Are you passionate about ensuring accuracy and driving efficiency in healthcare reimbursement? At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in shaping how claims are processed and paid. This is your opportunity to make a real impact on payment integrity and compliance while collaborating with talented teams across the organization.

This position is hybrid. There is an in-office requirement of at least once per month. Additional time in the office may be required based on business needs.

What You'll Do

In this role, you'll be the go-to expert for payment accuracy and claim editing. You'll work closely with our external software vendor and internal teams to implement and maintain industry-standard clinical coding edits. Your insights will help us ensure compliance with Medicare, Medicaid, and other payor requirements while identifying opportunities for cost savings.

Here's what your day-to-day will lo...