Remote (Global)

CVS Health / Oak Street Health is hiring a Payer Integrity Analyst, Revenue Cycle (Remote)

Responsibilities

  • Investigate, record, and keep current payer-specific rules for system setup and integration.
  • Maintain and revise fee schedules tied to assigned insurance contracts.
  • Assist in launching new services by working closely with clinical operations teams.
  • Act as the main联络 point for designated payers on contract and billing matters.
  • Collaborate with departments such as Contract Administration, Revenue Cycle, and IT to align contract terms with operational execution.
  • Develop and sustain productive relationships with internal teams and external partners.
  • Find and apply improvements in workflows, automation, and operational efficiency.
  • Support onboarding and knowledge transfer for new team members.
  • Help create consistent policies, procedures, and training resources.
  • Work across departments including Credentialing, Billing, Compliance, Legal, Marketing, and Call Centers to integrate contracts effectively.
  • Provide data insights and reporting to guide business decisions and contracting strategies.

Benefits

  • Cost-effective health insurance options
  • 401(k) plan with employer matching contributions
  • Employee stock purchase opportunity
  • Free programs for all employees including wellness checks, tobacco cessation, weight management, confidential counseling, and financial coaching
  • Paid time off
  • Flexible scheduling options
  • Family leave benefits
  • Resources for dependent care
  • Employee assistance programs
  • Tuition reimbursement
  • Access to medical benefits after retirement
  • Additional benefits based on eligibility

Work Arrangement

Remote (Worldwide)

Team

Collaborates across functions including Revenue Operations, Accounts Receivable, IT, Clinical Operations, Contract Administration, Billing, Compliance, Legal, Marketing, and Call Center teams.

Other

  • This is a fully remote position requiring a dedicated, distraction-free workspace.
  • Dependents must have separate care arrangements during work hours; caregiving during scheduled shifts is not allowed.
  • Applicants with arrest or conviction records will be considered in compliance with applicable federal, state, and local laws.

Not specified

Required Skills
Microsoft ExcelMicrosoft TeamsData AnalysisProblem SolvingCommunicationAttention to detailProcess Improvement
About company
CVS Health / Oak Street Health
CVS Health is the nation’s leading health solutions company, reaching millions of Americans through local presence, digital channels and over 300,000 colleagues. Oak Street Health, part of CVS Health, is a mission-driven primary care provider focused on older adults on Medicare, with over 150 locations and an innovative, value-based care model centered in patient communities.
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Job Details
Category other
Posted 10 months ago