- Texas Health Resources (Arlington, TX)
- Manager Payment Integrity Professional _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... the PBO Revenue Integrity Director, the PBO Payment Integrity Manager is responsible...professional claims to insurance. - Manages all essential payment integrity team functions. Effectively leads and… more
- Molina Healthcare (Carson City, NV)
- …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Sterling Heights, MI)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4… more
- Fox Rothschild LLP (Greenville, SC)
- **Description** We are seeking a detail-oriented and experienced Payment Application Manager to oversee the accurate and timely application of client payments. ... professional services environment. **ESSENTIAL FUNCTIONS:** + Lead the Payment Application team, ensuring daily operations are executed efficiently and… more
- GE HealthCare (Waukesha, WI)
- **Job Description Summary** The Manager of Logistics Freight Audit & Payment Operations will lead a high-performing team responsible for ensuring accurate, ... operations. This role will oversee carrier onboarding and management, resolve payment discrepancies, and maintain invoice integrity across freight audit… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. Reporting to the Payment Integrity Program Manager , the Payment Integrity ... and prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment … more
- State of Minnesota (Vadnais Heights, MN)
- **Working Title: Revenue Integrity Manager ** **Job Class: State Program Administrator, Manager Senior** **Agency: Direct Care and Treatment** + **Job ID** : ... for an exciting and rewarding opportunity as a Revenue Integrity Manager ! This position is part of...Revenue Cycle Professional (CPCR), Certified Healthcare Financial Professional (CHFP), or Certified Payment and Reimbursement… more
- AdventHealth (Maitland, FL)
- …125,000 outpatients each year **The role you'll contribute:** The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and ... and HCPCS Level II procedure codes for grouping into Ambulatory Payment Classifications (APCs) and statistical reporting. Responsible for monitoring the outpatient… more
- Covenant Health Inc. (Knoxville, TN)
- …independent judgment. Performs other duties as needed. Reports to the Revenue Integrity Manager . Recruiter: Suzie McGuinn || ###@covhlth.com Responsibilities ... of solutions to maintain a proper compliance stance. + Under the direction of Revenue Integrity Manager , works with the Manager of Revenue Processes to… more
- PPL Corporation (Allentown, PA)
- …Represent PPL Electric iv. Utilities in a manner that meets the highest standards of professional conduct and integrity . v. Plan and manage small to medium size ... support education, sustainability, and wellbeing. Overview The **Associate Project Manager ** is the single point of accountability for small...in a manner that meets the highest standards of professional conduct and integrity . v. Plan and… more
- PPL Corporation (Allentown, PA)
- …Represent PPL Electric iv. Utilities in a manner that meets the highest standards of professional conduct and integrity . v. Plan and manage small to medium size ... by the Project Leader for complicated projects. The **Project Manager ** position is the single point of accountability for...in a manner that meets the highest standards of professional conduct and integrity . v. Plan and… more
- Elevance Health (Hanover, MD)
- **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** **Location: Must be located in Maryland.** ... an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of...to improve the delivery of care. The **Medical** **Coding/Auditing** ** Manager ** is responsible for ensuring the accuracy of claims… more
- PPL Corporation (Louisville, KY)
- …such as Software, Facilities, Construction, Customer Services, Etc. + Certified Purchasing Manager (CPM) or Certified Professional in Supply Management (CPSM). ... such as Software, Facilities, Construction, Customer Services, Etc. + Certified Purchasing Manager (CPM) or Certified Professional in Supply Management (CPSM).… more
- City National Bank (Phoenix, AZ)
- *ENTERPRISE FRAUD RISK MANAGER * WHAT IS THE OPPORTUNITY? The Enterprise Fraud & Payments Risk Manager is responsible for the oversight and advisory activities at ... as payments risk. The Enterprise Fraud & Payments Risk Manager provides independent review and challenge to the 1st...Review and support the development of the fraud & payment assessment universe to ensure comprehensive coverage of internal… more
- CUNY (New York, NY)
- University Accounts Payable Manager - Revised Salary **POSITION DETAILS** The Accounts Payable Unit within the Office of the University Controller processes all ... via University-wide contracts, and the Research Foundation of CUNY. An adept financial manager with a strong information technology aptitude is sought to be an… more
- Molina Healthcare (AZ)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- NorthWest Senior & Disability Services (Salem, OR)
- …honor choice & empower people. Our Values are Service, Compassion, Integrity , Professionalism Recruitment #: 379-10-25 Closes: November 21, 2025 (Externally) ... Assistance Plan, Long Term Disability, great culture. General Description Performs Professional -level work in the provision of social services by helping consumers… more
- OrePac Building Products (Denver, CO)
- …Sales Professional , Sales Specialist, Sales Associate, Sales Consultant, Sales Manager , Sales Account Manager , Sales Product Manager , Buyer, ... Sales Professional , Sales Specialist, Sales Associate, Sales Consultant, Sales Manager , Sales Account Manager , Sales Product Manager , Buyer,… more
- Hawaiian Electric (Kahului, HI)
- …+ Provides expert proactive account management services and serves as the professional consultative relationship manager to assigned clients. Through on-going ... Commercial Client Manager - Maui Date:Nov 10, 2025 Location: Kahului,...Our employees are committed to the company's foundational values: integrity , excellence, teamwork, environmental stewardship, and community commitment. In… more