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Insight Global

Sr Payment Integrity Analyst

Merion, PA, United States

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Job details

Experience: 5+ years of healthcare payment integrity, claims auditing, or reimbursement experience
Posting language: English
Posted: Oct 22, 2026

Original job description

Job Description

The Senior Payment Integrity Specialist serves as a subject matter expert responsible for leading complex payment integrity audits, validating recovery opportunities, and driving operational excellence. This individual will support strategic initiatives, provide mentorship to analysts, and partner with stakeholders to improve payment accuracy.

Key Responsibilities

Lead complex payment integrity investigations and audits
Validate high-value recovery opportunities
Analyze healthcare claims, reimbursement methodologies, and payment policies
Provide guidance and mentorship to junior analysts
Support quality assurance and process improvement efforts
Present findings and recommendations to stakeholders
Identify trends and opportunities to enhance payment accuracy

Skills and Requirements

5+ years of healthcare payment integrity, claims auditing, or reimbursement experience
Deep understanding of healthcare claims processing and reimbursement methodologies
Experience leading complex investigations and audits
Advanced data analysis and reporting skills
Strong stakeholder communication and presentation abilities
Advanced Excel proficiency
Demonstrated leadership or mentorship experience
CPC, CCS, RHIA, RHIT, or related certification
SQL, business intelligence, or advanced analytics experience
Prior team lead or project leadership experience

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.

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