- Elevance Health (Mason, OH)
- …required by law. The ** Payment Innovation Director** is responsible for Payment Innovation business solution research, design, development, and ... candidates not within a reasonable commuting distance from the posting location(s) will not be considered for ...conceptualizing innovative payment solutions for healthcare providers thru provider… more
- Molina Healthcare (Akron, OH)
- …projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment datamining, and overpayment recovery which improves ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor...Integrity Program Manager is an individual contributor role designed for a highly capable individual who serves as a… more
- Molina Healthcare (Cincinnati, OH)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied ... Operational Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met … more
- Molina Healthcare (OH)
- …seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and ... in Medicaid managed care is required, and a background in payment integrity-either at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities**… more
- Intermountain Health (Columbus, OH)
- …in a timely and accurate manner. **Essential Functions** + Identify appropriate payment details and save back-up as appropriate. Balance payments to deposits in ... payments to patient accounts, using both electronic and manual posting systems + Research, validate and make adjustments to... systems + Research, validate and make adjustments to payment postings. Follow up in accordance to procedures and… more
- Robert Half Accountemps (Cincinnati, OH)
- …opportunity for professionals with experience in medical billing and payment posting who thrive in a collaborative, fast-paced environment. Responsibilities: ... Description We are looking for a skilled Medical Payment Poster...* Minimum of 2 years of recent experience in payment posting or a similar role. *… more
- US Bank (Cincinnati, OH)
- …you excel at-all from Day One. **Job Description** SUMMARY US Bank Treasury & Payment Solutions is an organization focused on delivering treasury and payment ... its business customers of all sizes. This role is for a Product Manager/Product Owner on an agile team...Business Conduct and related workplace conduct and safety policies. ** Posting may be closed earlier due to high volume… more
- Elevance Health (Mason, OH)
- …on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an ... **Application Architect Senior - Payment Integrity** The **Application Architect Senior** creates architectural...by law. _PLEASE NOTE: This position is not eligible for current or future visa sponsorship._ **How you will… more
- Molina Healthcare (Cincinnati, OH)
- …Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and ... deploying reports to provider networks and other end users for operational and strategic analysis. **Knowledge/Skills/Abilities** The Director of Reporting &… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Responsible for all the aspects of architecture, design and implementation of Data Management solution using Big Data platform on ... Architecture, Evaluating tools and Frameworks, define Standards & Best Practices for implementing scalable business solutions * Implement Batch and Real-time data… more