- MVP Health Care (Schenectady, NY)
- … payment integrity ? MVP Healthcare is seeking a visionary **Senior Director of Payment Integrity & Cost Containment** to lead enterprise-wide ... **Strategic Leadership & Program Oversight** + Develop and execute a comprehensive payment integrity strategy aligned with financial and operational goals. +… more
- BlueCross BlueShield of North Carolina (NC)
- …Description** Provides leadership and oversight for development, implementation, and execution for Payment Integrity (PI) programs focused on payment ... affordability. Acts a liaison for all reimbursement policies and payment integrity initiatives to communicate cost of...flexibility, and the autonomy to do great work + Medical , dental, and vision coverage along with numerous health… more
- CVS Health (Hartford, CT)
- …approximately 6 employees and overall scope of 25-30 to develop enterprise-wide solutions ( medical cost containment and payment integrity ) to address ... industry experience in product, finance, operations, network/out of network, payment integrity , and/or related disciplines + Proven leadership/management… more
- Mastercard (Harrison, NY)
- …people, businesses and governments realize their greatest potential._ **Title and Summary** Director , Channel Sales and Partnerships, Payment Security and ... reach more customers through strategic partners focusing on our payment security and Insights solutions in the North America...or assistance you are requesting. Do not include any medical or health information in this email. The Reasonable… more
- Tufts Medicine (Burlington, MA)
- …Overview** The position is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director , Clinical Revenue Cycle to ... (UM), Case Management, Quality and Physician advisors and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in planning,… more
- State of Colorado (Denver, CO)
- …Medicare fraud, waste, and abuse (FWA) operations that includes work on: + Program Integrity + Provider Payment Reviews + Fraud Investigation + Waste and abuse ... Fraud Waste and Abuse Division Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5033338) Apply Fraud Waste and...ten (10) years that includes work on: + Program Integrity + Provider Payment Reviews + Fraud… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical ... and medical criteria. + Assists with training medical director colleagues and nursing staff ,...changes in healthcare. + Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and… more
- Taiho Oncology (Princeton, NJ)
- …vision allow us to consistently pursue and develop life-changing innovations. As Senior Director of Scientific & Medical Communications, you'll play a pivotal ... at every stage of the product lifecycle. Position Summary: The Sr. Director , Scientific & Medical Communications (SDSMC) leads the strategic development,… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Medical Director will assist the VP Member Health and Chief Medical Officer ... in accordance with regulatory, accreditation, corporate policies and strategic plan. The Medical Director will participate in medical advisory committees,… more
- Mastercard (Harrison, NY)
- …businesses and governments realize their greatest potential._ **Title and Summary** Director , Product Management Mastercard's Global Acceptance team is on a mission ... we are working on shaping the online and in-store payment experiences of the future. As payments evolve and...new players reshape the ecosystem, we are seeking a Director to lead product strategy and execution for our… more