Council Capital

Payment Integrity Specialist

Who can apply: US-based role. The employer has not said which states are eligible — confirm before applying.
Location as listed by the employer: “Headquarters - Remote; Headquarters”
Apply on Council Capital's site ↗

Opens the employer's official application page.

Generate a CV for this job

A CV tailored to this job's requirements in one click — boosted with testimonials from people who know your work.

Generate my CV

About this role

Council Capital is hiring for a Payment Integrity Specialist role (full-time). See the official posting for full details.

Requirements

  • 2+ years of experience at a payer or a payment integrity / audit vendor.
  • Hands-on experience with claims processing and payment integrity auditing.
  • Exposure across multiple lines of business (commercial, FEP, Medicaid, Medicare); breadth is preferred over depth in a single line.
  • Strong analytical instincts: you find the significant problem in the data and work it to root cause.
  • Comfort with Excel and general software; you learn new claims systems quickly (system-specific training is provided per client).
  • A track record of hitting metric-driven, time-bound goals and staying composed under a monthly target.
  • High integrity and sound judgment; you make the call on findings and stand behind them.
  • Self-direction and ownership; you do not need to be managed through your queue.

Summarized from the employer's posting — check the full posting for every requirement.