941 Payment Analyst jobs in the United States
Rebate Payment Analyst I
92189 San Diego Country Estates, California
MedImpact
Posted 4 days ago
Job Viewed
Job Description
Exemption Status:
United States of America (Exempt)
$52,693 - $9,160 - 85,626
"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate."
This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
Job Description
Summary
The Rebate Payment Analyst is responsible for accurately calculating and reporting on client rebate payments within assigned book of business. This position maintains a high level of accuracy in analysis while meeting reporting and all other deadlines each month. The position will interact with internal stakeholders to support our customers.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
No supervisory responsibilities
Client Responsibilities
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
BS/BA and 2+ years' experience or equivalent combination of education and experience
Computer Skills
To perform this job successfully, an individual should have strong knowledge of Microsoft Office Suite software including Word, Excel, and Access. Basic SQL experience required.
Certificates, Licenses, Registrations
None required
Other Skills and Abilities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).
Work Location
This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.
Working Hours
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.
Travel
This position may require domestic travel. This position requires domestic travel of less than 10% of the time.
The Perks:
To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to
MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.
Equal Opportunity Employer, Male/Female/Disabilities/Veterans
OSHA/ADA:
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
United States of America (Exempt)
$52,693 - $9,160 - 85,626
"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate."
This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
Job Description
Summary
The Rebate Payment Analyst is responsible for accurately calculating and reporting on client rebate payments within assigned book of business. This position maintains a high level of accuracy in analysis while meeting reporting and all other deadlines each month. The position will interact with internal stakeholders to support our customers.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Responsible for understanding and interpreting client contract payment terms for assigned segments of rebate payments and reporting; ensures rebate requirements are coded into rebate database application accurately.
- Ability to analyze large data sets to identify trends, opportunities and troubleshoot issues which may arise when calculating client rebate payments.
- Prepare client rebate reporting for assigned book of business, ensuring accuracy and completeness while adhering to Medimpacts Standards and client contract terms.
- Maintains and adheres to the policies & procedures of all processes pertaining to rebate guarantee management, rebate allocation and rebate payments.
- Reviews client rebate questions with internal stakeholders regarding client rebate deliverables and addresses any issues.
- This position requires a basic level expertise of SQL, including modifying queries and the ability to understand and interpret complex data sets to accurately support the payment process.
- Continuous improvement mindset, always looking for new ways to best meet internal and external requirements.
- Demonstrated ability to manage multiple priorities and deadlines.
- Other duties as assigned.
No supervisory responsibilities
Client Responsibilities
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
BS/BA and 2+ years' experience or equivalent combination of education and experience
Computer Skills
To perform this job successfully, an individual should have strong knowledge of Microsoft Office Suite software including Word, Excel, and Access. Basic SQL experience required.
Certificates, Licenses, Registrations
None required
Other Skills and Abilities
- Excellent communication skills (both verbal and written), analytical and financial reasoning skills.
- Experience in accounting, finance, or data analysis.
- Demonstrated attention to detail.
- Understanding of PBMs or managed healthcare experience is a plus.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
- Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
- Composure
- Decision Quality
- Organizational Agility
- Problem Solving
- Customer Focus
- Drive for Results
- Peer Relations
- Time Management
- Dealing with Ambiguity
- Learning on the Fly
- Political Savvy
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).
Work Location
This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.
Working Hours
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.
Travel
This position may require domestic travel. This position requires domestic travel of less than 10% of the time.
The Perks:
- Medical / Dental / Vision / Wellness Programs
- Paid Time Off / Company Paid Holidays
- Incentive Compensation
- 401K with Company match
- Life and Disability Insurance
- Tuition Reimbursement
- Employee Referral Bonus
To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to
MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.
Equal Opportunity Employer, Male/Female/Disabilities/Veterans
OSHA/ADA:
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
View Now
0
Payment Operations Analyst
07922 Berkeley Heights, New Jersey
Fiserv
Posted 4 days ago
Job Viewed
Job Description
**Calling all innovators - find your future at Fiserv.**
We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions of times a day - quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we're involved. If you want to make an impact on a global scale, come make a difference at Fiserv.
**Job Title**
Payment Operations Analyst
**What does a successful Payment Operations Analyst do at Fiserv?**
**What you will do:**
Payment Operations Analyst is responsible for maintaining the Remittance Processing Pipeline to optimize delivery of bill pay payments. Payment Operations Analysts perform critical tasks in support of this responsibility. Specialists perform maintenance of existing payment processing rules relating to biller activities such as address changes, account scheme updates, mergers, acquisitions, account number conversions, new biller implementations and an array of other requests. Accuracy and quality of work performed is paramount as actions taken by the specialists' impact thousands of payments and hundreds of thousands of dollars. Specialists are expected to be experts in Fiserv bill payment processing to help solve complex problems and provide remittance expertise to internal and external business partners. The Payment Operations Analyst is an initiative-taking, well-organized, analytically minded problem solver able to thrive in a fast paced at times stressful environment. Strong written and verbal communication skills, ability to manage multiple work assignments with competing priorities are necessary.
**What you need to have:**
Payment Operations Analyst is an independent worker responsible for managing and completing variety of work assignments in support of billers and payment processing Implement new billers for electronic payments
+ Participate in and at times lead meetings with billers/clients and internal business partners in support of remittance implementations and projects.
+ Utilize data in Excel and SQL to prevent data being misdirected .
+ Research and analyze existing payment direction rules and consumer payment behavior to ensure optimum set up for electronic remittance and payment accuracy.
+ Analyze payment delivery methods and existing rules in effort to drive higher electronic rate.
+ Update existing payment direction rules per biller needs.
+ Respond to biller and internal partner inquiries relating to payment remittance.
+ Support occasional biller and internal partners reporting requests.
+ Collaborate with peers/leadership on challenging or complex assignments when determining solution options.
+ Thoroughly document all payment direction rule changes using the change control process
+ Reference established standard operating procedures for help and guidance.
+ Be respectful, open minded, flexible to change, open to coaching and expect to learn constantly.
The Payment Operations Analyst is responsible for determining the optimal remittance rules and to take necessary action to ensure that:
+ Payments remit on the intended date.
+ Payments remit to the intended payee.
+ Payments remit via the intended remittance method.
+ Bill Pay user experience is optimized to maximize ease of payee add to increase utilization of service and drive revenue.
+ Client/biller and customer facing information is accurate and free of errors.
+ Bill Pay revenue is protected and risk exposure minimized.
+ High School Diploma required.
+ Strong written and Verbal Communication Skills
+ Minimum 1 Year Customer/Client Service Experience
+ Ability to develop and maintain internal and external client relationships.
+ Strong understanding of Microsoft Office Suite including Excel
+ Ability to analyze data sets.
**What would be great to have:**
+ Four-year college degree or equivalent experience. Business, mathematics, or statistics degree a plus
+ Advanced Knowledge of Excel
+ V-lookup and formula creation in Excel required.
+ One year of banking or bill payment experience preferred.
This role is not eligible to be performed in Colorado, California, New York or Washington.
_Please note that salary ranges provided for this role on external job boards are salary estimates made by outside parties and may not be accurate._
Thank you for considering employment with Fiserv. Please:
+ Apply using your legal name
+ Complete the step-by-step profile and attach your resume (either is acceptable, both are preferable).
**Salary Range**
$61,500.00 - $98,400.00
_These pay ranges apply to employees in New Jersey, New York and California. Pay ranges for employees in other states may differ._
It is unlawful to discriminate against a prospective employee due to the individual's status as a veteran.
This position is not eligible for an annual incentive opportunity and is also not eligible to earn commissions.
Thank you for considering employment with Fiserv. Please:
+ Apply using your legal name
+ Complete the step-by-step profile and attach your resume (either is acceptable, both are preferable).
**Our commitment to Equal Opportunity:**
Fiserv is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, gender identity, sexual orientation, age, disability, protected veteran status, or any other category protected by law.
If you have a disability and require a reasonable accommodation in completing a job application or otherwise participating in the overall hiring process, please contact . Please note our AskHR representatives do not have visibility to your application status. Current associates who require a workplace accommodation should refer to Fiserv's Disability Accommodation Policy for additional information.
**Note to agencies:**
Fiserv does not accept resume submissions from agencies outside of existing agreements. Please do not send resumes to Fiserv associates. Fiserv is not responsible for any fees associated with unsolicited resume submissions.
**Warning about fake job posts:**
Please be aware of fraudulent job postings that are not affiliated with Fiserv. Fraudulent job postings may be used by cyber criminals to target your personally identifiable information and/or to steal money or financial information. Any communications from a Fiserv representative will come from a legitimate Fiserv email address.
We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions of times a day - quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we're involved. If you want to make an impact on a global scale, come make a difference at Fiserv.
**Job Title**
Payment Operations Analyst
**What does a successful Payment Operations Analyst do at Fiserv?**
**What you will do:**
Payment Operations Analyst is responsible for maintaining the Remittance Processing Pipeline to optimize delivery of bill pay payments. Payment Operations Analysts perform critical tasks in support of this responsibility. Specialists perform maintenance of existing payment processing rules relating to biller activities such as address changes, account scheme updates, mergers, acquisitions, account number conversions, new biller implementations and an array of other requests. Accuracy and quality of work performed is paramount as actions taken by the specialists' impact thousands of payments and hundreds of thousands of dollars. Specialists are expected to be experts in Fiserv bill payment processing to help solve complex problems and provide remittance expertise to internal and external business partners. The Payment Operations Analyst is an initiative-taking, well-organized, analytically minded problem solver able to thrive in a fast paced at times stressful environment. Strong written and verbal communication skills, ability to manage multiple work assignments with competing priorities are necessary.
**What you need to have:**
Payment Operations Analyst is an independent worker responsible for managing and completing variety of work assignments in support of billers and payment processing Implement new billers for electronic payments
+ Participate in and at times lead meetings with billers/clients and internal business partners in support of remittance implementations and projects.
+ Utilize data in Excel and SQL to prevent data being misdirected .
+ Research and analyze existing payment direction rules and consumer payment behavior to ensure optimum set up for electronic remittance and payment accuracy.
+ Analyze payment delivery methods and existing rules in effort to drive higher electronic rate.
+ Update existing payment direction rules per biller needs.
+ Respond to biller and internal partner inquiries relating to payment remittance.
+ Support occasional biller and internal partners reporting requests.
+ Collaborate with peers/leadership on challenging or complex assignments when determining solution options.
+ Thoroughly document all payment direction rule changes using the change control process
+ Reference established standard operating procedures for help and guidance.
+ Be respectful, open minded, flexible to change, open to coaching and expect to learn constantly.
The Payment Operations Analyst is responsible for determining the optimal remittance rules and to take necessary action to ensure that:
+ Payments remit on the intended date.
+ Payments remit to the intended payee.
+ Payments remit via the intended remittance method.
+ Bill Pay user experience is optimized to maximize ease of payee add to increase utilization of service and drive revenue.
+ Client/biller and customer facing information is accurate and free of errors.
+ Bill Pay revenue is protected and risk exposure minimized.
+ High School Diploma required.
+ Strong written and Verbal Communication Skills
+ Minimum 1 Year Customer/Client Service Experience
+ Ability to develop and maintain internal and external client relationships.
+ Strong understanding of Microsoft Office Suite including Excel
+ Ability to analyze data sets.
**What would be great to have:**
+ Four-year college degree or equivalent experience. Business, mathematics, or statistics degree a plus
+ Advanced Knowledge of Excel
+ V-lookup and formula creation in Excel required.
+ One year of banking or bill payment experience preferred.
This role is not eligible to be performed in Colorado, California, New York or Washington.
_Please note that salary ranges provided for this role on external job boards are salary estimates made by outside parties and may not be accurate._
Thank you for considering employment with Fiserv. Please:
+ Apply using your legal name
+ Complete the step-by-step profile and attach your resume (either is acceptable, both are preferable).
**Salary Range**
$61,500.00 - $98,400.00
_These pay ranges apply to employees in New Jersey, New York and California. Pay ranges for employees in other states may differ._
It is unlawful to discriminate against a prospective employee due to the individual's status as a veteran.
This position is not eligible for an annual incentive opportunity and is also not eligible to earn commissions.
Thank you for considering employment with Fiserv. Please:
+ Apply using your legal name
+ Complete the step-by-step profile and attach your resume (either is acceptable, both are preferable).
**Our commitment to Equal Opportunity:**
Fiserv is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, gender identity, sexual orientation, age, disability, protected veteran status, or any other category protected by law.
If you have a disability and require a reasonable accommodation in completing a job application or otherwise participating in the overall hiring process, please contact . Please note our AskHR representatives do not have visibility to your application status. Current associates who require a workplace accommodation should refer to Fiserv's Disability Accommodation Policy for additional information.
**Note to agencies:**
Fiserv does not accept resume submissions from agencies outside of existing agreements. Please do not send resumes to Fiserv associates. Fiserv is not responsible for any fees associated with unsolicited resume submissions.
**Warning about fake job posts:**
Please be aware of fraudulent job postings that are not affiliated with Fiserv. Fraudulent job postings may be used by cyber criminals to target your personally identifiable information and/or to steal money or financial information. Any communications from a Fiserv representative will come from a legitimate Fiserv email address.
View Now
1
Payment Operations Analyst
07922 Berkeley Heights, New Jersey
Fiserv
Posted 11 days ago
Job Viewed
Job Description
**Calling all innovators - find your future at Fiserv.**
We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions of times a day - quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we're involved. If you want to make an impact on a global scale, come make a difference at Fiserv.
**Job Title**
Payment Operations Analyst
**What does a successful Payment Operations Analyst do?**
A successful Payment Operations Analyst at Fiserv is responsible for maintaining the Remittance Processing Pipeline to optimize bill pay payments delivery. This role involves performing critical tasks that support the accurate and efficient processing of payments for thousands of customers. The Analyst will be an expert in Fiserv's bill payment processing, solving complex problems, and providing remittance expertise to both internal and external business partners. This role requires a proactive, analytical problem solver with strong written and verbal communication skills who thrives in a fast-paced environment.
**What you will do:**
+ This role sits in our **Berkeley Heights New Jersey office** **Location** .
+ Maintain and optimize the Remittance Processing Pipeline for bill pay payments.
+ Implement new billers for electronic payments.
+ Participate in and occasionally lead meetings with billers, clients, and internal business partners to support remittance implementations and projects.
+ Update existing payment direction rules based on biller needs.
+ Utilize SQL queries to search databases and conduct research.
+ Research and analyze existing payment direction rules and consumer payment behavior to ensure optimal setup for electronic remittance and payment accuracy.
+ Analyze payment delivery methods and existing rules to drive higher electronic rates.
+ Respond to biller and internal partner inquiries related to payment remittance.
**What you will need to have:**
+ 1+ years of experience in customer or client service.
+ 1+ years of experience in managing and completing various work assignments in support of billers and payment processing.
+ Strong understanding of Microsoft Office Suite, including Excel.
+ Proficiency in SQL for database queries and research.
+ High school diploma or equivalent and/or military experience.
**What would be great to have:**
+ Advanced knowledge of Excel.
+ **Experience in banking or bill payment products** .
+ Knowledge of SQL, SSRS, SSAS, ODS, EDW, or other data collection and presentation applications.
+ Four-year college degree or equivalent experience; business, mathematics, or statistics degree a plus.
**Perks at Work:**
+ We're #FiservProud of our commitment to your overall well-being with a growing offering of physical, mental, emotional, and financial benefits from day one.
+ Maintain a healthy work-life balance with paid holidays, generous time off policies, including Unlimited Recharge & Refuel for qualifying associates, and free counseling through our EAP.
+ Plan for your future with competitive salaries, the Fiserv 401(k) Savings Plan, and our Employee Stock Purchase Plan.
+ Recognize and be recognized by colleagues with our Living Proof program where you can exchange points for a variety of rewards.
+ Prioritize your health with a variety of medical, dental, vision, life and disability insurance options and a range of well-being resources through our Fuel Your Life program.
+ Advance your career with training, development, certification, and internal mobility opportunities.
+ Join Employee Resource Groups that promote our diverse and inclusive culture where associates can share perspectives, exchange ideas, and elevate careers.
**In order to be considered, you must be legally authorized to work in the U.S. without need for visa sponsorship, now or in the future.**
**Salary Range**
$62,500.00 - $102,000.00
_These pay ranges apply to employees in New Jersey, New York and California. Pay ranges for employees in other states may differ._
It is unlawful to discriminate against a prospective employee due to the individual's status as a veteran.
This position is not eligible for an annual incentive opportunity and is also not eligible to earn commissions.
Thank you for considering employment with Fiserv. Please:
+ Apply using your legal name
+ Complete the step-by-step profile and attach your resume (either is acceptable, both are preferable).
**Our commitment to Equal Opportunity:**
Fiserv is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, gender identity, sexual orientation, age, disability, protected veteran status, or any other category protected by law.
If you have a disability and require a reasonable accommodation in completing a job application or otherwise participating in the overall hiring process, please contact . Please note our AskHR representatives do not have visibility to your application status. Current associates who require a workplace accommodation should refer to Fiserv's Disability Accommodation Policy for additional information.
**Note to agencies:**
Fiserv does not accept resume submissions from agencies outside of existing agreements. Please do not send resumes to Fiserv associates. Fiserv is not responsible for any fees associated with unsolicited resume submissions.
**Warning about fake job posts:**
Please be aware of fraudulent job postings that are not affiliated with Fiserv. Fraudulent job postings may be used by cyber criminals to target your personally identifiable information and/or to steal money or financial information. Any communications from a Fiserv representative will come from a legitimate Fiserv email address.
We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions of times a day - quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we're involved. If you want to make an impact on a global scale, come make a difference at Fiserv.
**Job Title**
Payment Operations Analyst
**What does a successful Payment Operations Analyst do?**
A successful Payment Operations Analyst at Fiserv is responsible for maintaining the Remittance Processing Pipeline to optimize bill pay payments delivery. This role involves performing critical tasks that support the accurate and efficient processing of payments for thousands of customers. The Analyst will be an expert in Fiserv's bill payment processing, solving complex problems, and providing remittance expertise to both internal and external business partners. This role requires a proactive, analytical problem solver with strong written and verbal communication skills who thrives in a fast-paced environment.
**What you will do:**
+ This role sits in our **Berkeley Heights New Jersey office** **Location** .
+ Maintain and optimize the Remittance Processing Pipeline for bill pay payments.
+ Implement new billers for electronic payments.
+ Participate in and occasionally lead meetings with billers, clients, and internal business partners to support remittance implementations and projects.
+ Update existing payment direction rules based on biller needs.
+ Utilize SQL queries to search databases and conduct research.
+ Research and analyze existing payment direction rules and consumer payment behavior to ensure optimal setup for electronic remittance and payment accuracy.
+ Analyze payment delivery methods and existing rules to drive higher electronic rates.
+ Respond to biller and internal partner inquiries related to payment remittance.
**What you will need to have:**
+ 1+ years of experience in customer or client service.
+ 1+ years of experience in managing and completing various work assignments in support of billers and payment processing.
+ Strong understanding of Microsoft Office Suite, including Excel.
+ Proficiency in SQL for database queries and research.
+ High school diploma or equivalent and/or military experience.
**What would be great to have:**
+ Advanced knowledge of Excel.
+ **Experience in banking or bill payment products** .
+ Knowledge of SQL, SSRS, SSAS, ODS, EDW, or other data collection and presentation applications.
+ Four-year college degree or equivalent experience; business, mathematics, or statistics degree a plus.
**Perks at Work:**
+ We're #FiservProud of our commitment to your overall well-being with a growing offering of physical, mental, emotional, and financial benefits from day one.
+ Maintain a healthy work-life balance with paid holidays, generous time off policies, including Unlimited Recharge & Refuel for qualifying associates, and free counseling through our EAP.
+ Plan for your future with competitive salaries, the Fiserv 401(k) Savings Plan, and our Employee Stock Purchase Plan.
+ Recognize and be recognized by colleagues with our Living Proof program where you can exchange points for a variety of rewards.
+ Prioritize your health with a variety of medical, dental, vision, life and disability insurance options and a range of well-being resources through our Fuel Your Life program.
+ Advance your career with training, development, certification, and internal mobility opportunities.
+ Join Employee Resource Groups that promote our diverse and inclusive culture where associates can share perspectives, exchange ideas, and elevate careers.
**In order to be considered, you must be legally authorized to work in the U.S. without need for visa sponsorship, now or in the future.**
**Salary Range**
$62,500.00 - $102,000.00
_These pay ranges apply to employees in New Jersey, New York and California. Pay ranges for employees in other states may differ._
It is unlawful to discriminate against a prospective employee due to the individual's status as a veteran.
This position is not eligible for an annual incentive opportunity and is also not eligible to earn commissions.
Thank you for considering employment with Fiserv. Please:
+ Apply using your legal name
+ Complete the step-by-step profile and attach your resume (either is acceptable, both are preferable).
**Our commitment to Equal Opportunity:**
Fiserv is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, gender identity, sexual orientation, age, disability, protected veteran status, or any other category protected by law.
If you have a disability and require a reasonable accommodation in completing a job application or otherwise participating in the overall hiring process, please contact . Please note our AskHR representatives do not have visibility to your application status. Current associates who require a workplace accommodation should refer to Fiserv's Disability Accommodation Policy for additional information.
**Note to agencies:**
Fiserv does not accept resume submissions from agencies outside of existing agreements. Please do not send resumes to Fiserv associates. Fiserv is not responsible for any fees associated with unsolicited resume submissions.
**Warning about fake job posts:**
Please be aware of fraudulent job postings that are not affiliated with Fiserv. Fraudulent job postings may be used by cyber criminals to target your personally identifiable information and/or to steal money or financial information. Any communications from a Fiserv representative will come from a legitimate Fiserv email address.
View Now
2
Payment Compliance Analyst
78703 Austin, Texas
Concentrix
Posted 16 days ago
Job Viewed
Job Description
Job Title:
Payment Compliance Analyst
Job Description
The Payment Compliance Analyst within the VR (Virtual Reality) support group, provides comprehensive payment support for our VR Developers. The Payment Compliance Analyst will act as a primary point of contact helping to streamline the VR developer payment experience. This role is ideal for individuals who are passionate about financial data analysis, delivering unparalleled service and thrive in an environment where attention to detail and client satisfaction are paramount. (We accept applications for this position on an ongoing basis. Military veterans are encouraged to apply.)
**A NEW CAREER POWERED BY YOU**
Are you looking for a career change with a forward-thinking global organization that nurtures a true people-first, inclusive culture and a genuine sense of belonging? Would you like to join a company that earns " **World's Best Workplaces** ," " **Best Company Culture** ," and " **Best Companies for Career Growth** " awards every year? Then a Payment Compliance Analyst position at Concentrix is just the right place for you!
As a Payment Compliance Analyst, you'll join an organically diverse team from 70+ countries where ALL members contribute and support each other's success and well-being, proudly united as "game-changers." Together, we help the world's best-known brands power a world that works through exceptional customer experiences and tech-powered innovation. And due to continued growth, we're looking for more talented people to join our purpose, people as passionate about providing outstanding customer experiences as we are.
**CAREER GROWTH AND PERSONAL DEVELOPMENT**
This is a great opportunity to reimagine an all-new career journey and develop "friends for life" at the same time. We'll give you all the training, technologies, and continuing support you'll need to succeed. Plus, at Concentrix, there's real career (and personal) growth potential. In fact, about 80% of our managers and leaders have been promoted from within! That's why we offer a range of FREE Learning and Leadership Development programs designed to set you on your way to the kind of career you've always envisioned.
**WHAT YOU WILL DO IN THIS ROLE**
As a Payment Compliance Analyst, you will:
+ Research and resolve financial and payment related questions or issues for Developers
+ Responsible for synthesizing investigative findings and articulating technical information for internal audiences
+ Execute complex investigations, analyze and interpret large datasets
+ Ensure service delivered to our customers meets contractual Key Performance Indicator ('KPIs')
+ Develop and maintain a comprehensive understanding of our software products and their features to effectively assist developers.
+ Execute a white glove approach to customer interactions demonstrating genuine desire to resolve issues effectively and rapidly
+ Provide feedback to internal teams for training purposes and contribute to the continuous improvement of support processes.
**YOUR QUALIFICATIONS**
Your skills, integrity, knowledge, and genuine compassion will deliver value and success with every customer interaction. Other qualifications for our Payment Compliance Analyst role include:
+ Strong written and verbal communication skills, with the ability to convey technical or financial information clearly and effectively
+ Ability to multitask and work independently in an unstructured environment
+ Possess problem-solving skills and a proactive approach to identifying financial fraud and abuse in large data sets
+ Personal or professional experience with video gaming and social media platforms preferred
+ Experience utilizing VR Oculus headset in addition to virtual reality (VR) Systems preferred
+ BA/BS degree preferred
+ Must reside in the United States and have a valid U.S. address for residence
**ADDITIONAL REQUIREMENTS**
+ 18 Years of age or older with a completed High School Diploma or GED required
+ 1- 2 years of financial or payment fraud/investigations experience required
+ Additional experience in data analysis and technical support preferred
+ Experience with Zendesk and Salesforce required
+ Knowledge of SQL preferred
+ Willing to work onsite in Austin (in office only)
+ Able to rotate shifts as needed as well as adhere to shift schedules and maintain acceptable attendance required
Employment for this position will begin onsite in office starting on day 1 of employment at **11800 Alterra Pkwy** **Austin, TX 78758.** The employment location may at any time change from this address to the downtown Austin location at 300 W 6th St, Austin, TX 78701 and all candidates must be flexible to change to employment in person onsite at this office in the future.
**WHAT'S IN IT FOR YOU**
One of our company's Culture Beliefs says, "We champion our people." That's why we significantly invest in our game-changers, our infrastructure, and our capabilities to ensure long-term success for both our teams and our customers. And we'll invest in YOU to aid in your career path and in your personal development. In this role, you'll also be provided with:
+ The base salary for this position is $31/hr. (pay rate will not be below the applicable minimum wage), plus incentives that align with individual and company performance. Actual salaries will vary based on work location, qualifications, skills, education, experience, and competencies. Benefits available to eligible employees in this role include medical, dental, and vision insurance, comprehensive employee assistance program (EAP), 401(k) retirement plan, paid time off and holidays, and paid training days.
+ DailyPay enrollment option to access pay "early," when you want it
+ Company networking opportunities with organized groups in the following topics: Network of Women, Black Professionals, LGBTQ+ Pride, Ability (Disabilities), Dynamic ((Neurodiversity), Women in Tech, OneEarth Champions, and more
+ Health and wellness programs with trained partners to help promote a healthy you
+ Mentorship programs that support your rewarding career journey
+ A modern, state-of-the-art office setting with advanced technologies and a great team
+ Programs and events that support diversity, equity, and inclusion, as well as global citizenship, sustainability, and community support
**REIMAGINE THE BEST VERSION OF YOU!**
If all this feels like the perfect next step in your career journey, we want to hear from you. Apply today and discover why over 440,000 game-changers around the globe call Concentrix their "employer of choice."
Location:
USA Austin 13011 McCallen Pass Bldg D
Language Requirements:
Time Type:
Full time
Physical & Mental Requirements: While performing the duties of this job, the employee is regularly required to operate a computer, keyboard, telephone, headset, and other office equipment. Work is generally sedentary in nature.
**If you are a California resident, by submitting your information, you acknowledge that you have read and have access to the** Job Applicant Privacy Notice for California Residents ( to Work:**
In accordance with federal law, only applicants who are legally authorized to work in the United States will be considered for this position. Must reside in the United States or have a valid U.S. address for residence.
**Where Job May be Performed:**
Currently, this position may be performed only in the states listed here ( .
Concentrix is an equal opportunity and affirmative action (EEO-AA) employer. We promote equal opportunity to all qualified individuals and do not discriminate in any phase of the employment process based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy or related condition, disability, status as a protected veteran, or any other basis protected by law.
For more information regarding your EEO rights as an applicant, please visit the following websites:
-English ( ( request a reasonable accommodation please click here ( .
If you wish to review the Affirmative Action Plan, please click here ( .
Payment Compliance Analyst
Job Description
The Payment Compliance Analyst within the VR (Virtual Reality) support group, provides comprehensive payment support for our VR Developers. The Payment Compliance Analyst will act as a primary point of contact helping to streamline the VR developer payment experience. This role is ideal for individuals who are passionate about financial data analysis, delivering unparalleled service and thrive in an environment where attention to detail and client satisfaction are paramount. (We accept applications for this position on an ongoing basis. Military veterans are encouraged to apply.)
**A NEW CAREER POWERED BY YOU**
Are you looking for a career change with a forward-thinking global organization that nurtures a true people-first, inclusive culture and a genuine sense of belonging? Would you like to join a company that earns " **World's Best Workplaces** ," " **Best Company Culture** ," and " **Best Companies for Career Growth** " awards every year? Then a Payment Compliance Analyst position at Concentrix is just the right place for you!
As a Payment Compliance Analyst, you'll join an organically diverse team from 70+ countries where ALL members contribute and support each other's success and well-being, proudly united as "game-changers." Together, we help the world's best-known brands power a world that works through exceptional customer experiences and tech-powered innovation. And due to continued growth, we're looking for more talented people to join our purpose, people as passionate about providing outstanding customer experiences as we are.
**CAREER GROWTH AND PERSONAL DEVELOPMENT**
This is a great opportunity to reimagine an all-new career journey and develop "friends for life" at the same time. We'll give you all the training, technologies, and continuing support you'll need to succeed. Plus, at Concentrix, there's real career (and personal) growth potential. In fact, about 80% of our managers and leaders have been promoted from within! That's why we offer a range of FREE Learning and Leadership Development programs designed to set you on your way to the kind of career you've always envisioned.
**WHAT YOU WILL DO IN THIS ROLE**
As a Payment Compliance Analyst, you will:
+ Research and resolve financial and payment related questions or issues for Developers
+ Responsible for synthesizing investigative findings and articulating technical information for internal audiences
+ Execute complex investigations, analyze and interpret large datasets
+ Ensure service delivered to our customers meets contractual Key Performance Indicator ('KPIs')
+ Develop and maintain a comprehensive understanding of our software products and their features to effectively assist developers.
+ Execute a white glove approach to customer interactions demonstrating genuine desire to resolve issues effectively and rapidly
+ Provide feedback to internal teams for training purposes and contribute to the continuous improvement of support processes.
**YOUR QUALIFICATIONS**
Your skills, integrity, knowledge, and genuine compassion will deliver value and success with every customer interaction. Other qualifications for our Payment Compliance Analyst role include:
+ Strong written and verbal communication skills, with the ability to convey technical or financial information clearly and effectively
+ Ability to multitask and work independently in an unstructured environment
+ Possess problem-solving skills and a proactive approach to identifying financial fraud and abuse in large data sets
+ Personal or professional experience with video gaming and social media platforms preferred
+ Experience utilizing VR Oculus headset in addition to virtual reality (VR) Systems preferred
+ BA/BS degree preferred
+ Must reside in the United States and have a valid U.S. address for residence
**ADDITIONAL REQUIREMENTS**
+ 18 Years of age or older with a completed High School Diploma or GED required
+ 1- 2 years of financial or payment fraud/investigations experience required
+ Additional experience in data analysis and technical support preferred
+ Experience with Zendesk and Salesforce required
+ Knowledge of SQL preferred
+ Willing to work onsite in Austin (in office only)
+ Able to rotate shifts as needed as well as adhere to shift schedules and maintain acceptable attendance required
Employment for this position will begin onsite in office starting on day 1 of employment at **11800 Alterra Pkwy** **Austin, TX 78758.** The employment location may at any time change from this address to the downtown Austin location at 300 W 6th St, Austin, TX 78701 and all candidates must be flexible to change to employment in person onsite at this office in the future.
**WHAT'S IN IT FOR YOU**
One of our company's Culture Beliefs says, "We champion our people." That's why we significantly invest in our game-changers, our infrastructure, and our capabilities to ensure long-term success for both our teams and our customers. And we'll invest in YOU to aid in your career path and in your personal development. In this role, you'll also be provided with:
+ The base salary for this position is $31/hr. (pay rate will not be below the applicable minimum wage), plus incentives that align with individual and company performance. Actual salaries will vary based on work location, qualifications, skills, education, experience, and competencies. Benefits available to eligible employees in this role include medical, dental, and vision insurance, comprehensive employee assistance program (EAP), 401(k) retirement plan, paid time off and holidays, and paid training days.
+ DailyPay enrollment option to access pay "early," when you want it
+ Company networking opportunities with organized groups in the following topics: Network of Women, Black Professionals, LGBTQ+ Pride, Ability (Disabilities), Dynamic ((Neurodiversity), Women in Tech, OneEarth Champions, and more
+ Health and wellness programs with trained partners to help promote a healthy you
+ Mentorship programs that support your rewarding career journey
+ A modern, state-of-the-art office setting with advanced technologies and a great team
+ Programs and events that support diversity, equity, and inclusion, as well as global citizenship, sustainability, and community support
**REIMAGINE THE BEST VERSION OF YOU!**
If all this feels like the perfect next step in your career journey, we want to hear from you. Apply today and discover why over 440,000 game-changers around the globe call Concentrix their "employer of choice."
Location:
USA Austin 13011 McCallen Pass Bldg D
Language Requirements:
Time Type:
Full time
Physical & Mental Requirements: While performing the duties of this job, the employee is regularly required to operate a computer, keyboard, telephone, headset, and other office equipment. Work is generally sedentary in nature.
**If you are a California resident, by submitting your information, you acknowledge that you have read and have access to the** Job Applicant Privacy Notice for California Residents ( to Work:**
In accordance with federal law, only applicants who are legally authorized to work in the United States will be considered for this position. Must reside in the United States or have a valid U.S. address for residence.
**Where Job May be Performed:**
Currently, this position may be performed only in the states listed here ( .
Concentrix is an equal opportunity and affirmative action (EEO-AA) employer. We promote equal opportunity to all qualified individuals and do not discriminate in any phase of the employment process based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy or related condition, disability, status as a protected veteran, or any other basis protected by law.
For more information regarding your EEO rights as an applicant, please visit the following websites:
-English ( ( request a reasonable accommodation please click here ( .
If you wish to review the Affirmative Action Plan, please click here ( .
View Now
3
Healthcare Claims Payment Integrity Analyst-Hybrid
75215 Park Cities, Texas
Parkland Health and Hospital System
Posted 6 days ago
Job Viewed
Job Description
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.
Requires healthcare claims analysis and reimbursement. Also requires experience with healthcare claims coding (DRG, ICD-10, CPT-4).
Primary Purpose Parkland Community Health Plan's (PCHP's) Payment Integrity Analyst conducts analysis of claims and payment data across the health plan in support of ensuring payment integrity and cost containment. Identifies anomalous utilization patterns, investigates potential fraud, waste, or abuse, and ensures compliance with regulatory and contractual agreements. The analyst will reconcile and validate claims data, test the integrity of utilization and payment information, and support corrective action plans in coordination with internal departments and external vendors.
Minimum Specifications
Education
Bachelor's degree in business administration, finance, healthcare, or a related field is required.
Experience
Three (3) years of experience in payment integrity, claims analysis, or auditing within a healthcare setting.
Experience with claims coding (DRG, ICD-10, CPT-4) required.
Proficiency in SQL required.
Experience with behavioral health claims is a plus.
Experience working with TMHP claims and Medicaid regulatory requirements is preferred
Skills or Special Abilities
Expertise in Texas Medicaid regulations, claims processes, and reimbursement methodologies.
Strong analytical and problem-solving skills with a focus on cost containment.
Ability to write, troubleshoot, and optimize SQL queries for data extraction and reporting.
Excellent communication skills for collaboration with cross-functional teams.
Ability to interpret healthcare financial data and detect anomalies.
Strong organizational skills with the ability to manage multiple projects and deadlines.
High attention to detail and accuracy in data reconciliation and reporting.
Ability to work under general supervision while proactively identifying issues and proposing solutions.
Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.
Responsibilities
Operations Collaborates with internal and external stakeholders to gather, analyze, and document claims and payment data. Conducts audits and reviews of claims and payments to identify discrepancies, overpayments, underpayments, and potential fraud. Prepares detailed reports of findings and recommends corrective actions or process improvements. Analyzes trends and emerging issues in payment accuracy and proposes strategies to mitigate risks. Develops, implements, and maintains tools and processes to support ongoing payment integrity monitoring. Interprets and understands unfamiliar data schemas to support claims analysis. Supports data formatting, validation, and error remediation to improve claims accuracy. Communicates findings, analysis, and documentation to cross-functional teams and leadership. - Regulatory Ensures work is carried out in compliance with applicable laws, regulatory, policies, and/or accreditation standards as well as contractual requirements. - Quality Identifies ways to improve work processes and enhance customer satisfaction. Integrate health literacy principles into all communication including Members and Providers. Support strategies that meet clinical, quality and network improvement goals. Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. - Professional Accountability Promotes and supports a culturally welcoming and inclusive work environment. Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Adheres to hybrid work schedule requirements. Attends required meetings and town halls. Recognizes and communicates ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies.
#LI-SS2
Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
View Now
4
Lead Business Analyst - Payment
07390 Jersey City, New Jersey
Tekfortune Inc
Posted 6 days ago
Job Viewed
Job Description
Tekfortune is a fast-growing consulting firm specialized in permanent, contract & project-based staffing services for world's leading organizations in a broad range of industries. In this quickly changing economic landscape, virtual recruiting and remote work are critical for the future of work. To support the active project demands and skills gaps, our staffing experts can help you find the best job for you.
Role:
Location:
Duration:
Required Skills:
Job Description: Payments BA
Job Description -
The Business Senior Analyst is an intermediate-level position responsible for liaising between business users and technologists to exchange information in a concise, logical and understandable way in coordination with the Technology team. The overall objective of this role is to contribute to continuous iterative exploration and investigation of business performance and other measures to gain insight and drive business planning.
Responsibilities:
• Define business, financial, and operations requirements and systems goals through partnership with decision makers, systems owners and end users
• Extensive work on projects involving Payment Processing, Liquidity Management, Data Warehousing and core Cash Management of large MNC clients
• Strong knowledge and hands-on experience of working on industry standards like ISO20022, SWIFT etc.
• Proficient in gathering the business requirements and converting those into technical & functional solutions
• Deep understanding of multiple payment ecosystems (UPI, US RTP, FedNow, SEPA Interac etc), regional payment practices and emerging solutions
• Solid understanding of trends in payment industry such as Mobile Banking, Digital Wallets, Tokenization
• Successfully completed projects involving digital transformation and migration of legacy payment systems
• Define & document User Stories, ICDs in JIRA under appropriate epic
• Provide solution, story & ICD walkthrough to partners, Engineering Managers and CQE teams
• Work with Scrum Masters & RTEs for day to day execution of initiative vi scrum team
Qualifications:
• 5-8 years of experience in business analysis or systems analysis
• Demonstrated ability to effectively use complex analytical, interpretive and problem-solving techniques
• Proven interpersonal, diplomatic and influencing skills
• Consistently demonstrate clear and concise written and verbal communication
Education:
• Bachelor's degree/University degree or equivalent experience
• Master's/MBA from premier institute preferred.
For more information and other jobs available please contact our recruitment team at To view all the jobs available in the USA and Asia please visit our website at
View Now
5
Lead Analyst, Payment Integrity
Florida, Florida
Molina Healthcare
Posted 3 days ago
Job Viewed
Job Description
**Job Description**
**Job Summary**
Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role.
**Job Duties**
**Business Leadership & Operational Ownership**
+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions.
+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure Health Plan SAI targets are met.
+ Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
+ Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
+ Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
+ Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers.
**Strategic Business Analysis**
+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
+ Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans.
+ Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
+ Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
**Applied Analytical Support**
+ Uses Excel and Structured Query Language (SQL) as tools to support business analysis, not as the core function of the role.
+ Validates findings and tests assumptions through data, but leads with contextual knowledge of claims processing, provider contracts, and operational realities.
+ Creates succinct summaries and visualizations that enable faster decision-making by leadership-not raw data exploration.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience
+ Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
+ Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
+ Skilled in Excel and SQL, with the ability to analyze data to inform business decisions-but not dependent on technical guidance for action.
+ Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
+ Excellent written and verbal communication skills including ability to synthesize complex information.
**PREFERRED QUALIFICATIONS:**
+ Experience with Medicare, Medicaid, and Marketplace lines of business.
+ Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification.
+ Project Management Experience
+ Familiarity with Medicaid-specific Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role.
**Job Duties**
**Business Leadership & Operational Ownership**
+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions.
+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure Health Plan SAI targets are met.
+ Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
+ Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
+ Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
+ Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers.
**Strategic Business Analysis**
+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
+ Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans.
+ Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
+ Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
**Applied Analytical Support**
+ Uses Excel and Structured Query Language (SQL) as tools to support business analysis, not as the core function of the role.
+ Validates findings and tests assumptions through data, but leads with contextual knowledge of claims processing, provider contracts, and operational realities.
+ Creates succinct summaries and visualizations that enable faster decision-making by leadership-not raw data exploration.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience
+ Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
+ Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
+ Skilled in Excel and SQL, with the ability to analyze data to inform business decisions-but not dependent on technical guidance for action.
+ Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
+ Excellent written and verbal communication skills including ability to synthesize complex information.
**PREFERRED QUALIFICATIONS:**
+ Experience with Medicare, Medicaid, and Marketplace lines of business.
+ Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification.
+ Project Management Experience
+ Familiarity with Medicaid-specific Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
Be The First To Know
About the latest Payment analyst Jobs in United States !
6
Lead Analyst, Payment Integrity
33603 Tampa, Florida
Molina Healthcare
Posted 3 days ago
Job Viewed
Job Description
**Job Description**
**Job Summary**
Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role.
**Job Duties**
**Business Leadership & Operational Ownership**
+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions.
+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure Health Plan SAI targets are met.
+ Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
+ Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
+ Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
+ Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers.
**Strategic Business Analysis**
+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
+ Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans.
+ Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
+ Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
**Applied Analytical Support**
+ Uses Excel and Structured Query Language (SQL) as tools to support business analysis, not as the core function of the role.
+ Validates findings and tests assumptions through data, but leads with contextual knowledge of claims processing, provider contracts, and operational realities.
+ Creates succinct summaries and visualizations that enable faster decision-making by leadership-not raw data exploration.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience
+ Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
+ Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
+ Skilled in Excel and SQL, with the ability to analyze data to inform business decisions-but not dependent on technical guidance for action.
+ Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
+ Excellent written and verbal communication skills including ability to synthesize complex information.
**PREFERRED QUALIFICATIONS:**
+ Experience with Medicare, Medicaid, and Marketplace lines of business.
+ Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification.
+ Project Management Experience
+ Familiarity with Medicaid-specific Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role.
**Job Duties**
**Business Leadership & Operational Ownership**
+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions.
+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure Health Plan SAI targets are met.
+ Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
+ Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
+ Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
+ Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers.
**Strategic Business Analysis**
+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
+ Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans.
+ Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
+ Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
**Applied Analytical Support**
+ Uses Excel and Structured Query Language (SQL) as tools to support business analysis, not as the core function of the role.
+ Validates findings and tests assumptions through data, but leads with contextual knowledge of claims processing, provider contracts, and operational realities.
+ Creates succinct summaries and visualizations that enable faster decision-making by leadership-not raw data exploration.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience
+ Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
+ Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
+ Skilled in Excel and SQL, with the ability to analyze data to inform business decisions-but not dependent on technical guidance for action.
+ Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
+ Excellent written and verbal communication skills including ability to synthesize complex information.
**PREFERRED QUALIFICATIONS:**
+ Experience with Medicare, Medicaid, and Marketplace lines of business.
+ Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification.
+ Project Management Experience
+ Familiarity with Medicaid-specific Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
7
Lead Analyst, Payment Integrity
33747 St. Petersburg, Florida
Molina Healthcare
Posted 3 days ago
Job Viewed
Job Description
**Job Description**
**Job Summary**
Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role.
**Job Duties**
**Business Leadership & Operational Ownership**
+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions.
+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure Health Plan SAI targets are met.
+ Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
+ Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
+ Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
+ Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers.
**Strategic Business Analysis**
+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
+ Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans.
+ Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
+ Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
**Applied Analytical Support**
+ Uses Excel and Structured Query Language (SQL) as tools to support business analysis, not as the core function of the role.
+ Validates findings and tests assumptions through data, but leads with contextual knowledge of claims processing, provider contracts, and operational realities.
+ Creates succinct summaries and visualizations that enable faster decision-making by leadership-not raw data exploration.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience
+ Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
+ Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
+ Skilled in Excel and SQL, with the ability to analyze data to inform business decisions-but not dependent on technical guidance for action.
+ Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
+ Excellent written and verbal communication skills including ability to synthesize complex information.
**PREFERRED QUALIFICATIONS:**
+ Experience with Medicare, Medicaid, and Marketplace lines of business.
+ Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification.
+ Project Management Experience
+ Familiarity with Medicaid-specific Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed decisions, contribute to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role.
**Job Duties**
**Business Leadership & Operational Ownership**
+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses (G&A) costs, and continues to drive positive operational and financial outcomes for all PI solutions.
+ Manages Scorable Action Items (SAIs) related to pre-pay editing, post-pay audit, and overpayment recovery initiatives to ensure Health Plan SAI targets are met.
+ Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight.
+ Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.
+ Serves as a thought partner to health plan leadership and provides well-reasoned recommendations that support short- and long-term business goals.
+ Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers.
**Strategic Business Analysis**
+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps.
+ Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans.
+ Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement.
+ Partners with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets.
**Applied Analytical Support**
+ Uses Excel and Structured Query Language (SQL) as tools to support business analysis, not as the core function of the role.
+ Validates findings and tests assumptions through data, but leads with contextual knowledge of claims processing, provider contracts, and operational realities.
+ Creates succinct summaries and visualizations that enable faster decision-making by leadership-not raw data exploration.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience
+ Proven experience owning operational projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity.
+ Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.
+ Skilled in Excel and SQL, with the ability to analyze data to inform business decisions-but not dependent on technical guidance for action.
+ Demonstrated ability to work independently and apply business judgment in a highly regulated, cross-functional environment.
+ Excellent written and verbal communication skills including ability to synthesize complex information.
**PREFERRED QUALIFICATIONS:**
+ Experience with Medicare, Medicaid, and Marketplace lines of business.
+ Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification.
+ Project Management Experience
+ Familiarity with Medicaid-specific Scorable Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory/compliance adherence.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
8