Remote Payment Integrity & Governance Lead
Centene Corporation
- Remote job
Centene Corporation is seeking a Senior Business Process Consultant to lead business case development and cross-functional initiatives. You will ensure strategic alignment with business plans and drive performance improvements across the organization. The ideal candidate will have a Bachelor's Degree and at least 6 years of project management experience, preferably in healthcare. Comprehensive benefits include health insurance, 401K, and remote work options. #J-18808-Ljbffr Centene Corporation
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing... ...a focus on improving service delivery. This remote position requires strong experience in claims processing...Remote workDaily paid
- A healthcare services division is seeking a Payment Integrity Supervisor to oversee a remote team focusing on quality assurance and provider appeals. The supervisor will manage daily activities, ensuring timely processing of requests and improving service delivery. Ideal...Remote work
$83.25k - $155.51k
...JOB DESCRIPTION Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution of operational initiatives...Remote workTemporary workWork experience placementWork at office$92.7k - $139.1k
...flexible work arrangements that include remote and hybrid opportunities and paid time off... ...'re at in the organization, you're an integral part of our team and your input, thoughts... ...complex, in-depth analysis of claim payments and its methodology, identifying trends...Remote workContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week- ...Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop audit concepts in healthcare using the Bluespine platform. This role involves... ...prior consulting experience with self-insured companies. This position is remote within the United States. #J-18808-Ljbffr...Remote work
$99k - $225k
...Risk & Integrity Insights Specialist, Lead The Opportunity: We are expanding and evolving our... ...oriented intelligence for leadership and governance forums. This is an expand-and-evolve... ...cameras on during meetings. Remote : If this position is listed as remote...Remote workFull timeContract workPart timeWork at officeLocal areaShift work- ...The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team... ...deliver service to our customers. This is a remote position. ESSENTIAL FUNCTIONSAND... ...For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different...Remote workDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
- ...seeking a Senior Salesforce Developer to lead the rebuild and optimization of their... ...and deploying scalable solutions, leading integrations, and enhancing business processes. The ideal... ...from home options and flexibility in payment (fiat or crypto) are available. #J-18808...Remote workWork from home
- ...building a range of tailored payment solutions powered by the latest... ...to transparency and integrity in everything we do. Job Description... ...on the market today - using leading edge technology and supported... ...is designated as home-based remote with ability to travel to meet...Remote workLocal areaWork from homeWorldwide
$107.5k - $204.5k
...and transferable U.S. government issued security clearance... ...With our three market leading businesses, world-... ...Center is seeking a Ship Integration Lead to be a technical... ...onboard ships or at remote test sites. Experience... ...bargaining agreement. Payments under these annual...Remote workTemporary workWork experience placementInterim roleWork at officeRelocation packageFlexible hoursShift work- ...experience. Candidates should have strong analytical skills and experience with PC SAS, SQL, and Microsoft Excel. The position supports remote work options with flexibility to reside in multiple states. The company values diversity and offers competitive compensation along...Remote work
$129k - $171k
...seeking an experienced EW Mission Integration Lead with prior training and... .... Conduct onsite and remote troubleshooting support with... ...direction Prior military or government acquisition and/or government... ...often attempt to extract payment or sensitive personal information...Remote workFull timeContract workWork experience placementImmediate start$87.7k - $157.8k
...Monitor business processes and systems to assure integrity and compliance in billing and claims payment Lead teams of analysts to appropriately investigate all... ...plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workFull timeContract workPart timeWork at officeImmediate startFlexible hours$125k - $140k
...Lead Data Governance Specialist United States Opportunity Overview: We are seeking a... ...metrics Pay & Perks: Fully remote opportunity with about 10% travel... ...enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™,...Remote workFlexible hoursShift work$77k - $150k
...will never ask for any money or payments from applicants at any point... ...#UatInsurity Insurity’s Next Lead Business Analyst About the... ...with stakeholders or system integration partners on engagements Plan,... ...environment that supports your best—remote, in-office, or hybrid—...Remote workWork experience placementWork at officeLocal areaFlexible hours- A leading payment solutions provider is seeking a qualified individual for a role focused on building and managing a partner pipeline for integrated payment solutions. The successful candidate will have a Bachelor's degree or equivalent experience with a minimum of 3 years...
$107.5k - $204.5k
...and transferable U.S. government issued security clearance... ...(SE&TC) we integrate, verify, and validate... ...Engineer - Integration Lead role. The Integration... ...as on-site, hybrid or remote. The salary range for... ...bargaining agreement. Payments under these annual programs...Remote workTemporary workWork experience placementInterim roleWork at officeRelocationFlexible hours$107.5k - $204.5k
...and transferable U.S. government issued security clearance... ...(SE&TC) we integrate, verify, and validate... ...Engineer - Integration Lead role. The Integration... ...as on-site, hybrid or remote. The salary range for... ...bargaining agreement. Payments under these annual programs...Remote workTemporary workWork experience placementInterim roleWork at officeRelocationFlexible hours- ...Management modules. The ideal candidate will have strong business knowledge of the contract lifecycle management domain and experience integrating Agiloft with ERP systems. This position offers flexible work-from-home options, making it suitable for professionals with 8-10...Remote workContract workWork from homeFlexible hours
$39 - $43 per hour
...accuracy in revenue generation and enhancing CDM activities. The ideal candidate will have over 5 years of experience in revenue integrity, leadership experience, and a Bachelor’s degree preferred. Join a dynamic team while working from home with a competitive salary of...Remote jobHourly payFull timeWork from home- ...practice is looking for a motivated and experienced PeopleSoft Integrations Lead with Campus Solutions experience. Implementation experience... ...approximately 30% travel to client sites (nationwide) as well as remote work from your home office within the United States only –...Remote workFull timeFor contractorsWork from homeHome officeNight shift
- ...career at Ensemble! Ensemble is a leading provider of technology-... ...Opportunity: The Lead of Data Integration is responsible for system... ...client experiences. This is a remote position; however, candidates... ...Ensemble will never ask for a payment in exchange for a job...Remote workFull timeTemporary workWork at officeLocal area
$130k - $150k
...A strategic consulting firm is seeking an experienced M&A Integration Program Manager for a long-term remote consulting engagement. This role involves managing multiple workstreams and requires strong program management skills, particularly in M&A integration activities...Remote work- ...Cohere Health in Boston is looking for a Lead Data Governance Specialist to oversee data management... ...-functional teams to enhance data integrity and governance practices. Candidates should... ...and quality management. This fully remote role offers a competitive salary and various...Remote work
- ...hiring an External Industry Risk & Security Governance Representative to serve as a voting member... ...are renewable every two years. This is a remote, independent contractor position, reflecting Rsi-Security's commitment to integrity in the certification process. #J-18808-...Remote workFor contractors
- ...platform in the United States is seeking a Product Manager-Payments to lead the global payments ecosystem expansion. In this remote position, you will own the roadmap for global payment coverage, driving integration strategy with processors. The ideal candidate possesses...Remote workWorldwide
- ...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 work
$70k - $90k
A leading technology firm is seeking an Audit Board (GRC) Implementation Specialist. This remote role requires over 10 years of experience and deep technical expertise in implementing API-based integrations across GRC ecosystems. The candidate will lead platform administration...Remote work- ...firm is seeking an experienced IT Project Manager - Solutions Integration Lead to support a significant healthcare IT integration initiative... ...integration readiness across systems. The position offers remote flexibility with some onsite support during Go-Live phases. Ideal...Remote work
- ...looking for a technical leader to scale provider, payer, and vendor integrations. This role will focus on AI automation in complex healthcare... ..., and a bias toward action. This position supports both remote and hybrid work models allowing flexibility for team collaboration...Remote work
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