Remote Senior FWA & Payment Integrity Leader
PacificSource
- Remote job
PacificSource is seeking a Senior Fraud, Waste and Abuse (FWA) Specialist to lead the organization’s FWA program, enhance payment integrity, and ensure regulatory compliance. The role requires collaboration with CMS, state agencies, and internal teams to detect, prevent, and report fraud, waste, and abuse across the healthcare payments landscape. Ideal candidate has 5+ years in FWA or related fields, with experience in Medicare/Medicaid and strong analytical capabilities. #J-18808-Ljbffr PacificSource
- PacificSource is seeking a Senior Fraud, Waste and Abuse (FWA) Specialist to lead the Payment Integrity and FWA programs, ensuring compliance and effective fraud prevention across health care operations. This senior role requires strong analytical skills and the ability...Remote jobSenior
- Inland Empire Health Plan (IEHP) is seeking a Senior Payment Integrity Program Development Specialist in Rancho Cucamonga, CA. The role drives research... ...SIU to transform findings into actionable outcomes, enhance FWA detection, and lead cost-avoidance strategies across...Remote jobSenior
- Optum, a global health services company, seeks a Senior Product Manager for Professional Claims Review - Payment Integrity. You will define strategy, own roadmaps, and... ...deliver measurable client value. This role offers remote work anywhere in the U.S. with in-office...Remote jobSeniorWork at office
- ...is seeking a Sr. Technical Product Manager for Payment Integrity to lead strategy and delivery for scalable platform capabilities. This remote role partners with engineering, architecture, operations and business leaders to drive value across multiple portfolios. You will...Remote jobSenior
- Optum is seeking a Senior Product Manager to define and execute the product strategy... ...Facility Claim Review solutions within Optum Payment Integrity. You will own the product vision,... ...execution and cross-functional leadership. Remote work across the U.S. #J-18808-Ljbffr...Remote workSenior
$80.06k - $106.06k
...experience! Reporting to the Manager of Payment Integrity Program Development, the Senior Payment Integrity Program... ...enhance fraud, waste, and abuse (FWA) detection, while guiding cost avoidance... ...work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga...Remote workSeniorDaily paidTemporary workWork experience placementFlexible hours- Centene Corporation is seeking an experienced RN with coding credentials to lead Payment Integrity initiatives focused on preventable readmissions, cost recovery, and payment accuracy across the enterprise. You will supervise auditors and clinical staff and ensure alignment...Remote job
- Blue Yonder is seeking a Senior Integrated Marketing Manager for North America to lead field marketing, demand generation, and multi-channel campaigns. You will own end-to-end planning, budgets, and KPIs while collaborating with sales, alliances, and product marketing....Remote jobSenior
- Ziply Fiber seeks a Senior Manager to lead billing and payment platforms across a multi-system environment, focusing on platform integrity, automation, and AI-first modernization. You will own end-to-end processes from activation to posting, with emphasis on minimizing...Remote jobSenior
- Huntington National Bank is seeking a Senior Commercial Card/Payments Product Manager to lead design, development, and marketing of new products and enhancements while overseeing existing lines. The role requires driving performance, collaborating with Analytics, Sales,...Remote jobSenior
$70 - $95 per hour
A leading financial services firm is searching for a Senior Strategic Partner Manager specializing in payments. This full-time position offers a remote working arrangement and centers on strategic leadership across multiple functions. Responsibilities include managing...Remote jobSeniorHourly payFull timeWork at office$112.7k - $193.2k
...Connecting. Growing together.The Senior Product Manager is a strategic product leader responsible for defining and... ...product strategy for one of Optum Payment Integrity's Intelligent Fraud Detection... ...enjoy the flexibility to work remotely * from anywhere within the U.S....Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaShift work- A leading petrochemical company is searching for an Equipment Integrity Technical Authority based in the Houston area. This role oversees... ...offers a hybrid work model, blending on-site presence with remote capabilities to enhance productivity. #J-18808-Ljbffr INEOS Olefins...Remote workSenior
$112.7k - $193.2k
...Connecting. Growing together.The Senior Product Manager is a strategic product leader responsible for defining and... ...product strategy for one of Optum Payment Integrity's Facility Claim Review... ...enjoy the flexibility to work remotely * from anywhere within the U.S....Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$132.4k - $251.6k
.... As the Flight Vehicle (FV) Integrated Product Team Lead (IPTL), you... ...as a key member of the SLCM-N senior program leadership team,... ...designated as on-site, hybrid or remote.The salary range for this role... ...-bargaining agreement. Payments under these annual programs are...Remote workSeniorContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing Edits team. In this pivotal role... ...company built to grow and last. You'll be supported by leaders who care about your health and well-being and provide...Remote workSeniorLocal area- EY is seeking a senior SAP integration leader to drive complex S/4HANA implementations and integrations across client environments. You will manage... ...travel to meet client needs and a blend of on-site and remote work in a hybrid model. Ideal candidates bring 5-7 years of...Remote workSenior
- ...influence C‑suite decisions, and deliver measurable outcomes in a fast‑growing payments environment, with remote/hybrid collaboration and travel as needed. This 8+ year payments/fintech leader role requires a bachelor's degree and a proven track #J-18808-Ljbffr Early...Remote workSenior
$110.5k - $150k
...steps. Our partner is looking for a Payment Integrity Program Development Senior Manager – Clinical & Facility... ...Present original concepts to senior leaders and collaborate with Clinical Operations... .... ~401(k) program . ~ Remote work within the United States. ~...Remote workSeniorFull timeLocal area- Centene Corporation seeks a senior leader to supervise the Coding & Clinical Review team within Payment Integrity, ensuring accurate DRG assignments and audit outcomes. This remote role drives quality, efficiency, and adherence to AHIMA standards while coordinating cross...Remote job
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities... ...and maintain a focus on improving service delivery. This remote position requires strong experience in claims processing and...Remote jobDaily paid
- Inland Empire Health Plans (IEHP) seeks a Senior Payment Integrity Program Development Specialist to lead research, analysis, and development of initiatives that improve payment accuracy and regulatory compliance. You will evaluate cost trends, claims patterns, and industry...Senior
- ...Description - CMC Team Leader, Sr. DirectorPhiladelphia... ...OperationsLocation: [Remote]Department: Technical Operations... ...will serve as the integrated CMC lead for our late-... ...and recommendations to senior leadership in a concise... ...or entity for any payment relating to any form of...Remote workSenior
- CorVel Corporation seeks a Payment Integrity Analyst (Team Lead) to supervise the Policy and Payment Integrity (PPI) team while overseeing audits... ..., staff training, and timely completion of audits, with a remote work arrangement. Strong knowledge of CMS policies, ICD-10...Remote job
- ...focuses on developing new business leads within the regulated payments sector in the US and Canada. The ideal candidate will have a strong... ...and a track record of exceeding sales targets. The position is remote, offering flexibility for candidates on the West Coast or...Remote jobSenior
- A healthcare solutions company is seeking a Senior Tech Lead in Atlanta, GA, to serve as the technical authority for all Workday integrations. The role requires in-depth expertise in Workday integrations, API engineering, and strong leadership skills to mentor other engineers...Remote jobSenior
- The California Energy Commission is looking for a Supervisor of the Energy Storage & Integration Unit to manage a technical team within the Energy Research & Development Division. This leadership role involves overseeing projects that support California's clean energy goals...Remote workSenior
- ...disease together.Find out more:Our approach to R&DJob Title: Senior Director, Portfolio Integration LeadOverview Cancer is unrelenting, but so are we. At... ...a hybrid working model, with a mix of on-site and remote work. Remote or fully home-working arrangements are not...Remote workSeniorFull timeLocal areaWork from homeRelocation
$70 - $95 per hour
A leading technology firm is seeking a Senior Strategic Partner Manager - Payments to lead partnerships within the payments ecosystem. The role involves... ...proficiency with AI tools. This full-time position allows for remote work and offers competitive hourly compensation...Remote jobSeniorHourly payFull time- Stripe is seeking a seasoned Payments Performance leader to drive data-driven optimization conversations with merchants and to partner with Sales and Customer Success to differentiate Stripe. You will craft optimization narratives, build tools, and contribute to our merchant...Remote jobSenior
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