Senior Payment Integrity & Operations Strategist
$118.69k - $189.91kBlue Cross and Blue Shield of North Carolina
Blue Cross and Blue Shield of North Carolina is looking for a Payment Integrity Ideation Lead to drive audit concepts and reimbursement policies. This role emphasizes using data analysis to reduce overpayments and improve claim accuracy, working closely with various stakeholders. The ideal candidate should have extensive experience in payment integrity and strong analytical skills. The position offers a hybrid work model, along with competitive health benefits and compensation ranging from $118,691 to $189,906. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- Blue Cross and Blue Shield of North Carolina is seeking a Payment Integrity Ideation Lead to drive the creation of new audit concepts and reimbursement policies. You will leverage data models and analysis to identify cost avoidance opportunities and enhance pre-pay claim...OperationsSenior
$120k - $150k
...Multicoin is hiring a Senior Payments Operations & Fraud Analyst in New York. This key role involves owning payments operations and fraud management, ensuring reliable transactions and developing monitoring protocols. Candidates should have 4-7 years of experience in...OperationsSeniorFlexible hours- ...MedReview Inc. is hiring a Payment Integrity Product Development Specialist in New York, NY. This role requires a clinical or operational leader with expertise in SNF regulations and audit methodologies. The Specialist will define workflows, validate audit processes,...OperationsSenior
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...provider experience. Perform Root Cause Analysis (RCA) to resolve payment integrity issues to resolution. Initiate project requests, develop or... ...of the healthcare industry, managed care and health plan operations (Required) ~ Experience in managing large, complex...OperationsSeniorContract workInterim roleRemote work- ...Senior Data Analyst - Fraud Strategy & Operations Lehi, Utah, United States; New York, New York, United States Raisin... ...and detect fraud across our payment rails. This role reports to the Head... ...with Product and Engineering to integrate these models into our real‑time production...OperationsSeniorWork from homeWorldwideFlexible hours
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...Inside Lvmh is seeking a Senior Sales Audit Analyst in New York City to safeguard financial integrity through accurate reconciliation of sales transactions and payments. The role requires a Bachelor's in Accounting or Finance, 4+ years of experience, and proficiency in...Senior$116.25k - $155k
...impact. The Department: Fraud Operations The Fraud Operations team... ...funds, and upholding the integrity of Gemini’s digital asset marketplace... ...growth. The Role: Senior Fraud Strategist As a Senior Fraud... ...identity, distributed attacks, payment fraud, and collusion. Proven...OperationsSeniorWork at officeRemote workFlexible hours$130k - $185k
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...are looking to hire a fraud strategist to bring deep domain expertise... ...trust in our platform. As a Senior Risk Strategist focused on fraud... ...strategy across multiple payment rails and fraud types, combining... ...with Product, Engineering, Operations, and Compliance to deliver scalable...OperationsSeniorRemote work- ...We’re seeking a Senior Director to lead Product Adoption and Market... ...across BNY’s Domestic Payments portfolio. This product leader... ...B2B payment capabilities and integrated experiences Pay by Bank and... ...Commercialization, Marketing, Legal, Risk, Operations, Technology and Design to...OperationsSenior
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Alation, Inc. is seeking a Senior Staff Deployment Strategist to drive business transformation by delivering high-impact AI solutions... ...design deployment paths and ensure successful integration of solutions into their operations. The ideal candidate will have over 8 years of...OperationsSenior$150k
...Senior Lifestyle Strategist NewYork,USA WorkAuthorizationRequired Compensation:$150,000OTE($100kbase+... ...Lifestyle & Travel Strategists, and Operators to shape and elevate Aurora’s member... ...products, and brands Well-being and integrating longevity, personal growth, and self...OperationsSeniorFull timeRelocation packageFlexible hours- ...provide complete client delight. The Senior Consumer Experience Strategist is focused on driving strategic... ...book of business. Lead and develop integrated communication strategy for new and... ...clients. Engage with the onboarding, operations and sales partners to identify pricing...OperationsSeniorFull timePart timeWork at officeRemote work
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...s platform. You will sit at the intersection of complex data integrations, sensitive member data, and the engagement tools and campaigns... ..., engaged participants. You'll partner with engineering, operations, payer partnerships, marketing, and analytics to build reliable...OperationsSeniorPermanent employmentFull timeContract workH1bWork at officeImmediate startRemote workWork visaFlexible hours3 days per week$80k - $90k
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...and enforce stronger controls. The Senior Deal Desk Strategists will understand the ins and outs of... ...processes Ensure LinkedIn Sales teams are operating within the Rules of Engagement,... ...volume of transactions with accuracy and integrity Suggested Skills: Communication...OperationsSeniorContract workFor contractorsWork at officeFlexible hours$85k - $100k
...Senior Account Strategist, Health Vertical page is loaded## Senior Account Strategist, Health Verticallocations... ...with Sales, Marketing, Ad Operations, RevOps, and Analytics teams to deliver... ...Point of Care, Print, AI, and other integrated media solutions.* Partner closely...OperationsSeniorTemporary workWork at officeLocal areaRemote workFlexible hours2 days per week$100k - $140k
...What we’re looking for, ranked: You understand how payment processors and fintech ecosystems work. You are organized and can... ...chargebacks, settlement timelines, and processing costs Coordinate integration and operational workstreams internally Help evaluate new partners and...OperationsSenior$93k - $139k
...Total Visits, March 2025) Day to Day As a Senior Strategist on the Global Product... ...Product, Legal, Finance, Financial Systems, Operations, and Readiness to solve complex commercial... ...practices and company culture, forming an integral part of our vision for a better world...OperationsSeniorWork experience placementLocal area- ...than $3.2 trillion in AUM. About the Role Payments is the money-movement and treasury... ..., and currency, and runs the bank-side operations that make money movement actually work.... ...ambitious: smarter automation, deeper bank integrations, and AI that closes the loop with the...OperationsSeniorWork at office
$129k - $160.7k
...Communications, you will serve as the strategic and operational backbone of the Communications team at... ...make better decisions. Drive AI Integration: Identify and embed AI tools and... ...and judgment to influence how senior peers think about their work Genuinely...OperationsSeniorFull timeTemporary workWork at officeImmediate startVisa sponsorshipWork visaShift work- ...Valenz is seeking a Sr. Sales Executive to drive enterprise growth for Payment Integrity solutions within large national and regional health plans. This role requires strategic planning and consultative sales approaches to identify and close complex opportunities. You...Senior
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...Horizon Media Inc. in New York is looking for an Integrated Sr. Strategist to manage media planning and execution, ensuring smooth communication across teams. The ideal candidate will have at least 2-3 years of planning experience, strong skills in digital media tools,...Senior$66.3k - $80k
...Crain’s New York Business and Los Angeles Business Journal. Together we are building a place of belonging. Job Summary The Integrated Sr. Strategist is responsible for the fluidity and efficient execution of all account maintenance tasks in coordination with the...SeniorWork at office- ...About the team The Global Payments Performance Team identifies payment optimization opportunities... ...5+ years of experience in payments or operations at a leading technology company, or... ...(PSD2/PSD3). Experience presenting to senior business leaders. Ability to advise merchants...OperationsLocal area
$96.5k - $207.5k
...We’re seeking a forward-thinking Senior Product Manager to lead the growth and evolution of Integrated Payables solutions within our Commercial Payments portfolio. This role requires a deep... ...are both commercially viable and operationally sound. You will own the full product...OperationsSenior$211.55k - $317.33k
...healthcare technology firm in the United States is seeking a Senior Medical Director. This pivotal role involves... ...strategic oversight for development and improvement of pre-payment edits to ensure robust payment integrity. Candidates must be board-certified physicians with...Senior$180k - $225k
...are now building a brand-new Payments Team within Servicing — and... ...About the Role We’re seeking a Senior Software Engineer to join... ...across the stack, own critical integrations, and set engineering... ...with Product, Analytics, and Operations. Drive architectural decisions...OperationsSeniorRemote work- Overview The Connected Commerce Payments organization is a motivated,... ...product excellence. As a Senior Associate in the Small and Mid... ...across the payments landscape. Integrate data analytics, product... ...opportunities for clients and business operations improvement opportunities for...OperationsSenior
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