- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Elevance Health (Durham, NC)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Humana (Raleigh, NC)
- …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office (Word, Excel,...home in the state of California will be provided payment for their internet expense. + A minimum standard… more
- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- **Director of Payment Integrity Consulting** **Category:** Finance **Main location:** United States, Georgia, Atlanta **Alternate Location(s):** United States, ... Consulting & Solution Development: * Conduct comprehensive assessments of client payment integrity programs, identifying areas for improvement, efficiency gains, and… more
- ManpowerGroup (Roxboro, NC)
- …client, a leading organization in the public service sector, is seeking a dedicated Utility Payment Clerk to join their team. As a Utility Payment Clerk, you ... which will align successfully within the organization. **Job Title:** Utility Payment Clerk (Cashier) **Location:** Roxboro, NC **Pay Range:** $16- $18 depending… more
- Truist (Wilson, NC)
- …and processing of new applications, maintenance, and research/resolution for all payment inquiries received in Card Payments Operations. Provide outstanding client ... Process daily work queues, researching and resolving client inquiries related to payment inquiries or issues. Maintain and compile daily statistics. 2. Process new… more
- Bank of America (Charlotte, NC)
- Sr. Technical Manager - Cloud Health Care Payment Solutions Plano, Texas;Charlotte, North Carolina **To proceed with your application, you must be at least 18 years ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Plano/Sr-Technical-Manager Cloud-Health-Care- Payment -Solutions\_25037541) **Job Description:** At Bank of America, we are… more
- Elevance Health (Durham, NC)
- **Application Architect Senior - Payment Integrity** The **Application Architect Senior** creates architectural solutions that articulate the business context, ... **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on product development… more
- Truist (Wilson, NC)
- …experience digital or electronic Payments-related functions 3. Exposure to the Payment Card and third-party vendor processing systems (MasterCard/Visa, TSYS, FIS, ... by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred… more
- US Bank (Charlotte, NC)
- …the following (some may vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term life insurance + Short-term and ... long-term disability + Pregnancy disability and parental leave + 401(k) and employer-funded retirement plan + Paid vacation (from two to five weeks depending on salary grade and tenure) + Up to 11 paid holiday opportunities + Adoption assistance + Sick and… more