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Remote Payment Integrity Clinical Review Specialist

Remote / Online - Candidates ideally in
Brookfield, Waukesha County, Wisconsin, 53005, USA
Listing for: RiseMe
Remote/Work from Home position
Listed on 2026-09-26
Job specializations:
  • Science
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 73000 - 130000 USD Yearly USD 73000.00 130000.00 YEAR
Job Description & How to Apply Below

Optum Serve is seeking a Payment Integrity Clinical Review Specialist to protect federal programs and improve health outcomes through accurate claim reviews and well-cited clinical summaries.

You will collaborate with a PI team on fraud investigations, review medical records, and support law enforcement discussions. This remote role allows work from anywhere in the U.S. with in-office requirements in Minneapolis/DC as needed.

We are currently recruiting a Remote Payment Integrity Clinical Review Specialist for our team in La Crosse, WI, United States.

This posting is for the Remote Payment Integrity Clinical Review Specialist role at Rise Me, based in La Crosse, WI, United States.

We are looking to fill the Remote Payment Integrity Clinical Review Specialist position at Rise Me in La Crosse, WI, United States.

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