- Molina Healthcare (Omaha, NE)
- …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 (Omaha, NE)
- …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 (Omaha, NE)
- …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
- US Bank (Omaha, NE)
- …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
- Molina Healthcare (Omaha, NE)
- …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
- Turner & Townsend (Omaha, NE)
- …and fun company culture. Our clients value our proactive approach, depth of expertise, integrity and the quality we deliver. As a result, our people get to enjoy ... **Turner & Townsend** is seeking an experienced **Senior Cost Manager or Quantity Surveyor** to provide commercial management, cost...on a global technology client's massive data center construction program . To be successful in this role you must… more
- Molina Healthcare (Omaha, NE)
- …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
- Molina Healthcare (Omaha, NE)
- …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
- Ryder System (Omaha, NE)
- …: At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As an Operations Trainee, you'll be part of a dynamic ... cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management,… more