Remote position
Payment Integrity Concept Development SME
at EXL
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About this role
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.
The ideal candidate has a proven history of successfully developing new payment integrity concepts from initial idea through implementation, resulting in significant financial recoveries while maintaining high clinical accuracy and low provider abrasion.
*Base Pay Range: $75,100 - $107,300/yr
For more information on benefits and what we offer please visit us at
Originally posted on Himalayas
Real Remote Score 62/100 · see the full breakdown
Real Remote Score
62/100
Solid
- Comp
- 25/25
- Location
- 4/25
- Source
- 10/15
- Clarity
- 3/15
- Freshness
- 20/20
Why this score? ▾
- Compensation · Full salary range disclosed 25/25
- Location · Specific city or narrow scope 4/25
- Source · Remote-first job board 10/15
- Role clarity · Neither seniority nor stack in title 3/15
- Freshness · Posted today 20/20
How the Real Remote Score is calculated → · Score appeals & corrections
Salary in context
About 40% below median for Other
Listing floor: $75,100 · Role median across 523 peers: $125,000 · 25th–75th: $70,000–$190,000
Numbers refresh from the live corpus. Compare the full distribution at /tools/salary-index/ or run a city PPP adjustment at /tools/salary-calculator/.
Posted via Himalayas. Applications are handled by EXL. RemNavi earns no commission.
Apply on EXL →