Director, Payment Integrity & Disputes
Centene Corporation
Centene Corporation is seeking leadership over prepay waste and abuse reviews, guiding coding, editing, and audit programs to ensure compliance with state and federal regulations. You will oversee audits, develop action plans, and present findings to senior management. The role emphasizes developing continuous processes, implementing payment integrity programs, and training providers and employees to streamline operations while maintaining policy adherence. #J-18808-Ljbffr Centene Corporation
- ...management, and leading Prepay Compliance Managers to reduce waste, abuse, and fraud. Responsibilities also include designing and implementing payment integrity edits, monitoring regulatory changes, and delivering training #J-18808-Ljbffr Centene Management Company LLCSuggestedRemote job
$107.7k - $199.3k
...editing and retrospective audits to ensure accurate and timely payments of coding and pricing issues. Interpret audit results, develop... ...report stage. Design, develop, and implement internal payment integrity edit and audit programs, policies, and procedures. Monitor...SuggestedFull timePart timeWork at officeRemote workFlexible hours- ...Position TitleDirector, Clinically Integrated Network OperationsDays - Full... .../ Career Interest:The Director of CIN Operations is responsible... ...under value-based care payment and care models. Must have strong... ...agreeing to the health-system-dispute-resolution-program.pdf and...SuggestedFull time
- ...The Opportunity The Integrated BESS Execution Director (Director) provides executive leadership for the development, execution, and growth of integrated... ...management teams on contract administration and dispute resolution. Lead development and execution of project...SuggestedContract workFor subcontractorWork at officeRemote work2 days per week3 days per week
- Description1898 & Co., a part of Burns & McDonnell, is seeking a Director of Integrated Solutions to define and advance enterprise-level client problems and integrated solutions that align capabilities across multiple departments and business lines within 1898 & Co., and...SuggestedContract workWork at office
- ...fraud, waste and abuse activities in line with state and federal requirements. The role includes leading analysts, monitoring billing integrity, and presenting the FWA program to authorities where required. The successful candidate will have a Bachelor's degree and 4+ years...Remote job
- ...Carelon Payment Integrity Manager - Kansas Location: Kansas Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach...Full timeTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week
$221.41k - $280.07k
...career wherever you want it to go. Join EY and help to build a better working world. Alliance Sales Executive, Associate Director - SAP (Tax Integration) Our Sales & Strategic Pursuits (S&SP) function brings together technology, business, sector, account knowledge along...Summer holidayFlexible hours- Job Title Carelon Payment Integrity Manager - Kansas Location Kansas Hybrid Work Model Associates required to be in office 1-2 days per week. Candidates must be within a reasonable commuting distance, unless accommodation is granted as required by law. Job Summary The Carelon...Work experience placementWork at officeLocal areaDay shift2 days per week1 day per week
$87.7k - $157.8k
...requirements and monitoring trends/schemes. Key Responsibilities Monitor business processes and systems to assure integrity and compliance in billing and claims payment Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals Develop...Full timeContract workPart timeWork at officeImmediate startRemote workFlexible hours$160.3k - $297.7k
...Description Summary#LI-RemoteThe Associate Director, Access & Reimbursement (ADAR) is a... ...centralized and decentralized systems of care, integrated delivery networks, academic medical... ...on therapeutic area products ordering, payment, inventorying, and product returns & replacement...Full timeWork at officeLocal area- Black & Veatch Corporation seeks an Executive Director for Integrated BESS to lead development, execution, and growth of EPC and services for data-center and mission-critical clients. You will drive scalable execution models, contracting strategies, and service offerings...Remote work2 days per week
- Black & Veatch Corporation in Overland Park, KS, seeks an Integrated BESS Execution Director to lead development, execution and growth of integrated Battery Energy Storage System solutions for technology, data center and mission-critical clients. You will oversee EPC and...
- ...businessWork with the BV Construction HR Director to translate business strategy and... ...services for our clients. Together, we have an integrated approach to project execution with an... ..., and project leadership on grievances, disputes, investigations, and arbitration preparation...Full timeContract workPart timeFor contractorsWork experience placementFor subcontractorWork at officeRemote workRelocationVisa sponsorshipFlexible hours
$81.66k - $134.74k
...Summary Of The Job The Marketing Manager Business and Commercial Payments at FNBO plays a pivotal role in shaping the marketing and... ...segmentation, targeting strategies, and messaging frameworks Build integrated campaign plans across channels (digital, direct mail, email,...Temporary workFor contractorsWork experience placementRemote work2 days per week3 days per week- ...culture. We strive for all of our associates to feel welcome and empowered at work. As an Electronic Payments Manager, you will oversee the Bank’s debit card dispute processing and debit card support activities, ensuring accuracy, efficiency, compliance, and security...Work at office
$65.9k - $88k
Senior Associate Director Of Gift Operations Position Summary The Senior Associate Director... ...are met while maintaining donor integrity, confidentiality, and security. Key contact... ...key contact to donation form developers, payment processors, lockbox services, data providers...Full timeWork experience placementWork at office$82k - $96.5k
Manager - Wire Transfer, Intl & Instant Payments page is loaded## Manager - Wire Transfer, Intl & Instant Paymentslocations: MO - Kansas... ...-party vendors and financial institutions to ensure seamless integration and operation of wire transfer systems and services* Lead,...Full timeMonday to FridayShift work$128k - $252.5k
...ends on 09/30/2026. Work You'll Do As a Manager on the team, you will be responsible for: Leading the Oracle HCM Cloud technical integrations workstream from strategy through deployment, ensuring alignment with business, functional, technical, and security...Local area- ...The Opportunity As the Associate Director, State and Local Government Affairs , you... ...development and sales efforts, project execution, payment issues, and Black and Veatch's growth... ...Skills: Organizing Planning Integrity and trust Written communications...Contract workWork at officeLocal areaFlexible hoursShift work
$184.87k - $324.19k
...Advisory. KPMG is currently seeking a Director, SAP IS-U -Power & Utilities for our... ...of the IS-U solution, including dunning, payments, collections, and sub-ledger accounting,... ...readings, installations, replacements, and integration with Advanced Metering Infrastructure (...Contract workH1bLocal area- We're Looking for an experienced Director of Tax!About the Company:Security Benefit is a... ...and coordinate quarterly estimated tax payments to minimize underpayment exposure.Review... ...deficiencies, and ensure tax controls are integrated into the organization’s broader financial...Full timeTemporary workWork at officeLocal areaRemote workFlexible hours
- ## Director, TreasuryApplylocations: Mission, KStime type: Full timeposted on: Posted Todayjob... ..., joint ventures, and hospital integrations.* Evaluate transaction structures and impacts... ...things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement...Full time
- ...SpecialistMedical PavilionPosition Summary / Career Interest:The Integrated Behavioral Health Specialist under the direction of the... ...contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP....Full timeTemporary work
- U.S. Bank is seeking an experienced Growth and Demand Marketing Manager to drive integrated campaigns for Corporate Payments transportation products. You will partner with product, sales, and agencies to deliver demand and qualified leads into the sales pipeline. The role...
- EML Payments is seeking a Project Manager to wear multiple hats during client program implementations, including business analysis, technical... ...project requirements, define solution details, manage client integrations, test end-to-end solutions, and drive program implementation....
$168k - $269k
...prosper. We support a wide range of digital payments choices, making transactions secure,... ...their greatest potential. Title And Summary Director, Employee Relations Overview Mastercard... ...; Ensure the confidentiality and integrity of the information being accessed; Report...Full timePart timeWorldwideFlexible hours- ...will serve as a consultant to executive (director and above) leaders on aligning human... ...Resources Business Partner serves as an integrated, strategic partner and advisor to deliver... ...other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the...Full timeLocal area
- ...to work for a global company that values integrity, teamwork, and loyalty? Company... ...Insurance Position Summary The Director, Legal will serve as the sole in‑house legal... ...affecting the business. Litigation, Dispute Resolution & Insurance Manage all litigation...Contract workLocal areaRemote workWorldwideFlexible hours
$115k - $125k
...Overview Charles River Laboratories (CRL) is seeking an Associate Director of Operations to join our team at the Kansas site in Stilwell,... ...objectives, and process improvements to support the integrative toxicology strategy and business goals while maintaining compliance...Local area
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