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Payment Integrity Concept Development SME

EXL · US, United States

Posted Oct 4, 2026 · 13h ago

Salary
$75,100–$107,300 / year
Employment
Full Time
Listing language
English

Description

Description The Subject Matter Expert (SME) – Payment Integrity Concept Development is responsible for designing, developing, and validating innovative payment integrity concepts that identify inaccurate, inappropriate, or unsupported healthcare claims.

This individual combines deep expertise in medical coding, reimbursement methodologies, clinical documentation, regulatory guidance, and claims analytics to develop high-value overpayment detection opportunities that generate measurable savings.…

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