- Concentrix (Austin, TX)
- Job Title: Payment Compliance Analyst Job Description The Payment Compliance Analyst within the VR (Virtual Reality) support group, provides comprehensive ... payment support for our VR Developers. The Payment Compliance Analyst will act as a primary point of contact helping to streamline the VR developer payment … more
- Molina Healthcare (TX)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health ... Duties** **Business Leadership & Operational Ownership** + Develop and execute effective Payment Integrity strategies through both pre- payment and post … more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be… more
- Molina Healthcare (Fort Worth, TX)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health ... and State regulatory requirements are met for pre-pay edits, post payment datamining, and overpayment recovery which improves encounter submissions, reduces General… more
- Centene Corporation (Austin, TX)
- …claims audit operations and medical code editing scenarios. Oversee payment integrity operations, including pilots, new business, transformative initiatives, and ... payment policies. + Develop and execute Payment Integrity strategies, end-to-end process automation, optimization and management. + Oversee various functions of… more
- Molina Healthcare (San Antonio, TX)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied ... Health Plan SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight. + Collaborates with… more
- Elevance Health (Grand Prairie, TX)
- ** Payment Innovation Director** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility ... employment, unless an accommodation is granted as required by law. The ** Payment Innovation Director** is responsible for Payment Innovation business solution… more
- Molina Healthcare (TX)
- …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
- Bank of America (Fort Worth, TX)
- Sr Fraud Analyst II - Global Payment Operations Fraud Fort Worth, Texas **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Fort-Worth/Sr-Fraud-Analyst-II Global- Payment -Operations-Fraud\_25033484) **Job Description:** At Bank of America, we are… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... for employment, unless an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies,… more