Senior Payment Integrity Consultant – Payment Integrity

Health Care Service Corporation

. Drive implementation of Payment Integrity-owned projects .

Posted 11/4/2026full-timeUnited StatesSenior💰 $69,800 - $125,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Payment Integrity project implementation, with a strong focus on tracking KPIs and communicating project impact. Proficient in managing cross-functional teams and vendor contracts within the healthcare insurance domain.

Highest-signal resume keywords

Business Requirements ExperiencePayer Operations KnowledgeProject Management ExperienceAdvanced Excel ExperienceHealthcare Background

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Implementation ExperienceKPI TrackingVendor Contract ManagementBusiness Requirement Analysis

Soft Skills

Clear Communication SkillsInterpersonal Skills

Tools & Technologies

Microsoft AccessMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

Health InsurancePayment IntegrityOperational Functions

About the role

Key responsibilities & impact

Drive implementation of Payment Integrity-owned projects
Report project status and risks
Work with cross-functional teams to identify new payment integrity opportunities
Track and report KPIs and impact metrics
Work with the Payment Integrity Program Manager to draft communications on project progress, impact, value and ROI

Requirements

What you’ll need

Bachelor's degree and 3 years of business requirement experience OR 7 years of business requirements experience in health insurance operational functions or relevant experience
Knowledge of and experience in payer operations
Implementation experience
Clear and concise interpersonal, verbal and written communication skills
PC proficiency with Microsoft applications including Access, Excel, Word and PowerPoint
Healthcare background (preferred)
Project Management experience (preferred)
Experience managing vendor contracts (preferred)
Advanced Excel experience (preferred)

Benefits

Comp & perks

Curated development plans and professional development
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Annual incentive bonus plan
Other incentives