- Molina Healthcare (Bowling Green, KY)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Bowling Green, KY)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Bowling Green, KY)
- …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. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Meta (Nashville, TN)
- …click "Apply to Job" online on this web page. **Required Skills:** Project Manager , Business Integrity Responsibilities: 1. Partner with product, engineering and ... to successfully identify, design, implement and test various safety and integrity initiatives. 2. Coordinate projects, making detailed plans to accomplish goals… more
- Molina Healthcare (Bowling Green, KY)
- …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
- GovCIO (Nashville, TN)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... **Overview** GovCIO is currently hiring a Configuration Manager to support our client's contract needs. This position is fully remote and located within the… more
- Nelnet (Nashville, TN)
- Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and ... for people where they live, learn and work. The Head Start National Sales Manager serves as the official Head Start sales representative for FACTS Education Services… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... Do you have the career opportunities as a Project Manager II you want with your current employer? We...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- HCA Healthcare (Brentwood, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... you have the career opportunities as a Senior Project Manager I you want with your current employer? We...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- The Hertz Corporation (Nashville, TN)
- …someone who isn't working for you Join our team The Financial & Insurance Manager will interact with customers and build customer loyalty by assisting them with ... Sell finance and insurance products to customers and process payment Provide outstanding customer service that is memorable Train...the sales dept. in the absence of the store manager Submit paperwork to and obtain approval from finance… more
- AbbVie (Nashville, TN)
- …Louis, MO + Nashville, TN + Birmingham, AL The Parkinson's Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address ... tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.… more
- RELX INC (Brentwood, TN)
- …to drive insights from complex data sets, improving operation efficiency, increasing program integrity , discovering, and recovering revenue, and making timely ... ability to mitigate and manage risk. About the job: The Strategic Account Manager role will ensure and grow additional revenue opportunities and protect revenue base… more
- Coinbase (Nashville, TN)
- …that make up this group which include Product Foundations (ie Identity, Payment , Risk, Proofing & Regulatory, Finhub), Machine Learning, Customer Experience, and ... embedding growth pods directly within teams across the organization. As an Engineering Manager on our team, you'll be driving this transformative shift within the… more
- HCA Healthcare (Smyrna, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Molina Healthcare (Bowling Green, KY)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Molina Healthcare (Bowling Green, KY)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more