• Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Zelis, Lyric or other editing tools + Extensive knowledge and experience in Healthcare Revenue Integrity , Payment Integrity , and Analytics + 5+ years of ... logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, this position does… more
    Commonwealth Care Alliance (11/25/25)
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  • Division Chief, Financial Investigations

    State of Massachusetts (MA)
    …staff perform these reviews as part of suitability evaluations for financial integrity , financial stability, and financial background. Under the direction of the ... other gaming regulatory agencies characterized by a high level of acceptance, integrity , cooperation, and mutual regard . Recognize and promptly escalate potentially… more
    State of Massachusetts (12/06/25)
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