- Molina Healthcare (Kearney, NE)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly ... on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy....7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (San Jose, CA)
- …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Corewell Health (Grand Rapids, MI)
- …excellence and strategic alignment. Responsible for management of all aspects of the Payment Integrity Program with specific expertise in healthcare ... payment and reimbursement. The Payment Integrity Manager is responsible...in setting the priorities, goals and objectives of the Payment Integrity program . Organization strategy… more
- Elevance Health (Pittsburg, KS)
- **Carelon Payment Integrity Manager ** **Sign-on Bonus:** **$3,000** _Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... recover, eliminate and prevent unnecessary medical-expense spending. The Carelon Payment Integrity Manager is responsible...and enforcement of the fraud, waste, and abuse compliance program to prevent and detect potential fraud, waste, and… more
- Molina Healthcare (Biloxi, MS)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Directed Payment Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5028857) Apply Medicaid Directed Payment ... Innovation and Medicaid Policy is seeking a Medicaid Supplemental Payment Program Manager to join...develop projections to ensure fiscal integrity and program effectiveness. Collaborate with finance teams on payment… more
- Regions Bank (Birmingham, AL)
- …and Access + Proven ability of leading and influencing cross functional teams **Consumer Payment Product Manager ** The Consumer Payment Product Manager ... are focused on results, dedicated to quality, strength and integrity , and possess the drive to succeed, then we...of the system. **Job Description:** At Regions, the Product Manager assists in the development, execution, and tracking of… more
- Walmart (Bentonville, AR)
- …Services: Requires knowledge of: Specific financial services operations, payment processing, financial services application, associated systems and subsystems ... members on company and retailer/supplier relationship processes, values, and policies. Payment Acceptance: Requires knowledge of: Payment processing environment… more
- US Bank (Modesto, CA)
- …Banking segment defined as companies with less than $2.5M in revenues. A successful Payment Solutions Market Manager will work to develop a pipeline of ... to driving innovation and launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part of our team, you can… more
- Bath & Body Works (Columbus, OH)
- …world live more fully. **Overview** The Digital Product Owner (PO) is a manager -level role responsible for leading the strategy, execution, and optimization of ... Payment , Tax, and Fraud platforms. This PO will play...and Fraud initiatives. + Oversee platform stability and operational integrity , ensuring SLAs for uptime, transaction success rates, and… more