- Universal Health Services (Reno, NV)
- …and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Payment Integrity Program Lead will ensure that ... previously paid claims for recovery. Benefit Highlights: + Loan Forgiveness Program + Challenging and rewarding work environment + Competitive Compensation &… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III (ALD) Job...of the team, and provides feedback to the team lead on any issues identified during research or claims ... net required to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for...+ Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time Off… more
- Centene Corporation (Oklahoma City, OK)
- …and systems to assure integrity and compliance in billing and claims payment + Lead teams of analysts to appropriately investigate all possible fraud, ... coding, claims processing, and data mining preferred. + Experience in Pre-pay payment integrity configuration strongly preferred + Experience managing vendors in… more
- Trinity Health (Farmington Hills, MI)
- …and others as needed. Participates with peers across PBS and RHMs including Revenue Integrity Leaders, and the Director Payment Resolution in the redesign of ... working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as… more
- Capital One (Mclean, VA)
- … payment fraud defenses.** **About the Role:** **The Senior Manager of Commercial Payment Fraud will lead a team of 4-5 analysts and risk associates. ... and analytical skills to major company challenges. You will lead and team with world-class professionals to develop and...the team across processes associated with managing the Commercial Payment Fraud Program (including approvals with 2nd… more
- Trinity Health (Farmington Hills, MI)
- …a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as ... PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue… more
- Trinity Health (Farmington Hills, MI)
- …a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as ... PURPOSE** Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue… more
- Trinity Health (Farmington Hills, MI)
- …a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as ... Business Services (PBS) center. Serves as part of a team of clinical payment resolution colleagues at an assigned PBS location responsible for identifying and… more
- Trinity Health (Farmington Hills, MI)
- …a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as ... Patient Financial Services (EPFS) as part of a team of clinical payment resolution colleagues responsible for identifying and determining root causes of clinical… more
- Trinity Health (Farmington Hills, MI)
- …a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as ... center. Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for...procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or… more
- Trinity Health (Farmington Hills, MI)
- …working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as ... PURPOSE** Work Remote Position (Pay Range: $16.4877-$24.7316) Performs day-to-day payment posting reconciliation activities within the hospital revenue operations… more
- Health Plans, Inc. (Westborough, MA)
- …so, Health Plans, Inc. is the place for you. Join a team that values integrity , flexibility, loyalty, compassion and dedication-we can't wait to meet you. What we do ... Reporting to the Director of Enrollment & Billing, the Payment Processing Specialist is responsible for the facilitation of...Communicate with outside vendors to insure the issuance and integrity of checks and EOBs created during the check… more
- Justworks (New York, NY)
- Senior Software Engineer, Payment Products at Justworks (View all jobs) New York, New York Who We Are At Justworks, you'll enjoy a welcoming and casual environment, ... great benefits, wellness program offerings, company retreats, and the ability to interact...the job done well with a positive attitude. + Integrity - Simply put, do what you say and… more
- Mastercard (O'Fallon, MO)
- …better decisions, drives innovation and delivers better business results. **Title and Summary** Lead Technical Program Manager JOB TITLE: Lead Technical ... Program Manager ABOUT MASTERCARD Are you a technical program manager who wants to work for a company...that supports the management, generation, and provisioning of digital payment credentials into mobile devices and ecommerce channels to… more
- Trinity Health (Columbus, OH)
- …Generous paid time off programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance (geographic ... root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines. Responsible for… more
- Humana (Columbus, OH)
- …to attribute members to providers for new value based programs and to evaluate program effectiveness + Ensure data integrity in program administration for ... help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or...for end-users using queries and scripts to inform value-based payment (VBP) model design and administration. The Data and… more
- Federal Reserve System (New York, NY)
- …resilience and contribute to the oversight of systemically important FMUs. **Your role as the Program Lead , Cybersecurity Policy:** As the Program Lead ... Reserve System, and domestic and foreign regulatory agencies and central banks. The Program Lead for Cybersecurity Policy will manage and develop professionals… more
- Bozeman Health (Bozeman, MT)
- …system by maintaining a compliant and defensible Charge Master (CDM), claim integrity , and charger reconciliation program . Assists with departmental and ... organizational training and education to promote the overall integrity of the CDM program . Works closely...related field + Preferred: Working knowledge of Coding and Payment Classification Systems, ie ICD-10, HCPCs, CPT, OPPS, IPPS,… more
- Trinity Health (Newtown, PA)
- …of applicable Federal, State and local laws and regulations, Trinity Health's Corporate Integrity Program , Code of Ethics, as well as other policies and ... Full time **Shift:** **Description:** Trinity Health Mid-Atlantic is seeking a Data Integrity Clerk to join out team based out of Newtown, Pennsylvania! Provides… more
- Trinity Health (Livonia, MI)
- …Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as ... in health care compliance &/or consulting including regulatory compliance, program metrics, performance assessment, & reporting outcomes, etc. Must possess… more