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Payment Integrity Analyst
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via Monument Health
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Monument Health
Payment Integrity Analyst
Monument Health · Tustin, CA, United States · via Monument Health
10 hours ago
Full–time
Apply on Monument Health
Job highlights
Identified by Google from the original job post
Qualifications
Education - High School Diploma/ GED
Education - Bachelors degree in healthcare management
Experience - 1+ years of hospital or professional billing experience, 1+ years of EPIC revenue cycle experience
2 more items(s)
Benefits
Starting Pay Rate Range
$24.19 - $30.24
Monument Health offers competitive wages and benefits on qualifying positions
9 more items(s)
Responsibilities
Scheduled Weekly Hours
The Payment Integrity Analyst is accountable for monitoring and recovering variances between expected and actual reimbursement from payers
Accurately compiles information required to defend expected reimbursement
11 more items(s)
Job description
Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the Career icon on your homepage.
Primary Location
Rapid City, SD USA
Department
CS Managed Care
Scheduled Weekly Hours
40
Starting Pay Rate Range
$24.19 - $30.24
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
The Payment Integrity Analyst is accountable for monitoring and recovering variances between expected and actual reimbursement from payers. Accurately compiles information required to defend expected reimbursement. Knowledge of payer contracts and appeal process is preferred.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
• Supportive work culture
• Medical, Vision and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• Instant pay is available for qualifying positions
• Paid Time Off Accrual Bank
• Opportunities for growth and advancement
• Tuition assistance/reimbursement
• Excellent pay differentials on qualifying positions
• Flexible scheduling
Job Description
Essential Functions:
• Utilize extensive reporting to facilitate prompt identification of insurance variances.
• Verify insurance payments for accuracy and compliance with contract terms and fee schedules.
• Analyze multiple Client/Payer Contracts to validate pricing accuracy and consistency within contract management system.
• Evaluate and identify insurance underpayments and payment variances from zero payments, full denials, and line-item denials, determine root cause of underpayments and take necessary actions to recover insurance underpayments.
• Strategically assign and distribute underpayment inventory to individual Analysts to call insurance carrier, gather and compare pricing information via EOBs, contracts, payor policies, patient benefits to effectively initiate appeals.
• Works effectively with internal and external leaders to effectively communicate payer variances and reimbursement recovery.
• Understands a wide variety of reimbursement methodology used in health care payments.
• Works closely with each department responsible for root causes to trend issues and provide feedback that will result in preventable underpayments.
• Functions as a support super user for implementation of payer contract loading in EPIC and contract modeling systems.
• Other duties as assigned.
Additional Requirements
Required:
Education - High School Diploma/ GED
Preferred:
Education - Bachelors degree in healthcare management
Experience - 1+ years of hospital or professional billing experience, 1+ years of EPIC revenue cycle experience
Physical Requirements:
Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
Job Category
Revenue Cycle
Job Family
Revenue Integrity
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular
15 Corporate Services Division
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
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Headlands Research
Clinical Research Assistant/Laboratory Technician
Headlands Research · Rolling Hills Estates, CA, United States · via LinkedIn
15 hours ago
Full–time
Apply on LinkedIn
Job highlights
Identified by Google from the original job post
Qualifications
Strong interest in healthcare, clinical research, or laboratory sciences
Comfortable working with biological materials in a regulated environment
Detail-oriented with strong organizational and documentation skills
7 more items(s)
Benefits
Work in a professional environment with mentorship and learning opportunities
$22 - $25 USD
Responsibilities
🕒 Full-Time | Monday through Friday | 8:00am - 5:00pm
This is an exciting opportunity to build real-world skills, work alongside experienced professionals, and contribute to meaningful research that impacts patient care and scientific advancement
As a Laboratory Technician, you’ll play a critical role in supporting lab operations, handling biological samples, and ensuring accurate data collection
8 more items(s)
Job description
At Headlands Research, we are dedicated to enhancing clinical trial delivery within our communities. As a leading network of advanced clinical trial sites, we leverage cutting-edge technology and exceptional support services to broaden outreach and participation. Founded in 2018, our rapidly growing company currently operates 20+ sites across the US and Canada, with plans for further expansion.
Rolling Hills Estates, CA
🏥 Peninsula Research Associates
🕒 Full-Time | Monday through Friday | 8:00am - 5:00pm
Launch Your Career in Healthcare & Research
Are you a recent graduate looking to gain hands-on experience in healthcare, clinical research, or laboratory sciences? This is an exciting opportunity to build real-world skills, work alongside experienced professionals, and contribute to meaningful research that impacts patient care and scientific advancement.
As a Laboratory Technician, you’ll play a critical role in supporting lab operations, handling biological samples, and ensuring accurate data collection. Whether you're planning a future in healthcare, research, or advanced clinical roles, this position offers a strong foundation and valuable exposure to a fast-paced lab environment.
What You’ll Do
• Collect, process, and ship laboratory samples (including blood and other biological materials)
• Perform laboratory tests following established protocols and procedures
• Accurately document data and results in both electronic systems and paper records
• Assist with maintaining lab equipment and managing inventory of supplies
• Follow all safety protocols and contribute to a clean, organized lab environment
• Collaborate with team members to ensure efficient and high-quality lab operations
What Makes You a Great Fit
• Strong interest in healthcare, clinical research, or laboratory sciences
• Comfortable working with biological materials in a regulated environment
• Detail-oriented with strong organizational and documentation skills
• Able to follow procedures carefully while maintaining accuracy and efficiency
• Willingness to learn, take initiative, and work both independently and as part of a team
• Basic proficiency in Microsoft Office (Excel, Word, Outlook)
• Willing to be trained in other Research Assistant tasks
Qualifications
• High School Diploma or GED required
• Associate’s or Bachelor’s degree in a science-related field preferred (Biology, Chemistry, Health Sciences, etc.)
• Previous lab or healthcare experience is a plus—but not required for motivated entry-level candidates
Why This Role is a Great First Step
• Gain hands-on experience with lab procedures and clinical samples
• Build foundational skills for careers in healthcare, research, or biotechnology
• Work in a professional environment with mentorship and learning opportunities
• Make a tangible impact by supporting research that advances science and patient care
If you're looking to turn your academic background into real-world experience and start a meaningful career in healthcare, this is a strong place to begin.
California Pay Range
$22 - $25 USD
Report this listing
Headlands Research
Indeed
2.5/5
6 reviews
headlandsresearch.com
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AltaMed Health Services
Site Medical Director
AltaMed Health Services · South El Monte, CA, United States · via Women For Hire- Job Board
22 hours ago
Full–time
Apply on Women For Hire- Job Board
Job highlights
Identified by Google from the original job post
Qualifications
Physician with an active, unrestrictive CA license to practice medicine by the Medical Board of California and a DEA License required
Education, training, and experience are necessary to meet the underwritten requirements for inclusion under AltaMed’s malpractice insurance coverage
A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines
1 more items(s)
Benefits
$310,648.00 - $372,777.60 annually
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations
AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization
14 more items(s)
Responsibilities
The Site Medical Director-PACE has overall responsibility for the clinical patient care at the PACE site(s) he/she is delegated to oversee
He/she addresses clinical, programmatic, medical, and administrative issues at the site in collaboration with the Clinic Administrator and Nurse Administrator
The Site Medical Director-PACE or designee actively participates in the Interdisciplinary Team and directs the medical care decisions
Job description
Position Title: Site Medical Director
Location: Huntington Park, CA 90255
Description:
Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
Job Overview
The Site Medical Director-PACE has overall responsibility for the clinical patient care at the PACE site(s) he/she is delegated to oversee. He/she addresses clinical, programmatic, medical, and administrative issues at the site in collaboration with the Clinic Administrator and Nurse Administrator. The Site Medical Director-PACE or designee actively participates in the Interdisciplinary Team and directs the medical care decisions.
Minimum Requirements
• Physician with an active, unrestrictive CA license to practice medicine by the Medical Board of California and a DEA License required.
• Prior experience in a leadership or management role is strongly preferred.
• Previous experience with computer-based systems is required; Electronic Medical Records experience is preferred.
