- Molina Healthcare (Orlando, FL)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Miami, FL)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Orlando, FL)
- …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
- Meta (Tallahassee, FL)
- …click "Apply to Job" online on this web page. **Required Skills:** Project Manager , Business Integrity Responsibilities: 1. Partner with product, engineering and ... to successfully identify, design, implement and test various safety and integrity initiatives. 2. Coordinate projects, making detailed plans to accomplish goals… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …and processes provider invoices, reviews line-by-line entries, and submits to finance for payment . The UM Program Manager reconciles ARGOS Dependency Cases ... Salary: $65,000/year Position Summary: The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend… more
- Lockheed Martin (Orlando, FL)
- **Description:** You will be the Program Management\-Subcontract Manager for the Rotary Wing Sensors program team\. Our team is responsible for managing ... the Apache M\-TADS program \. **What You Will Be Doing** As the Program Management\-Subcontract Manager , you will be responsible for leading a team of… more
- Microsoft Corporation (Fort Lauderdale, FL)
- …audits. The Azure Trusted Platform team is seeking an experienced Senior Technical Program Manager - Compliance to support Azure's regulatory work. The Senior ... Technical Program Manager - Compliance will work with...Each day we build on our values of respect, integrity , and accountability to create a culture of inclusion… more
- Carnival Cruise Line (Miami, FL)
- …responsible for conceptualizing, developing and maintaining a brand-new planning and program management system encompassing new builds, hotel refurbishments and port ... partners including brand and project orientations, vendor set-up, contracting and deliverable, payment and budget tracking. + Create and maintain a system and… more
- Molina Healthcare (St. Petersburg, FL)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- Elevance Health (FL)
- …+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity ** + **Care Management / Utilization Management (CM/UM) Modernization** ... ** Manager , Medical Director - Transformation Initiatives** Location: This...preferred. + Experience advising medical cost management, utilization management, payment integrity , or provider performance programs preferred.… more