Remote Lead: Payment Integrity & Overpayment Recovery
$83.25k - $155.51kMolina Healthcare
- Remote job
Molina Healthcare seeks a Lead Analyst for health plan payment integrity activities in Atlanta, GA. The role includes managing operational projects, analyzing data for recovery opportunities, and collaborating with various teams to ensure compliance with regulations. Ideal candidates will have at least 4 years of experience in managed care, strong knowledge of claims coding, and the ability to lead projects independently. A competitive benefits package and salary range of $83,252 - $155,508 annually are offered. #J-18808-Ljbffr Molina Healthcare
$83.25k - $155.51k
Job Summary Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive... ...for pre-pay edits, post-payment data mining, and overpayment recovery, to improve encounter submissions, reduce...Remote jobTemporary workWork experience placementWork at office- Molina Healthcare is seeking a Lead Business Analyst in Phoenix, Arizona, to provide oversight on health plan payment integrity activities, partnering with members and stakeholders... ...improvements in claims accuracy and recovery processes. Applicants should have significant...Remote job
$83.25k - $155.51k
Molina Healthcare is seeking a lead-level Business Analyst for Payment Integrity activities in Miami, Florida. This role involves partnering with leadership to drive financial performance through operational initiatives, ensuring compliance with regulatory standards. Qualifications...Remote job$83.25k - $155.51k
Molina Healthcare in Omaha, NE is seeking a Lead Level Analyst for health plan payment integrity. This role involves driving financial performance through operational initiatives and ensuring compliance with regulatory requirements. The ideal candidate will have strong...Remote job$83.25k - $155.51k
Molina Healthcare is seeking a Lead Level Analyst to provide support for health plan payment integrity activities. You will partner with leaders to enhance financial performance through evaluation and execution of operational initiatives related to payment integrity. Ideal...Remote job- Molina Healthcare is hiring a Lead Business Analyst in San Antonio, Texas to support health plan payment integrity activities. You will collaborate with operational teams and drive financial performance through operational initiatives. The ideal candidate has at least...Remote job
- Molina Healthcare in Scottsdale, Arizona, is looking for a Lead Analyst to support health plan payment integrity activities. You will drive health plan financial performance through operational initiatives, ensuring compliance with Medicare and Medicaid standards. The ideal...Remote job
- Molina Healthcare is seeking a Lead Analyst in Austin, Texas. This role involves providing critical support for payment integrity activities to enhance financial performance. You will partner with various teams and lead efforts in improving claim payment accuracy while...Remote job
$83.25k - $155.51k
Molina Healthcare is looking for a Lead Analyst to support payment integrity initiatives aimed at improving financial performance. The role involves managing operational projects, analyzing data, and collaborating with various stakeholders. Strong experience in Medicaid...Remote job- Molina Healthcare is seeking a Lead Business Analyst to enhance health plan financial performance. The role involves managing operational initiatives for payment integrity and provider claims accuracy. The ideal candidate has over 4 years of experience in a managed care...Remote job
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst for health plan payment integrity in Kentucky. This role involves driving financial performance, managing operational projects, and analyzing data to ensure compliance with regulations. Ideal candidates will have extensive experience...Remote job$83.25k - $155.51k
Molina Healthcare is looking for a lead level Business Analyst to support health plan payment integrity activities in Cincinnati, Ohio. The ideal candidate will analyze... ...52 - $155,508 annually, with the flexibility of remote work options. #J-18808-Ljbffr Molina HealthcareRemote job- Molina Healthcare in Cleveland, Ohio is seeking a lead business analyst to support health plan payment integrity activities and financial performance. This role involves collaborating with various teams, managing operational projects, and ensuring compliance with CMS and...Remote job
$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst to support health plan payment integrity activities. The candidate will manage operational projects to ensure compliance with regulatory requirements and improve claim payment accuracy. The ideal candidate will have extensive...Remote job$83.25k - $155.51k
Molina Healthcare is seeking a Lead Analyst for health plan payment integrity in Columbus, Ohio. The role involves managing operational initiatives and analyzing claims data to improve financial performance and compliance. Candidates should have at least 4 years of business...Remote job$92.7k - $139.1k
...work arrangements that include remote and hybrid opportunities and... ...the organization, you’re an integral part of our team and your... ...in‑depth analysis of claim payments and its methodology, identifying... ...to ascertain cost avoidance/overpayment recovery opportunities. Apply root...Remote workContract workWork at officeWork from homeFlexible hoursShift work2 days per week1 day per week$77.96k - $120.37k
A healthcare technology company is seeking a Payment Integrity Supervisor to oversee the payment integrity team's daily activities, focusing... ...7,960 - $120,368 and comprehensive benefits. The position is remote, providing flexibility and ensuring timely resolution of issues...Remote job- 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 jobDaily paid
$142k - $213k
Ventura County Medi-Cal Managed Care Commission is seeking a skilled professional to lead Payment Integrity operations in California. The individual will build, manage, and oversee the comprehensive payment integrity strategy, ensuring compliance with state and federal...Remote jobFlexible hours- Team8 Inc. is seeking a Payment Accuracy and Concept Lead to develop audit concepts in healthcare using the Bluespine platform. This role involves identifying... ...experience with self-insured companies. This position is remote within the United States. #J-18808-Ljbffr Team8 IncRemote job
$156.6k - $215.4k
...community The Principal IT Disaster Recovery Architect defines DR strategy and supports integration and implementation across... ...of California will be provided payment for their internet expense. A... ...information. Travel: While this is a remote position, occasional travel to...Remote jobFull timeTemporary workFor contractorsWork from homeHome office- ...Summary We are seeking an experienced Payment Integrity Specialist to support healthcare... ...initiatives focused on claims accuracy, overpayment prevention, and reimbursement... ...waste/abuse prevention, or overpayment recovery initiatives. Additional Skills & Competencies...Remote work
- ...Position Overview: The Pharmacy Payment Integrity Analyst plays a critical role in analyzing... ..., and regulatory alignment to prevent overpayments and cost-effective healthcare payments... ...~ You’ll work with industry leading AI, predictive analytics, and automation...Work experience placementLocal area
$69.4k - $99.2k
...Senior Data Mining & Payment Integrity Analyst Be part of a team that unleashes the power of leading-edge technologies to help improve... ...opportunities to identify overpayments to providers through data review... ...to Healthcare Claims Data. Recovery audit experience is...Remote workFull timeContract workFlexible hours- Molina Healthcare is seeking a Lead Business Analyst in Omaha, Nebraska, to support health plan payment integrity initiatives. The role involves collaborating on operational projects, analyzing data for recovery opportunities, and improving claim payment accuracy. Candidates...Work at office
$77.96k - $120.37k
...Payment Integrity Supervisor The Payment Integrity Supervisor is responsible for the daily activities... ...service to our customers. This is a remote position. ESSENTIAL FUNCTIONS AND... ...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- Vytwo is looking for a Sr Payments Domain Expert with a strong background in payments leadership and large-scale platform consolidation. This role involves being a thought partner for the team and senior clients, primarily focusing on pattern recognition in payments. The...Remote jobPart timeWork from homeFlexible hours
- ...Experience with IBM ACE, MQ AND APIGEE Is must. ~ The Integration lead role is responsible for ensuring the smooth integration and functioning... ...security, performance, back up strategies, and disaster recovery plans. ~ Improvements and enhancements ~ System...Remote work
- Cotiviti is seeking a Senior Payment Accuracy Specialist in Idaho to innovate and enhance audit processes. The successful candidate will have a degree, SQL proficiency, and at least three years of relevant experience. This key role includes developing new audit concepts...
$101.23k - $172.36k
...PAYMENTS FRAUD ANALYTICS LEAD WHAT IS THE OPPORTUNITY? The Payments Fraud Analytics Lead, leads the... ...for entrepreneurs and that legacy of integrity, community and unparalleled client relationships... ...Unless otherwise indicated as fully remote, reporting into a designated City...Remote workFlexible hours
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