- MVP Health Care (Schenectady, NY)
- Are you a strategic leader ready to shape the future of healthcare payment integrity? MVP Healthcare is seeking a visionary **Senior Director of Payment ... **Strategic Leadership & Program Oversight** + Develop and execute a comprehensive payment integrity strategy aligned with financial and operational goals. + Oversee… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for...Nurse (RN) - Active, current and unrestricted California License Certified Professional Coder (CPC) designation by the American Academy… 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 (San Diego, CA)
- …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
- Capital One (Chicago, IL)
- Senior Distinguished Engineer - Payment Cryptography (Remote-Eligible) As a Sr. Distinguished Engineer at Capital One, you will be a part of a community of technical ... in Payments Cryptography will operate at the intersection of advanced cryptography, payment industry standards, and physical hardware. You will play a key role… more
- Molina Healthcare (Sterling Heights, MI)
- …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
- City of New York (New York, NY)
- …assigned to this position include the analysis, control and processing of complex payment submissions. They will also analyze and resolve issues related to capital ... administrative activities related to the data entry and processing of these vendor payment requests. Must be able to interact and communicate effectively with fiscal… more
- Capital One (Mclean, VA)
- …security integration for Mergers and Acquisitions + Experience with PCI and Payment Network Compliance. + Professional certifications AWS Certified Solutions ... Senior Manager - Global Payment Network Information Security Office (ISO) Consultant At...central Information Security point of contact for the Global Payment Networks line of business + Coordinate and execute… more
- Middlesex Savings (Westborough, MA)
- …financial services payment operations management experience is required + NEACH Certified (AAP or APRP) or obtain certification within 12-months is required + ... **Overview** The Director of Payment Operations is responsible for overseeing the Bank's...Payment Operations is responsible for overseeing the Bank's payment operations business lines, Item Processing, ATM, Electronic Banking,… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance...Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of… more