- Elevance Health (Grand Prairie, TX)
- …law. **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined ... health care providers through prepayment claims review, post payment auditing, and provider record review. **How you will...and educational materials + Acts as liaison with service operations as well as other areas of the company… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- **Director of Payment Integrity Consulting** **Category:** Finance **Main location:** United States, Georgia, Atlanta **Alternate Location(s):** United States, ... relationships with key client stakeholders, including executive leadership, claims operations , finance, compliance, and clinical teams. * Lead client discovery… more
- Texas Tech University (Lubbock, TX)
- …USAS as needed, including UDEV and UIT test environments. Contributes to routine Payment Strategies operations such as mailbox triage, phone line coverage, ... **42819BR** **Extended Job Title:** Lead Account Processor - Payment Strategies Specialist **Position Description:** Performs complex work computing, classifying,… more
- Capital One (Plano, TX)
- Audit Manager - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to the ... global payments network, all associated platforms, technologies, and related operations such as(eg, credit/debit processing, authorization, clearing & settlement… more
- Capital One (Plano, TX)
- Senior Tech Audit Manager - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... audits and audits of critical technology functions including supporting payment networks, cloud-based technology implementations, application controls, and cybersecurity… more
- Capital One (Plano, TX)
- …management or a combination + At least 3 years of experience in global payment network operations and banking or financial services, or a combination **Preferred ... Principal Auditor - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to… more
- US Bank (Irving, TX)
- …plays a pivotal role in driving strategic transformation across the Merchant Payment Services domain. This position partners with senior leaders and cross-functional ... + Lead strategic execution of cross-functional transformation initiatives within Merchant Payment Services. + Serve as a Program and Project Manager, leading… more
- CVS Health (Austin, TX)
- …specialty including post-graduate direct patient care experience **Preferred Qualifications** * Health plan /payor experience. * Foundational baseline skills in ... At CVS Health , we're building a world of health...this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing clinical expertise… more
- BrightSpring Health Services (Irving, TX)
- …Inc. is a leading provider in home Infusion therapy. We are looking for a Pharmacy Operations Manager to join our Pharmacy team as we grow to be one of the top ... home infusion providers in the country. The Pharmacy Operations Manager will work in our Dallas, Texas branch....be expected to develop and execute the strategic market plan to achieve the business objectives and budget expectations… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Gross to Net (GTN) forecasting, government price reporting, and rebate invoice validation and payment operations . This role leads an operations team and ... The Director, Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing...healthcare contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D,… more
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