Payment Integrity jobs

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SENIOR MANAGER OF CLAIMS OPERATIONS/PAYMENT INTEGRITY

Direct day-to-day operations of Claims processing department to ensure that claims are processed within statutory and company guidelines. Ensure procedural and financial claims metrics and service level agreements are met. Involve...

CompanyXo Health Inc.
AddressRemote
CategoryInformation Technology
Salary$120,000 - $125,000 a year
Date Posted a week ago See detail

Senior Manager of Claims Operations/Payment Integrity

Xo Health Inc.

Remote

$120,000 - $125,000 a year

Direct day-to-day operations of Claims processing department to ensure that claims are processed within statutory and company guidelines. Ensure procedural and financial claims metrics and service level agreements are met. Involve...

Payment Integrity Analyst

Nyc Health + Hospitals

New York, NY

Assist in the development a stellar Payment Integrity unit capable of proactively identifying and investigating payment issues and working with stakeholders to develop mitigation strategies to prevent future occurrences, with the...

Temporary Payment Integrity Analyst

Bluecross Blueshield Of Vermont

Vermont, United States

$20 an hour

The primary duty of the role is to do intake for emails, send templated responses, and load them into our software program. If youre a quick learner, have strong attention to detail and arent afraid to ask questions, we want to...

Auditor, Payment Integrity

Independence Blue Cross

Philadelphia, PA

Bachelor's degree in health care related field or business-related discipline preferred. Current credentials of RN, or RHIT/RHIA/CCS. Strong knowledge of medical terminology and clinical reasoning. Strong critical thinking and ana...

Director Payment Integrity

Blue Cross And Blue Shield Of Kansas

Topeka, KS

$20 an hour

Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. Lead and Inspire: Guide and mentor your team to achieve their full potential and success. Dynamic Work Environment: Collaborate wi...

Vice President of Sales- Payment Integrity Healthcare Solutions

Codoxo

United States

$200,000 a year

Develop and execute a comprehensive sales strategy aligned with the organizations overall business objectives to meet or exceed revenue targets. Set ambitious sales targets and quotas, and create a roadmap to achieve them. Build,...

VP Claims Payment Integrity Operations

Humana

Louisville, KY

Code edit. Medical Record review. Fraud, Waste, investigations: provider, member, agent - all lines of business. Subrogation. Compliance, and education. Vendor invoicing. Medicaid strategy. Building strong partnerships with key st...

Payment Integrity Analyst

Bluecross Blueshield Of South Carolina

Columbia, SC

Analyzes data supporting procedures and processes in area. Developing reporting methodologies to track current and future Payment Integrity efforts for internal and external customers. Analyzes reports to ensure accuracy and quali...

Payment Integrity & Recovery Manager

Deloitte

Des Moines, IA

$102K - $129K a year

5+ years of management experience within government healthcare payment and recovery projects/programs Experience managing Medicaid payment systems and financial operations 1+ years of experience using Microsoft office suite Experi...

Payment Integrity Operations Lead

Unitedhealth Group

Phoenix, AZ

Operational performance of $20M revenue business including a team of individual contributors, leaders, and support roles to exceed client expectations. Full accountability for performance delivery and achievement of service level...

Staff VP Payment Integrity Operations

Elevance Health

Indianapolis, IN

$136,440 - $272,880 a year

Job Family: Finance and Actuarial Type: Full time. Date Posted: Mar 07, 2024 Anticipated End Date: Apr 07, 2024 Reference: JR108384. Responsible for the integration and management of the overpayment recovery lifecycle, including c...

Strategy Director, Payment Integrity

Elevance Health

Chicago, IL

$122,160 - $219,888 a year

Job Family: Business Development and Planning Type: Full time. Date Posted: Mar 08, 2024 Anticipated End Date: Mar 22, 2024 Reference: JR107991. Partners with executive leadership to define our strategy and success criteria for th...

Payment Integrity COB Data Analyst - Remote

Optum

Brentwood, TN

$70,200 - $137,800 a year

Research and identify areas for potential non-clinical medical cost improvements and alternative pricing strategies with government and commercial payers. Interpret and analyze claims and membership data Lead projects to completio...

Integrated Payment Specialist

Tekmetric

Houston, TX

$74.9K - $94.8K a year

Coordination - Coordinate with various departments to ensure the payments portfolio is growing, has satisfied customers, and is profitable. Best Practices - Assist in improving processes and policies in support of organizational g...