- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager, Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager, Payment Integrity. This role is ... alignment. Responsible for management of all aspects of the Payment Integrity Program with specific expertise in healthcare ...Association Upon Hire or + CRT - Coding Specialist, Certified - Physician Based (CCS-P) - AHIMA American Health… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full ... 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
- 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 Program ... Innovation and Medicaid Policy is seeking a Medicaid Supplemental Payment Program Manager to join our team! The Medicaid...one year of full-time experience. Graduation from the Iowa Certified Public Manager Program is also equivalent to one… more
- 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 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 (Rock Hill, SC)
- …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
- 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 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)
- …and logistics administration. The A&CM Division's Strategic Services Department seeks a Payment Certifier. Reporting to the Payment Administrator, the successful ... candidate will ensure that all payments are certified accurately and efficiently. Duties and responsibilities include, but...limited to the following: 1. Certify partial and final payment requisitions. 2. Review payment requisition for… 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
- CalSTRS (Sacramento, CA)
- Job Posting: Payment Review Analyst State Teachers' Retirement System JC-487215 - Payment Review Analyst ASSOCIATE GOVERNMENTAL PROGRAM ANALYST $6,031.00 - ... Governmental Program Analyst, willing to consider Staff Services Analyst, in the Payment Review Unit. The Disability and Survivor Benefits (DaSB) Division is… more
- City of New York (New York, NY)
- …30-30 Thomson Avenue, LIC, NY 11101 The candidate will prepare Miscellaneous Payment Vouchers for reimbursement of personal expenses of DDC employees including on ... for professional licenses and certification. Candidate is expected to review payment requests against the Comptroller's Directive. Prepare agency checks for DDC's… more