Senior Payment Integrity Compliance Lead (Remote)
Valenz
Valenz is hiring a Sr. Compliance Specialist – Payment Integrity to provide compliance oversight for regulatory requirements impacting claims, billing, reimbursement, and payment activities. The role involves strategic guidance, operational compliance, and risk management. You will work in a fully remote environment with a focus on improving healthcare experiences. Candidates should have a Bachelor’s degree and 5+ years of related experience. Valenz offers a supportive culture and generous benefits. #J-18808-Ljbffr
$142k - $213k
...Managed Care Commission is seeking a skilled professional to lead Payment Integrity operations in California. The individual will build, manage... ...the comprehensive payment integrity strategy, ensuring compliance with state and federal regulations. This role requires at least...Remote workSeniorFlexible hours- Health Care Service Corporation is seeking a Sr. Manager in Payment Integrity Strategy and Operations based in Chicago, IL. This full-time role focuses on leading efforts in process improvement and business operations within health care. The ideal candidate will have a...Remote jobSeniorFull time
- ...EisnerAmper LLP in Atlanta, GA seeks a Senior member for their Treasury and Payments Solutions team. You will oversee treasury operations, ensuring compliance and enhancing operational efficiency. The role requires strong analytical skills and a bachelor's degree in a...Remote workSenior
- PacificSource is seeking a Manager of Payment Integrity to lead the strategic design and execution of programs for enhancing payment accuracy.... ...claims editing, audits, and vendor management while ensuring compliance with healthcare regulations. The ideal candidate will...Remote jobSenior
$150k - $163k
...network Trusted partnerships with leading real estate companies,... ...About the Role The Consumer and Payments Compliance Lead is responsible for... ...practical experience. Significant, senior‑level experience in... ...accelerated upon a sale or IPO. ✅Remote first work environment -...Remote workSeniorWork experience placement- ...customers, Deluxe offers industry-leading programs in data analytics,... ...Services + is a complete payment processing solution that... ...payment methods, simplifies PCI compliance and deposits money in your bank... ...is critical role focused integrated payments on sourcing, signing...Remote workSeniorBase plus commissionPermanent employmentFull timeTemporary workFlexible hours
- ...A financial technology company is looking for a Consumer and Payments Compliance Lead to design and oversee compliance programs. The role requires expertise in U.S. regulations such as Regulation E and NACHA Rules. Responsibilities include monitoring compliance risks,...Remote workSenior
- Emory University in Atlanta is looking for a Senior Research Compliance Specialist to ensure compliance with federal and university research regulations. This role involves conducting compliance reviews, providing training, and managing investigations. A Bachelor's degree...Remote jobSenior
- Vytwo is looking for a Sr Payments Domain Expert with a strong background in payments leadership and large-scale platform consolidation. This role involves being a thought partner for the team and senior clients, primarily focusing on pattern recognition in payments. The...Remote jobSeniorPart timeWork from homeFlexible hours
$211.55k - $317.33k
...A leading healthcare technology firm seeks a Senior Medical Director to provide strategic oversight for pre-payment edits and improve payment integrity. The role involves collaboration with executive leadership... ...and proven leadership. This remote position offers a...Remote workSenior- ...globally and as the leading contributor to the... ...such as security, compliance controls, and... ...and optimization of integrated demand programs that... ...segments. As a senior individual... ...any other similar payment related to unsolicited... ...requesting payment of a fee. #LI-Remote...Remote workSenior
- Commence seeks a Healthcare Program Integrity Solutions Consultant to enhance commercial payer... ...demands expertise in healthcare fraud, payment integrity operations, and the ability to... ...offers a competitive salary, and remote opportunities are available in many states...Remote workSenior
- ...SCAN Group is seeking a Senior Manager Payment Integrity to lead a cross-functional system configuration team supporting various departments. This role... ...temporary position offers competitive wages and excellent benefits, with a mostly remote work option. #J-18808-Ljbffr...Remote workSeniorTemporary work
- ...for driving enterprise growth of Payment Integrity solutions among large national... ...strategic sales plans and leading consultative, value-driven discussions with senior payer executives. The ideal candidate... .... This position is remote within the US, emphasizing collaboration...Remote workSenior
- Health Care Service Corporation is seeking a Sr. Manager of Payment Integrity Operations based in Chicago, IL. This role is vital in managing daily operations, ensuring effective use of enterprise information to deliver business value. The ideal candidate will have a Bachelor...Remote jobSenior
- SmartLight Analytics is seeking a Pharmacy Payment Integrity Analyst in Plano, Texas. This role involves analyzing Pharmacy data to provide insights for improving patient outcomes and ensuring accurate claims processing. The ideal candidate will possess a Bachelor's degree...Senior
- ...A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1+...Remote workSenior
- ...SHPCA SCAN Health Plan is seeking a Senior Manager Payment Integrity to lead a cross-functional team focused on... ...analyzing data trends, and ensuring compliance with regulations. The ideal... ...benefits and a 401(k) plan, mostly remote work, and opportunities for professional...Remote workSeniorHourly pay
- JPMorganChase in Tampa, Florida is looking for a Technical Implementation Analyst II to empower merchants by guiding them through payment integrations and certification processes. In this role, you will resolve issues, deliver successful implementations, and drive new...Senior
- ...A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity... ...candidate will also ensure compliance with healthcare auditing standards... ...improving service delivery. This remote position requires strong experience...Remote workDaily paid
- A leading technology consulting firm is seeking a Senior Analyst to join the Edits team. This remote role involves managing the edit development lifecycle, ensuring payment accuracy, and driving process improvements... ...experience in payment integrity or claims analytics, and...Remote jobSenior
- ...experience in a B2B SaaS environment. Key responsibilities include designing Salesforce automation to enhance workflows, managing integrations, and maintaining robust reporting. The company offers a flexible working environment, professional development opportunities,...Remote workSeniorFlexible hours
- ...A leading software solutions company is looking for a Senior Salesforce Integration Consultant to manage integrations with their AI Recruiter platform. This remote position requires 5-10 years of experience in Salesforce integrations, strong skills with APIs and SFTP,...Remote workSenior
$93k - $139k
...Relativity is seeking a Senior Financial Systems Engineer responsible for leading integrations for Workday Financials. Candidates should have over 5 years of hands-on... ...effectively with Finance and IT teams. The role is remote/hybrid with a competitive salary ranging from $9...Remote workSenior- ...ManpowerGroup Global, Inc. is seeking a Senior Project/Program Manager - Mergers & Acquisitions to lead end-to-end integration efforts. This role involves driving integration... ...navigate complex environments. Flexibility for remote work and a collaborative atmosphere are key...Remote workSenior
- ...JobRx, Inc. seeks a Sr. Operations Analyst for a remote-based position in the U.S. The role involves leading complex client integrations, managing operational tasks, and serving as a subject-matter expert in pharmacy benefit management. The ideal candidate should have...Remote workSenior
- ...A leading technology recruitment firm is looking for a Business Development Manager to join... ...new business leads within the regulated payments sector in the US and Canada. The ideal candidate... ...exceeding sales targets. The position is remote, offering flexibility for candidates on...Remote workSenior
- Molina Healthcare in Albuquerque, New Mexico is seeking a Lead Analyst for payment integrity support. This role involves operational ownership and... ...with stakeholders to enhance financial performance and compliance in health plan processes. The ideal candidate has substantial...Remote job
- ...is seeking a Manager, Onboarding & Integration in Teaneck Township to ensure exceptional customer service by leading high-impact projects. This senior role will manage business partner onboarding... ...and analytical skills are key. Remote work is possible for outstanding...Remote workSenior
$83.25k - $155.51k
Molina Healthcare is seeking a lead-level Business Analyst for Payment Integrity activities in Miami, Florida. This role involves partnering with leadership... ...through operational initiatives, ensuring compliance with regulatory standards. Qualifications include at...Remote job
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