
Conducts root cause analyses to identify drivers of payment discrepancies, denials, and reimbursement risks.
Translates complex reimbursement findings into actionable recommendations for operational teams and leadership.
Supports strategic initiatives related to revenue protection, reimbursement optimization, and payment accuracy improvement.
May perform additional duties as assigned.

Additional Requirements:

Experience - 6 years of experience in Payment Integrity, Denials Management, or similar roles.
Education - Associate's degree in Finance, Business Administration, Healthcare Management or related field; or HS Diploma/GED and 2 years of relevant professional experience in addition to the minimum Experience requirement

Preferred Qualifications:

3+ years of hospital billing experience in:
Underpayments or
Overpayments or
Denials
Excel skills preferred, including basic formulas
Root cause analysis and critical thinking skills
Strong verbal communication and articulation skills
Problem-solving ability
Proactive work ethic
Preferred experience with Epic HB
Experience using SlicerDicer & other Epic reporting features
Advanced Excel skills, including Pivot Tables
Experience producing executive-level analytic summaries
Quality assurance (QA) experience

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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More about this job

Skills

Microsoft Excel
Root cause analysis
Critical thinking
Communication skills
Problem solving
EPIC
Reporting
Quality assurance

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