- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied… more
- Albany Medical Center (Albany, NY)
- …$100,908.37 Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, ... billing, revenue integrity , patient financial services, prior authorization teams, denial specialists,...changes and industry best practices to ensure accurate revenue integrity and optimal program utilization. + Staying current with… more
- Molina Healthcare (Yonkers, NY)
- …role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations,… more
- Molina Healthcare (Albany, NY)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health Plan ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations,… more
- City of New York (New York, NY)
- …and procedures in determining all potential and contracted vendors' compliance, integrity and responsibility. The unit is comprised of four (4) subdivisions: ... Vendor Responsibility and Integrity ; Investigations and Contract Compliance, the Minority/Women-Owned Business Enterprise...making, the Deputy Director of VCR/ Vendor Responsibility and Integrity Unit is charged with the management of the… more
- Molina Healthcare (Syracuse, NY)
- …a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... 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
- WMCHealth (Valhalla, NY)
- Revenue Integrity Analyst Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Revenue ... Integrity Union: No Position: Full Time Hours: 8:30-5pm, M-F...Internal Applicant link Job Details: Job Summary: The Revenue Integrity Analyst reviews and revises accounts to achieve revenue… more
- Amazon (New York, NY)
- …Product Manager - Technical to lead the strategy, and execution of our supply integrity and inventory quality systems. This role is pivotal in ensuring that every ad ... across engineering, data science, and commercial functions to safeguard the integrity of the DSP's supply.This critical leadership role combines technical expertise… more
- CVS Health (Albany, NY)
- …of 25-30 to develop enterprise-wide solutions (medical cost containment and payment integrity ) to address business problems, resulting in lower cost of care for ... experience in product, finance, operations, network/out of network, payment integrity , and/or related disciplines + Proven leadership/management experience + Market… more
- Meta (Albany, NY)
- …with extensive experience in regulatory domain to support the mission of our Integrity organization. This person will be responsible for supporting and developing a ... to affect billions of people who use our products. **Required Skills:** Integrity Solutions Engineering Manager Responsibilities: 1. Support a team of solutions… more