Payment Integrity Business Analyst

EXL

. Collaborate across current and future client Payment Integrity Audit programs to define and document client business requirements .

Posted 11/5/2026full-timeRemote • United StatesMid-LevelSenior💰 $75,100 - $123,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Payment Integrity Audit and Recovery Programs, with strong analytical skills and a focus on process improvement. Proficient in managing projects and fostering interdepartmental relationships to enhance operational efficiency.

Highest-signal resume keywords

Payment Integrity Audit ExperienceProject ManagementData-Driven Problem SolvingAdvanced Microsoft Excel SkillsExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payment Integrity AuditData AnalysisProcess ImprovementClaim ValidationReport Logic Development

Soft Skills

Attention to DetailProblem-Solving AbilityMultitaskingRelationship BuildingAccountability

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft Teams

Industry Keywords

Payment Integrity ServicesAudit ProgramsMedical RecordsClaim Reimbursement

About the role

Key responsibilities & impact

Collaborate across current and future client Payment Integrity Audit programs to define and document client business requirements
Monitor audit inventory for aging, prioritization, and forecasting
Partner with managers, reporting and support teams, and other internal partners to resolve issues timely
Provide report logic to reporting teams to ensure accurate inventory and MBR reporting
Support operational projects that drive process improvement
Maintain provider audit letter templates and client-requested approvals and updates
Address provider issues regarding medical records and audit requests
Identify and assist with implementing process enhancements
Access client claim systems to validate claims and claim reimbursement terms
Maintain provider manager address application

Requirements

What you’ll need

5 years of experience in Payment Integrity Audit & Recovery Programs
Strong analytical skills, attention to detail, and problem-solving ability
Project Management experience
Data-driven problem solving
Advanced skills in Microsoft Excel, Word, Teams, and other standard business tools
Excellent oral and written communication skills
Ability to multitask in a fast-paced environment with attention to detail
Ability to build and maintain strong interdepartmental working relationships
Reliable, responsive, and accountable, with a strong sense of ownership for assigned follow-up tasks
Bachelor’s degree preferred or equivalent work experience in payment integrity services

Benefits

Comp & perks

Exciting, fast-paced, and innovative environment
Opportunity to work closely with experienced healthcare, quality, and audit professionals
Learning opportunities across healthcare Payment Integrity business
Development of teamwork, communication, organization, and time-management skills
Exposure to healthcare audit operations, onboarding coordination, manager support, and operational systems and processes
Further growth and development opportunities