Senior Healthcare Advisor - Payment Integrity SME (Contract) Job at CWH Advisors, Remote

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  • CWH Advisors
  • Remote

Job Description

About CWH Advisors

CWH Advisors is a fast-moving healthcare consulting firm serving leading innovators and strategic investors. We deliver high-impact solutions with integrity, agility, and deep industry expertise.

Role Overview

We’re seeking a Senior Advisor with deep expertise in payment integrity within healthcare plans. This contract role is ideal for a strategic thinker with hands-on experience in claims accuracy, cost containment, and fraud, waste, and abuse prevention. You’ll help clients optimize payment processes, recover overpayments, and strengthen compliance.

Key Responsibilities

  • Lead payment integrity strategy and execution for health plan clients
  • Analyze claims data to identify billing anomalies and recovery opportunities 
  • Advise on technologies and workflows to improve payment accuracy 
  • Support project delivery, including scope, timelines, and client communications 
  • Contribute to business development through insights, proposals, and market research 

What You Bring

  • 8+ years in healthcare plans or services, focused on payment integrity
  • Bachelor’s degree in Business, Healthcare Administration, or related field – Master’s degree is preferred.
  • Strong analytical, communication, and presentation skills 
  • Proficiency in Microsoft PowerPoint, Excel, and Word 
  • Self-starter with an entrepreneurial mindset 
  • Limited travel; primarily remote 

Ready to drive impact and earn top-tier consulting rates? Click Apply to join CWH Advisors.

Job Tags

Contract work, Temporary work, Remote work,

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