• Manager Payment Integrity

    Texas Health Resources (Arlington, TX)
    Manager Payment Integrity Professional _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... general direction of the PBO Revenue Integrity Director, the PBO Payment Integrity Manager is responsible for overseeing insurance payment activities… more
    Texas Health Resources (11/08/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. Reporting to the Payment Integrity Program Manager , the Payment Integrity ... and prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
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  • Payment Integrity Program…

    Molina Healthcare (Carson City, NV)
    …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. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (10/30/25)
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  • Carelon Medical Coding/Auditing Manager

    Elevance Health (Hanover, MD)
    **Carelon Medical Coding/Auditing Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** **Location: Must be located in Maryland.** ... an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of...to improve the delivery of care. The **Medical** **Coding/Auditing** ** Manager ** is responsible for ensuring the accuracy of claims… more
    Elevance Health (11/04/25)
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  • Lead Analyst, Payment Integrity

    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. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (10/18/25)
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  • Nurse Audit Senior - Payment

    Elevance Health (Atlanta, GA)
    **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... an accommodation is granted as required by law. **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/29/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Atlanta, GA)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (11/04/25)
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  • Payment Application Manager

    Fox Rothschild LLP (Greenville, SC)
    **Description** We are seeking a detail-oriented and experienced Payment Application Manager to oversee the accurate and timely application of client payments. ... This role is essential to maintaining the integrity of our financial records and ensuring smooth reconciliation of accounts. The ideal candidate will have a strong… more
    Fox Rothschild LLP (09/30/25)
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  • Merchant Payment Services Market…

    US Bank (Denver, CO)
    …thrive in an environment focused on building relationships and reaching goals? The Merchant Payment Services Market Manager may be the right role for you! The ... companies with less than $2.5M in revenues. A successful Payment Solutions Market Manager will work to...pattern of achievement, competitive skills, energy, motivation, enthusiasm, and integrity is critical to being successful in this role… more
    US Bank (11/06/25)
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  • Manager : Logistics Freight Audit…

    GE HealthCare (Waukesha, WI)
    **Job Description Summary** The Manager of Logistics Freight Audit & Payment Operations will lead a high-performing team responsible for ensuring accurate, ... operations. This role will oversee carrier onboarding and management, resolve payment discrepancies, and maintain invoice integrity across freight audit… more
    GE HealthCare (11/06/25)
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