- Corewell Health (Grand Rapids, MI)
- … Program with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is responsible for managing staff and associated ... Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity .… more
- Elevance Health (Pittsburg, KS)
- **Carelon Payment Integrity Manager ** **Sign-on Bonus:** **$3,000** _Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Carelon Payment Integrity Manager is responsible for ensuring the… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** The Payment Integrity Program Manager - Health Plan is a subject matter expert, individual contributor role designed for ... on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy....years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Everett, WA)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... lines of business. This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case types-including automobile-related claims… 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
- Molina Healthcare (Provo, UT)
- …are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and ... acumen. Experience in Medicaid managed care is required, and a background in payment integrity -either at a health plan or vendor-is strongly preferred.… more
- Elevance Health (Mason, OH)
- **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... an accommodation is granted as required by law. **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Gilbert, MN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... and adaptable workplace. Alternate locations may be considered. **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- **Investigator II - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Regions Bank (Birmingham, AL)
- …and Access + Proven ability of leading and influencing cross functional teams **Consumer Payment Product Manager ** The Consumer Payment Product Manager ... are focused on results, dedicated to quality, strength and integrity , and possess the drive to succeed, then we...of the system. **Job Description:** At Regions, the Product Manager assists in the development, execution, and tracking of… more
- Walmart (Bentonville, AR)
- …Services: Requires knowledge of: Specific financial services operations, payment processing, financial services application, associated systems and subsystems ... members on company and retailer/supplier relationship processes, values, and policies. Payment Acceptance: Requires knowledge of: Payment processing environment… more
- Capital One (Chicago, IL)
- Business Analysis Manager - Global Payment Network, Pricing Global Pricing leads the development and execution of pricing policy strategy for Discover Network ... (DN) and Discover Diner's Club International (DCI) payment networks. Network pricing policy serves as the driver for network revenue and topline growth at Global … more
- US Bank (Minneapolis, MN)
- …Banking segment defined as companies with less than $2.5M in revenues. A successful Payment Services Market Manager will work to develop a pipeline of ... to driving innovation and launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part of our team, you can… more
- City National Bank (Los Angeles, CA)
- * MANAGER OF AUDIT SR- PAYMENT AND FRAUD OPERATIONS* WHAT IS THE OPPORTUNITY? The Senior Manager of Audit for Payment and Fraud Operations will support ... and the system of internal controls over the Bank's Payment and Fraud Operations. Position will also provide support...environment and heightened expectations of internal audit. The Senior Manager will also be involved in internal and external… more
- Mastercard (O'Fallon, MO)
- …businesses and governments realize their greatest potential._ **Title and Summary** Manager , Product Management-Technical (PMT) for Payment Account Reference ... providing the business analysis required to support product enhancements for PAR ( Payment Account Reference) and other related areas within the Mastercard Digital… more
- JPMorgan Chase (Plano, TX)
- …and innovation in financial services. You have found the right team. As a ** Payment Lifecycle Manager ** within the Global Card Operations team at JPMorganChase, ... the Merchant Services Business. Your role will be crucial in maintaining the integrity of our firm's balance sheet and driving operational excellence. The Global… more
- University of Rochester (Rochester, NY)
- …Embedded in that ideal are the values we share: equity, leadership, integrity , openness, respect, and accountability. Together, we will set the highest standards ... **Responsibilities:** GENERAL PURPOSE With latitude for initiative and judgment the Payment Poster II is responsible for the accurate and timely posting… more
- Bath & Body Works (Columbus, OH)
- …world live more fully. **Overview** The Digital Product Owner (PO) is a manager -level role responsible for leading the strategy, execution, and optimization of ... Payment , Tax, and Fraud platforms. This PO will play...and Fraud initiatives. + Oversee platform stability and operational integrity , ensuring SLAs for uptime, transaction success rates, and… more
- Abbott (Kansas City, MO)
- …processes. + Assist with other projects and tasks as assigned by Sr. Manager , Payment Operations. **Required Qualifications** + Bachelor's degree in accounting, ... Our 114,000 colleagues serve people in more than 160 countries. **_Clinic Payment Operations Supervisor_** **Working at Abbott** At Abbott, you can do work… more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This ... other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker...revenue code, etc. is required + Understanding of payor payment methods viz. Fee Schedule, RCC, Case rate is… more