- Molina Healthcare (San Diego, 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
- Molina Healthcare (Provo, UT)
- …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
- Molina Healthcare (Fort Worth, TX)
- …Responsible for successful oversite and implementation of the Texas Medicaid Directed Payment Program (DPP) and internal business projects and programs involving ... and directs schedules as well as tracks and monitors program payments to ensure accuracy and audits for accuracy....to detail + Experience with data analysis, auditing, and payment integrity programs + Experience with Claims… 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 (San Diego, CA)
- …Market Manager position may be the right fit for you! The **Merchant Payment Services Market Manager ** is an individual contributor sales position. This role ... with less than $2.5M in revenues. A successful Merchant Payment Services Market Manager will work to...pattern of achievement, competitive skills, energy, motivation, enthusiasm, and integrity is critical to being successful in this role… more
- HCA Healthcare (Nashville, TN)
- …Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists the Manager , Director and VP of Dispute ... as well as ad hoc requests from senior leadership + Works with corporate Payment Compliance manager to effectively identify and communicate issues related to… 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
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity , the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, ... coding, charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture,… more
- Trinity Health (Fort Lauderdale, FL)
- …to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to support ... need for accurate and complete documentation to ensure revenue optimization and integrity . Educate clinical staff on need for accurate and complete documentation to… more
- Tufts Medicine (Burlington, MA)
- …onsite travel required **Job Overview** The position is responsible for CDI program strategy and oversight. The Director will partner with the Senior Director, ... Clinical Revenue Cycle to strategically plan, organize, implement, and evaluate the CDI program . This includes management of case mix index (CMI), length of stay… more
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