- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category:...(Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for… more
- Realtor (Austin, TX)
- …the right connections, and building confidence through expert guidance. ** Payment Operations Manager** at **Realtor.com** **(R)** **Location:** Scottsdale, ... - Remote/In-Office 3 days per week) At Avail by Realtor.com(R), we're seeking a skilled Payment Operations Manager to join our team. In this critical role within… more
- Bon Secours Mercy Health (Cincinnati, OH)
- … Payment Programs provides operational leadership and oversight of government-sponsored payment models within the Bon Secours Mercy Health Population ... Functions** + Provide leadership and direction for the daily operations of assigned government payment programs, ensuring...plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin,… more
- JPMorgan Chase (Columbus, OH)
- …on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan , backup childcare, ... of highly talented product managers with a singular focus of delivering innovative payment services via the most important platforms of today and tomorrow. We seek… more
- Martin's Point Health Care (Portland, ME)
- …practices and system enhancements that improve the efficiency, accuracy, and integrity of payment integrity operations . + Prepare and present regular reports on ... Join Martin's Point Health Care - an innovative, not-for-profit health...years management and/or leadership experience, with a focus on Payment Integrity, claims operations , healthcare auditing, or… more
- Elevance Health (Atlanta, GA)
- …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
- AmeriHealth Caritas (Newtown Square, PA)
- …trust throughout the claims auditing process + Act as a liaison between payment integrity operations and provider network management to address escalations and ... **Role Overview** The **Director of Payment Integrity Solutions** is responsible for overseeing ...NLP-based automation, coupled with continuous policy refinement, and strong Plan and provider stakeholder engagement. The Director leads efforts… more
- JPMorgan Chase (New York, NY)
- …on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan , backup childcare, ... About the Team The Payment Experiences platform team manages multiple products and...and manage key relationships with stakeholders across Product, Technology, Operations , Servicing, Legal, and Compliance + Champion operational excellence,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader ... Manager, the Payment Integrity Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a trusted… more
- East Boston Neighborhood Health Center (Revere, MA)
- Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the ... greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether...part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is… more