The Payment Integrity Clinician is responsible for ensuring proper payment and satisfaction in provider claims through effective review and analysis.

Join as a Business Project Lead Analyst to enhance payment integrity outcomes through strategic collaboration and data analysis.

The SIU Program Manager is responsible for managing a program to prevent and investigate healthcare fraud, waste, and abuse.

Director of Claims Payment & Payment Integrity Operations - Remote

Gravie

20 weeks ago

Gravie

Healthcare Claims

Payment Integrity

Team Management

Data Analysis

Gravie is seeking a Director of Claims Payment & Payment Integrity Operations to lead claims payment processes and ensure regulatory compliance.

Join Oscar as a Senior Analyst in Payment Integrity to enhance claims processing and drive process improvements.

Join Oscar as an Associate in the Payment Integrity team, focusing on Coordination of Benefits efforts to enhance claims processing and payment integrity.

The Provider Services Analyst I is responsible for analyzing claims and facilitating reimbursement through effective communication and compliance.

Oscar is hiring an Analyst for their Payment Integrity team to manage coordination of benefits and investigate claims.

Vice President, Payment Integrity - Remote

Centene Management Company

29 weeks ago

Centene Management Company

Payment Integrity

Claims Audit Operations

Medical Code Editing

Managed Care

Lead the Payment Integrity operations at Centene, overseeing claims audit and medical coding to improve community health.

Vice President, Payment Integrity - Remote

Jobgether

29 weeks ago

Jobgether

Payment Integrity

Financial Performance

Regulatory Compliance

Data-driven Insights

Lead payment integrity initiatives and drive financial performance in a healthcare setting.

The Vice President, Payment Integrity leads payment integrity strategies at Avesis, focusing on vendor performance and financial health.

Join our team as a Senior Business Systems Analysis Professional focusing on payment integrity and subrogation.

Product Manager, Payment Integrity - Remote

Gravie

35 weeks ago

Gravie

Product Management

Healthcare

Payment Integrity

Vendor Management

Gravie is looking for a Product Manager to lead payment integrity initiatives, ensuring accurate medical claim payments and collaborating across teams.

Join Oscar as an Associate in Payment Integrity Disputes, focusing on dispute resolution and process improvement.

The Payment Integrity Clinician role focuses on resolving provider claims issues and ensuring compliance with payment integrity standards.