- Corewell Health (Grand Rapids, MI)
- … Integrity Program with specific expertise in healthcare payment and reimbursement . The Payment Integrity Manager is responsible for managing staff ... Job Summary - Manager, Payment Integrity Seeking a strategic and...ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to support the organization's strategic… more
- BlueCross BlueShield of North Carolina (AL)
- … payment accuracy and improving member affordability. Acts a liaison for all reimbursement policies and payment integrity initiatives to communicate cost ... of care targets, drive ideation, prioritization, Reimbursement Policy governance, and business case development...Do** **_Leadership & Direction:_** + Develops the strategy for Payment Integrity (PI), with a focus on… more
- The Cigna Group (Franklin, TN)
- …all the difference in our success. **Role Description:** This role will support Payment Integrity projects through analysis of medical expense to determine total ... This individual will partner with network and Clinical Operations, Payment Policy Unit, and other matrix partners...act as a key subject matter expert for the Payment Integrity team in regards to medical… 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
- Bath & Body Works (Columbus, OH)
- …is a manager-level role responsible for leading the strategy, execution, and optimization of Payment , Tax, and Fraud platforms. This PO will play a critical role in ... across the Point of Sale, Order Management System, and website, establishing consistent payment , tax, and fraud compliance across all channels. As the voice of the… more
- PSEG Long Island (Melville, NY)
- …exciting time to join PSEG. **Job Summary** This role resides within the Payment Processing & Revenue Integrity department at PSEG Long Island. Responsibilities ... offer a retirement program, 401(k) with company match, company paid life insurance, tuition reimbursement and a minimum of 18 days of paid time off per year… more
- PSEG Long Island (Melville, NY)
- …exciting time to join PSEG. **Job Summary** This role resides within the Payment Processing & Revenue Integrity department at PSEG Long Island. Responsibilities ... offer a retirement program, 401(k) with company match, company paid life insurance, tuition reimbursement and a minimum of 18 days of paid time off per year… more
- ManpowerGroup (Ishpeming, MI)
- Our client, a leading financial services provider, is seeking a Card Payment Services Specialist to join their team. As a Card Payment Services Specialist, you ... skills, a keen attention to detail, and a strong sense of personal integrity which will align successfully in the organization. **Job Title:** Card Payment… more
- Pfizer (Tallahassee, FL)
- …and maintain strong and lasting relationships with US Reimbursement and Payment Organizations/Agencies assuring that payment policy does not impede ... and Access experience is necessary. Strong understanding of Oncology Reimbursement , Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance… more
- Olympus Corporation of the Americas (Denver, CO)
- …and programs. May include project leadership. + Identify physicians to assist with reimbursement or payer coverage policy revisions. + Provide customer insights ... five Core Values empower us to achieve Our Purpose: **Patient Focus, Integrity , Innovation, Impact and Empathy.** Learn more about Life at Olympus… more
- Mastercard (Washington, DC)
- …for this role will be responsible for the development of Mastercard's global public policy positions related to payment network economics and the cost of ... include: * Tracking the evolution of global regulatory and policy measure designed to alter or restrict the role...alter or restrict the role of market economics within payment networks, including but not limited to the regulation… more
- AbbVie (Oklahoma City, OK)
- …with appropriate providers within territory + Remain current on key managed care, reimbursement , and policy activities Qualifications + At least 3 years of ... includes the following states: + Oklahoma + Arkansas The Immunology Field Reimbursement Manager - Gastroenterology acts as an alternative in-office resource that is… more
- Care Initiatives (West Des Moines, IA)
- …and final rules. + Identify documentation compliance for proper billing and optimize reimbursement outcomes + Audit and monitor integrity of: + Overall RAI ... Care Initiatives is seeking a Director of Clinical Reimbursement . As the largest single operator of quality...and optimizing the Minimum Data Set (MDS) and Patient-Driven Payment Model (PDPM) across our skilled nursing communities. Reporting… more
- ADM (Chicago, IL)
- **98937BR** **Job Title:** Finance Risk, Controls Policy Leader - Chicago, IL **Department/Function:** Finance, Accounting, Audit **Job Description:** **Title: ... Finance Risk, Controls and Policy Leader** **Location: Chicago** ADM is dedicated to maintaining...ADM is dedicated to maintaining the highest standards of integrity and compliance in our operations. As we embark… more
- Trinity Health (Ann Arbor, MI)
- …Inform patients on cost of treatment, insurance benefits, resources for payment and financial assistance. Secures and documents payment arrangements. ... forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to be invoked. Utilizing key reports and tools to facilitate… more
- Nebraska Public Power District (York, NE)
- … integrity of the billing system and various other systems. Ensure the integrity of financial transactions by following daily payment handling processes and ... but is not limited to, service order requests, new services, billing/ payment /rate inquiries, maintaining/updating customer account information, and a variety of… more
- Walmart (Sunnyvale, CA)
- …for merchandise on the e Commerce platform, and to provide a bulletproof payment experience for customers in stores and online. Walmart is investing in transforming ... as they work with our customers to deliver world-class software solutions. The Unified Payment team has been chartered to provide a singular payment solution for… more
- Federal Reserve Bank (Chicago, IL)
- …Bank is a thought leader and innovator in numerous areas, including monetary policy , financial markets and stability, bank supervision, payment services, and ... bank of the United States. Its fundamental mission is to foster the stability, integrity , and efficiency of the nation's monetary, financial, and payment systems… more
- Walmart (Columbus, IN)
- …cash registers and related hardware and using appropriate procedures for different payment types and items soldMaintains merchandise presentation in the pharmacy by ... with company policies procedures and standards of ethics and integrity by implementing related action plans using the Open...by implementing related action plans using the Open Door Policy : and applying these in executing business processes and… more
- Trinity Health (Howell, MI)
- …Inform patients on cost of treatment, insurance benefits, resources for payment and financial assistance. Secures and documents payment arrangements. ... forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to be invoked. Utilizing key reports and tools to facilitate… more