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Remote Health Plan Payment Integrity Lead

Molina Healthcare, Inc.

New York, NY
  • Remote job

Molina Healthcare of Kentucky is seeking a Program Manager, Health Plan Payment Integrity (Claims & Recovery) to lead PI efforts remotely. You will oversee SAIs, ensure regulatory compliance, and collaborate with CMS/state teams to optimize pre-pay edits, post-payment datamining, and overpayment recovery. The role emphasizes independent ownership, strong analytical skills, and effective communication across cross-functional teams to improve cost containment and provider outcomes. #J-18808-Ljbffr Molina Healthcare, Inc.

Vacancy posted 1 day ago
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