VP, Payment Integrity & Reimbursement Strategy
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence. As a key member of the leadership team, this executive will oversee initiatives designed to prevent, identify, and recover inaccurate healthcare payments while enhancing provider experience and supporting sustainable healthcare costs. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- ...strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and... ...payment and correct coding to drive savings. Leads strategies for reimbursement policy development, claims editing,...Reimbursement
$107.7k - $199.3k
...operational and strategic leadership for Payment Integrity activities within an assigned line of... ...coordination. Executes program strategies that reduce improper payments, enhance... ...Payment Integrity, claims operations, reimbursement methodologies, or managed care...ReimbursementFull timePart timeWork at officeRemote workFlexible hours$140k - $170k
The VP, Product & Distribution Strategy, is a hybrid role, located on-site in St. Louis MO. This strategic business... ...Head of Product & Strategy plays an integral part of a team that drives... ...growth initiatives (deposit, lending, payments), customer segmentation and value proposition...SuggestedFor contractorsRemote work$150k - $200k
...sustainable, diversified philanthropic revenue strategy. This role provides visionary... ...& Data Strategy Oversee donor database integrity and optimization to ensure accurate tracking... ...insurance, cell phone stipend, mileage reimbursement, continuing education support, optional...ReimbursementContract workFor contractorsWork at officeMonday to FridayAfternoon shift$217k - $359k
...support a wide range of digital payments choices, making transactions... ...all of Services Marketing strategy and execution in the region,... ...development and scaling of integrated field marketing programs... ...for eligible roles; fitness reimbursement or on-site fitness facilities...ReimbursementFull timePart timeWorldwideFlexible hoursShift work- ...create impactful campaigns, engagement strategies, and digital experiences. We believe in... ...is seeking a Director of Engagement — Integrated Strategy to join our Client Engagement... ...PTO, 401k, continuing education, phone reimbursement, medical, dental, and vision, short‑term...ReimbursementTemporary workFlexible hours
- Mariner Wealth Advisors is seeking a Vice President, HR Technology Strategy & Operations to lead the HR technology strategy and operations... ...experience enhancements. The candidate will drive governance, integrations, automation, and data quality while partnering with cross-...
- ...Position TitleDirector, Clinically Integrated Network OperationsDays -... ...under value-based care payment and care models. Must have strong... ..., complex value-based reimbursement models across multiple lines... ...and execute CIN operational strategies aligned with organizational...ReimbursementFull time
- ...within a complex Academic Medical Center or integrated health system. This role serves as the... ...of accountability for compensation strategy, financial alignment, governance, compliance... ..., service line strategy, and evolving reimbursement models. Redesign and implement a...ReimbursementPermanent employmentInterim roleRemote work
- ...President of Advancement. The role leads the advancement team, develops strategy, and builds donor relationships to reach annual fundraising... ..., corporations, foundations, and tax credit programs. The VP will manage a 75-100 donor portfolio, drive donor cultivation, and...
- ...Executive to oversee product development, creating innovative products that enhance the member journey. You will lead the UM portfolio strategy, collaborate with various teams, and drive AI initiatives across all business units. This role requires strong clinical technology...Flexible hours
- SPX Technologies seeks a VP to own the global product and market strategy for SPX Cooling, delivering profitable growth, margin expansion, and market share gains across HVAC, refrigeration and process cooling. The role leads product management, strategic marketing, and...
$140k - $170k
RadNet, Inc. is seeking a VP of Product & Distribution Strategy in St. Louis, MO. This hybrid role involves developing product strategies that deliver measurable value and overseeing branch operations to ensure efficiency and growth. Candidates should have a Bachelor’s...- The Vice President, HR Technology Strategy & Operations is a senior HR leadership role responsible... ...member of the HR leadership team, the VP partners closely with the SVP, Deputy... ...and business leaders to ensure seamless integration and scalability of HR technology solutions...Contract workLocal area
- Vice President, HR Technology Strategy & Operations The Vice President, HR Technology Strategy... ...member of the HR leadership team, the VP partners closely with the SVP, Deputy CHRO... ..., Recruiting, and Benefits to create an integrated employee lifecycle experience. Translate...Contract workLocal area
$142.96k - $238.34k
...outsized growth and satisfaction. As VP, you will shape the vision, strategy, and execution of the branch... ...candidates pursue greatness, act with integrity, and are driven to help our clients... ..., LPL will not request any form of payment from the applicant, or information...- ...create impactful campaigns, engagement strategies, and digital experiences. We believe in... ...Marketing & Communications StrategyDirect integrated marketing and communications strategies... ...PTO, 401k, continuing education, phone reimbursement, medical dental, and vision, short-term...ReimbursementTemporary workFlexible hours
- ...company scales across its Ag, HGX, and Horizons platforms, the Strategy function plays a central role in shaping priorities,... ...Chief of Staff will act as a strategic operator and executive integrator, responsible for: This role is on-site in our Kansas City,...Work at officeRemote work
- ...Project Manager. Assist with various Communications projects as needed. Requirements Qualifications/Requirements Christian with high integrity, currently pursuing a relationship with God High School Diploma Required (Some college experience preferred) Prior...Work at office
- ...drive strategic capabilities across the U.S. The role involves integrating claims and risk control to improve outcomes and client value.... ...efforts. The position emphasizes collaboration and effective strategy implementation across various teams to enhance claims processes...
- ...Cybersecurity Solutions, Program Enablement, Strategy, Planning & Optimization, and... ...range of projects and solutions, including integrated resource plans, resource adequacy and reliability... ...a company-matched 401k plan, adoption reimbursement, tuition reimbursement, vendor...ReimbursementFull timePart timeWork experience placementWork at officeRelocationVisa sponsorshipFlexible hours
- ...Services to lead its service delivery organization. This key role involves partnering with executives to shape the company's vision and strategy while ensuring exceptional service quality. With at least 10 years of leadership experience, you will drive operational...
- ...Workplaces in Financial Services & Insurance VP Internal Audit About the Role... ...in complex areas such as IT audit testing strategy, SAP controls, ERP implementation risk, and... ...mitigating controls o data migration and integration risks o testing and cutover readiness o...Local areaRemote work
$171.6k - $338.3k
...AI Datacenter & Infrastructure Associate VP Join our AI & Engineering team and help transform... ...to build, deploy, and operate integrated/verticalized sector solutions in software... ...on 12/31/2026. Work you'll do Drive the strategy and delivery of AI-centric datacenter transformations...Local area$126.24k - $214.6k
...CorporationReq Id : 115570Job Title : Integrated Campus Project ManagerLocation : KCP, RGDALL... ...logs Risk registers and mitigation strategies Deliver consistent, executive-level reporting... ...a company-matched 401k plan, adoption reimbursement, tuition reimbursement, vendor...ReimbursementPart timeFor contractorsWork experience placementWork at officeLocal areaHome officeVisa sponsorshipFlexible hours- ...are seeking an experienced and strategic VP, Customer Experience to lead Breezeway’s... ...leadership team, responsible for shaping company strategy through the lens of the customer. You... ...Ensure Assist functions are well-integrated and delivering measurable customer value...Temporary workCurrently hiringRemote work
- ...function, reporting directly to the COO. The VP, Data is responsible for defining and... ...scalable, secure, and aligned to business strategy. The VP will build and lead high-... ...customer, product, reference data), data integration patterns, and data storage solutions to ensure...Flexible hours
$220k - $260k
...ESSENTIAL RESPONSIBILITIES & DUTIES: Customer S uccess Strategy & Operating Model Design and implement a segmented Customer Success... ...select, implement, and operationalize a Customer Success platform integrated with CRM, Support, billing, and product usage systems. Develop...$196.64k - $328.35k
...digital systems. We are seeking a Principal Integration Architect to help lead this evolution... ...and work at the intersection of strategy, technology, and critical infrastructure... ...a company-matched 401k plan, adoption reimbursement, tuition reimbursement, vendor discounts...ReimbursementPart timeWork experience placementWork at officeLocal areaVisa sponsorshipFlexible hours- ...Enterprise Engineering Platforms Leader - Strategy & Execution to join our Digital and... ...anticipate needs, drive innovation, and deliver integrated solutions that strengthen BV’s... ...a company-matched 401k plan, adoption reimbursement, tuition reimbursement, vendor discounts...ReimbursementFull timePart timeWork experience placementRelocationVisa sponsorshipFlexible hours
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