- 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 qualified ... Under general direction of the PBO Revenue Integrity Director, the PBO Payment Integrity Manager is responsible for overseeing insurance payment activities… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Manager of Payment Products will be a leader within the Payments organization, responsible for driving innovation, product development, and ... operational excellence across traditional and next-generation payment platforms. This role will execute strategic direction by translating high-level goals into… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary The Manager of Payment Integrity is responsible for developing, implementing, and managing programs and processes ... partners closely with internal teams and external PI vendors to optimize payment integrity outcomes, compliance, regulatory impact, and cost savings. Job Description… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Role Overview** The **Director of Payment Integrity Solutions** is responsible for overseeing Payment Integrity edit and program strategy and performance ... address operational gaps, support provider escalations, and guide ongoing improvements in payment integrity strategies and support systems. Key to the role is… more
- CommonSpirit Health (San Francisco, CA)
- **Job Summary and Responsibilities** *This is a Remote Opportunity Payment Card Coordinator/Sr Payment Card Operations Analyst Treasury department manages a $2 ... Point of Service (POS) applications, devices, and merchant card services. The Treasury Payment Card Team plays a critical role in ensuring secure, compliant, and… more
- City of New York (New York, NY)
- …Chief Contracting Office ACCO is responsible for managing all agency procurement and payment activity in accordance with all applicable city and state laws and ... ACCO processes hundreds of both large and small contracts and thousands of payment transactions procuring about $2 billion in contracts annually. The ACCO consists… more
- Highmark Health (Little Rock, AR)
- …complete the retrospective claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is responsible for the ... implementation of effective Payment Integrity strategies on a pre- payment and retrospective claims review basis. Review process includes a review of medical… more
- City of New York (New York, NY)
- …Chief Contracting Office ACCO is responsible for managing all agency procurement and payment activity in accordance with all applicable city and state laws and ... ACCO processes hundreds of both large and small contracts and thousands of payment transactions procuring about $2 billion in contracts annually. The ACCO consists… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to blue. Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, payment ... prioritizing development needs and requirements + Participate in professional reimbursement payment integrity activities that include developing new payment … more
- Realtor (Scottsdale, AZ)
- …making the right connections, and building confidence through expert guidance. Manager, Payment Operations and Compliance Manager at Realtor.com (R) At Avail by ... Realtor.com(R), we're seeking a skilled Payment Operations and Compliance Manager to join our team....our product. You'll lead a team dedicated to optimizing payment processing, implementing fraud prevention measures, and ensuring regulatory… more
- City of New York (New York, NY)
- …of the Bureau of Accounts Payable (BAP). As the Agency's primary payment office, BAP issues authorized payments to service providers for services delivered ... VPU is responsible for the timely and properly authorized payment for non-human service contracts and purchase orders that...one (1) PAA II to function as a Vendor Payment Associate within the Vendor Payment Unit… more
- Tomo Credit (San Francisco, CA)
- …financial future. Job Summary: We are seeking a highly motivated and detail-oriented Payment Optimization Manager to join our growing team. This role is critical to ... managing TomoCredit's payment ecosystem-including card issuers, payment gateways and banks. As part of the product team, you will play a key role in optimizing… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and… more
- City of New York (New York, NY)
- …of the Bureau of Accounts Payable (BAP). As the Agency's primary payment office, BAP issues authorized payments to service providers for services delivered ... PAA III position to function as the Human Services Payment Analyst in the DHS Human Services Unit who...register to ensure the accuracy of reimbursement. - Provide payment data to the Accounting Unit regarding payment… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to ... the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to complex issues… more
- NVIDIA (Santa Clara, CA)
- …the world. Join NVIDIA and play a pivotal role in our future! As a Global Payment Operations and Compliance Manager, you will be in a premier finance team at our ... Director of Accounts Payable, you will lead all aspects of the entire payment lifecycle ensuring smooth, touchless, secure & compliant payment processing… more
- North Carolina State University (Raleigh, NC)
- …UHR UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: The Payment Posting Specialist is responsible for accurately posting incoming payments from ... (EOBs, ERAs, checks, credit card transactions). Resolve discrepancies in payment applications, including denials, short pays, and overpayments. Maintain accurate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate… more
- Caris Life Sciences (Irving, TX)
- …is where your impact begins.** **Position Summary** The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments ... information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment… more
- Emerson (St. Louis, MO)
- …be responsible for the performance of Emerson's Global Freight Audit and Payment programs. This includes the development of internal and external processes ... supporting freight payment , management of third-party freight audit providers, responsibility for...with internal and external stakeholders to ensure the timely payment of Emerson's freight invoices in accordance with Emerson… more
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