- Molina Healthcare (San Diego, CA)
- …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
- Elevance Health (Washington, DC)
- …for employment, unless an accommodation is granted as required by law._ The **Product Manager Senior** - ** Payment Integrity Analytic Platform** will be ... **Product Manager Senior** **Location:** This role requires associates to...+ Own the product vision and roadmap for the ** Payment Integrity Analytic Platform** , ensuring alignment… more
- Molina Healthcare (Provo, UT)
- …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 (Indianapolis, IN)
- **Application Architect Senior - Payment Integrity ** The **Application Architect Senior** creates architectural solutions that articulate the business context, ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… 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
- Molina Healthcare (Omaha, NE)
- …on Hadoop cluster components and services (like HDFS, YARN, ZOOKEEPER, AMBARI/CLOUDERA MANAGER , SENTRY/RANGER, KERBEROS, etc.) * Ability to participate and lead, in ... solving technical issues while engaged with infrastructure and vendor support teams. **Job Qualifications** **Required Education** Bachelor's Degree **Required Experience** * 5-7 years of data management experience. * Experience in building stream-processing… more
- US Bank (San Diego, CA)
- …Market Manager position may be the right fit for you! The **Merchant Payment Services Market Manager ** is an individual contributor sales position. This role ... with less than $2.5M in revenues. A successful Merchant Payment Services Market Manager will work to...pattern of achievement, competitive skills, energy, motivation, enthusiasm, and integrity is critical to being successful in this role… more
- Molina Healthcare (Fort Worth, TX)
- …with great attention to detail + Experience with data analysis, auditing, and payment integrity programs + Experience with Claims (primary and secondary), ... (DPP). + Experience with QNXT and ClaimShark + Experience with Finance/Accounting/ Payment Integrity /SAIs + Experience interpreting regulatory policy/guidance +… 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
- HCA Healthcare (Nashville, TN)
- …Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists the Manager , Director and VP of Dispute ... as well as ad hoc requests from senior leadership + Works with corporate Payment Compliance manager to effectively identify and communicate issues related to… 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
- Bank of America (Fort Worth, TX)
- Sr Fraud Analyst II - Global Payment Operations Fraud Fort Worth, Texas **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Fort-Worth/Sr-Fraud-Analyst-II Global- Payment -Operations-Fraud\_25033484) **Job Description:** At Bank of America, we are… more
- Regions Bank (Hoover, AL)
- …more opportunities. If you are focused on results, dedicated to quality, strength and integrity , and possess the drive to succeed, then we are your employer of ... tools **Additional Job Description** + Must have experience with Payment Operations for Risk Management **This position is intended...the office three or more days a week. The manager will set the work schedule for this position,… more
- Alameda Health System (Oakland, CA)
- …providing expertise to assist and educate appropriate staff on charging efficiencies, ensuring payment integrity and the accuracy of charging practices. The RI ... Revenue Integrity Charge Capture Analyst + Oakland, CA +...to charge capture. This position supports the clinical charging manager and serves as a facility liaison to the… more
- Covenant Health Inc. (Knoxville, TN)
- …and requested by the Vice President of Patient Account Services, Officer and/or Corporate Manager of Revenue Integrity . + Supports, models and adheres to the ... Overview Revenue Integrity Specialist Full Time, 80 Hours per pay...Quality + Coordinates with appropriate parties the complete/ partial payment or repayment of the claims as findings are… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity , the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, ... coding, charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture,… more
- Trinity Health (Fort Lauderdale, FL)
- …to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to support ... need for accurate and complete documentation to ensure revenue optimization and integrity . Educate clinical staff on need for accurate and complete documentation to… more
- Tufts Medicine (Burlington, MA)
- …Quality and Physician advisors and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in planning, implementing improvements, ... Five (5) years relevant experience in the management of Clinical Documentation Integrity team 4. CCDS certification through ACDIS or CDIP Certification through AHIMA… more
- PPL Corporation (Allentown, PA)
- …build and maintain strong, diverse communities today. Overview The **Associate Project Manager ** position is the single point of accountability for small to routine ... sought by the Project Leader for complicated projects. The **Project and Contract Manager ** position is the single point of accountability for large PPL Electric… more
- PPL Corporation (Allentown, PA)
- …typically be sought by the Project Leader for complicated projects. The **Project Manager ** position is the single point of accountability for large PPL capital ... in a manner that meets the highest standards of professional conduct and integrity . v. Plan and manage small to medium size projects from development through… more
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