- Molina Healthcare (Sioux City, IA)
- …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... **Business Leadership & Operational Ownership** + Develop and execute effective Payment Integrity strategies through both pre- payment and post payment… 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 ... 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 (Fort Worth, TX)
- …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
- 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 (Sterling Heights, MI)
- …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
- 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
- US Bank (Salt Lake City, UT)
- …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
- State of Colorado (Denver, CO)
- …Social Services Specialist IV What you'll be doing: This position exists to support the Program Integrity Manager in implementing program integrity ... communicates outcomes verbally or in writing to the CCCAP Program Integrity Manager and other...provider tasks, and audit payments and make recommendations for payment issues to the CCCAP Compliance and Monitoring Specialists… more
- Regions Bank (Hoover, AL)
- …more opportunities. If you are focused on results, dedicated to quality, strength and integrity , and possess the drive to succeed, then we are your employer of ... point to support risk assessments with cross-functional teams to ensure the program is effective and scales across all business units, while understanding,… more