• Payment Integrity Nurse

    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 ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating,… more
    LA Care Health Plan (10/23/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Costa Mesa, CA)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
    Elevance Health (11/04/25)
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  • Payment Integrity Clinician

    Highmark Health (Sacramento, CA)
    …and member satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment and retrospective ... with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance… more
    Highmark Health (11/14/25)
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