Medicare Compliance Lead: Claims & Payment Integrity
Centene Corporation
Centene Corporation is seeking a Medicare Compliance Advisor to oversee the day-to-day execution of compliance programs and support business leadership through regulatory guidance and advisory support. The successful candidate will have a Bachelor's degree, 5+ years in compliance roles, and demonstrate strong analytical and communication skills. This role contributes to audit readiness and compliance documentation while ensuring alignment with federal and state regulations. #J-18808-Ljbffr Centene Corporation
$87.7k - $157.8k
...responsible for supporting the day-to‑day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable... ...guidance for business stakeholders required. Experience leading cross‑functional initiatives or large‑scale compliance...ClaimsFull timePart timeWork at officeRemote workFlexible hours- ...for a well-established healthcare organization. You will manage the full billing cycle, ensuring compliance with Medicare and Medicaid requirements while resolving claims issues. The ideal candidate should have a solid background in billing processes and regulatory compliance...Claims
- ...technology behind Optimism , the leading blockchain infrastructure... ..., deal negotiation, integration, and partner management) for... ...including: On/off ramps and payments. Compliance, insurance, and risk infrastructure... ...individuals falsely claiming to represent OP Labs in...ClaimsRemote work
- ...Corporation in Kansas City seeks a Senior Manager for Life & Disability Claims to oversee daily operations of the Long Term Disability claims team. You will lead hiring and training while ensuring compliance with federal and state regulations. The ideal candidate should...Claims
$19 - $32 per hour
...Join to apply for the Team Lead - Firearms role at Bass Pro Shops... ...of firearm sales and compliance with ATF, state, local laws,... ...maintenance of pricing and UPC integrity; determining proper assortments... ...Manager, Absence & Disability Claims Kansas City, MO $72,600.00-$1...ClaimsFull timeWork at officeLocal areaFlexible hoursShift work- ...organization, and as the Payroll Tax Lead, you take that responsibility... ...The Payroll Tax Lead ensures compliance with United States federal,... ...complex reconciliations, W-2 integrity, and tax audits, acting as a... ...complaint or discrimination claim. We are committed to working...ClaimsLocal areaImmediate start
$23 - $31 per hour
...company guidelines; ensuring compliance with company policies and procedures... ...by properly handling claims and returns, zoning the area,... ...and cleaning all departments. Leads and participates in teams by... ...and standards of ethics and integrity by explaining, guiding, and demonstrating...ClaimsHourly payMinimum wageFull timeTemporary workPart time- ...Job A first university degree. Start Date 1 st April 2026 Work Experience Must have system administrator experience in usage of Integrity Management System (IMS) and Risk Based Inspection deployment / implementation experience for Renaissance’s facilities. Technology...Work experience placementWork at officeMonday to FridayFlexible hoursRotating shiftWeekend work
- ...Responsibilities Risk Manager Job Duties : Leads the identification, communication, measurement, and management... ..., develops and implements risk management and compliance policies / procedures, and manages claims and litigation. Manages relationships with third party...Claims
- ...building the technology behind Optimism , the leading blockchain infrastructure provider... ...aware of fraudulent individuals falsely claiming to represent OP Labs in recruitment activities... ...Linked profile. We will never ask for payment, banking information, or personal...ClaimsRemote work
$20 - $28 per hour
...company guidelines ensuring compliance with company policies and procedures... ...by properly handling claims and returns zoning the area stocking... ...and standards of ethics and integrity by explaining guiding and... ...compliance issues and problems Leads and participates in teams by...ClaimsHourly payMinimum wageFull timeTemporary workPart time$140k - $185k
...CRCL) is one of the world’s leading internet financial platform companies... ...through digital assets, payment applications, and... ...by our company values: High Integrity, Future Forward, Multistakeholder... ...As a Lead Analyst, Product Compliance supporting Circle’s Payments...Flexible hours- ...supervise non-attorney staff, ensuring compliance with all laws and regulations. Duties Manage... ...caseloads through the pre-litigation claim process. Interact and negotiate with insurance... ...no long, crazy hours. Stability as an integral member of a growing law firm. #J-18808-...ClaimsWork at office
- ...national design-build portfolio. Leads complex pre‑award and post‑... ...assessment/management and payment. Evaluate potential disputes... ...resolution and avoidance of claims. If disputes arise, ensure contract... ...business units to build integrated and effective solutions and leverage...ClaimsFull timeContract workPart timeFor contractorsWork at officeLocal area
- ...energetic, safety-focused, and detail-oriented Claims Coordinator to handle the administration... ...handling, cost control, and regulatory compliance. The position plays a key role in safety... ...and accidents. Auto Driveaway is a leading national provider of professional...ClaimsFull timeTemporary workWork at officeRelocationOverseas
- ...A technology consulting firm is seeking an ERP Implementation & Integration Manager to oversee the deployment of a new ERP platform and its long-term optimization. The ideal candidate will have 5-8 years of experience managing ERP projects, excellent change management...2 days per week3 days per week
$97.8k - $145k
...of digital banking and payments, but our true impact... ...Assists in maintaining compliance with Generally Accepted... .... We're also leading the way in technology... ...and enabling seamless integration. Empowering our teams... ...pursuing any discrimination claim, or cooperating in related...ClaimsWork at officeLocal areaAfternoon shift1 day per week$53.5k - $69k
Safety National is seeking an EDI Operations Specialist to ensure the accuracy and integrity of EDI data. The role requires skills in validating claims data, problem-solving, and collaboration with both internal and external stakeholders. Candidates should have a Bachelor...Claims£42.25k per year
...and provide information when claims are made on a policy. Interview... ...premiums and establish payment method. Attend meetings, seminars... ...These occupations can involve leading people and making many... ...providing service to others. Integrity Job requires being honest and...ClaimsPart timeWork at officeWeekend work- ...Gaines, P.C. We are an industry-leading debt collection law firm with... ..., transparency, and full compliance, while ensuring fair, respectful... ...consumers. Through teamwork, integrity, and strong relationships, we... ...for reviewing new claims and pleadings, managing a contested...ClaimsTemporary work3 days per week
$77.5k - $105k
...team in two key roles: Senior Claim Examiner and Lead Claim Examiner . Both... ...compensation claim files and ensuring compliance with state regulations... ...treatment plan. Ensuring payments for medical bills and... ...policies and practices. It is an integral part of who we are as a...ClaimsFlexible hours- ...company, has an immediate need for a Senior Claims Examiner - WC. The adjuster is... ...accordance with the treatment plan. Ensuring payments for medical bills and income replacement... ...than just policies and practices. It is an integral part of who we are as a company, how we...ClaimsImmediate startFlexible hours
- ...Zone Lead (Full-Time) The Zone Lead (ZL) reports to the Assistant Store Manager and... ...culture of ethical conduct, safety, and compliance. The ZL's responsibilities require enthusiasm... ...at the same time maintaining visual integrity, a neat/clean, organized environment,...Full timeFlexible hoursShift workNight shift
- ...continues to grow, expand facilities, enhance compliance systems, and refine corporate... ...to agency inquiries or administrative claims. Regulatory & Environmental Compliance... ...growth. Who You Are A trusted advisor who leads with integrity. Calm and confident in high‑stakes...ClaimsContract work
- ...retention, onboarding, and relationship management while ensuring customers feel valued. You’ll handle policy reviews and assist in claims, contributing to the agency's mission of exceptional service. Qualified candidates should have strong communication skills, the...Claims
- OU Health in Missouri is seeking a Revenue Integrity Liaison to lead initiatives and improve enterprise-wide performance in the revenue cycle. This role demands strong analytical skills, where you'll analyze billing workflows and provide educational support to departments...
- University Health KC is seeking a Substance Abuse Program Manager to lead and support a community-based team serving individuals with co-... ...full-time position offers a unique opportunity to help promote integrated care within a dynamic environment. #J-18808-Ljbffr University...Full time
- Wilson Elser (Attorney Careers) is seeking a skilled National Litigation & Claims Management Attorney in Kansas City. The role requires managing a nationwide litigation caseload and involves significant client interaction. Ideal candidates will have over five years of...ClaimsRemote job
- ...Cement Company is seeking an IT Manager for SOX Audit and Compliance to design and manage IT compliance programs. Responsibilities include leading compliance activities and ensuring high standards of data integrity across the company. A collaborative approach with...
- Yoh Services LLC is seeking a Project Manager in Kansas City, Missouri, to lead retirement partner integrations across a digital banking platform. This role involves managing project planning, execution, and stakeholder communications while collaborating cross-functionally...
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