Director, Payment Integrity Appeals & Disputes
Centene Corporation
Centene Corporation seeks a seasoned leader to oversee prepay waste and abuse reviews via coding, editing, and audit programs. You will set policies to ensure adherence to state, federal, and company standards, while guiding a team to reduce waste and fraud. This role requires strong audit analysis and a strategic view of payment integrity. 7+ years in finance, accounting, or auditing, with a bachelor’s degree in a related field. #J-18808-Ljbffr Centene Corporation
- A healthcare staffing agency is seeking a Payment Posting Specialist to ensure timely and accurate posting of accounts. The role includes... ...in CPT and ICD.9 codes. This position promotes revenue integrity and requires effective communication and data organization skills...Suggested
$143k - $286k
About This Role As Associate Director, Integrated Digital Supply Chain Planning - Solution Architect, you will be accountable for the end‑to‑end solution architecture, design, and delivery of enterprise Connected Planning capabilities, with a strong focus on Kinaxis Maestro...SuggestedTemporary work- Centene Corporation in New York is seeking a qualified individual to manage Payment Integrity initiatives. This role demands leadership over a team focusing on potentially preventable readmissions, compliance, and payment accuracy. The ideal candidate should have a bachelor...SuggestedFlexible hours
$16.4 - $31.97 per hour
...Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers... ...schedules and systems configurations, to determine root causes of payment errors. Resolves and prepares written response to incoming...SuggestedHourly payContract workWork experience placementWork at office- Seacoast Bank seeks a Manager of ACH & Real Time Payments Operations to provide strategic and operational leadership over ACH, RTP, and FedNow operations. You will drive modernization, risk management, and readiness for new payment rails, partnering with Treasury, Fraud...Suggested
$70k - $90k
...running and improving the systems that support listings, marketing, payments, onboarding, and internal workflows—allowing leadership to... ...s missing. On‑site presence is required. This role is deeply integrated into the day‑to‑day of the business and the team....- ...that shape who you are. Position Overview The Manager, Provider Dispute Resolution is responsible for leading the operational... ...operations experience in claims, provider dispute resolution, payment integrity, revenue cycle, or related healthcare operations. 5+ years of...Work at officeLocal areaVisa sponsorshipFlexible hours
- Vaco is hiring for Healthcare Payment Posting Specialist for a role in Miramar, FL. Summary The Payment Poster performs multiple responsibilities... ...DME, IV and Health Home payors. This position promotes revenue integrity by ensuring timely and accurate posting of accounts and...
- Sunrise,FL - USAPosition RequirementsSummaryThe Payment Posting Specialist is a full-time, hourly role reporting to the Sr. Manager of... ...competing responsibilities in a fast-paced environment.· High level of integrity when handling confidential and financial information.· Ability...Hourly payDaily paidFull timeWork at office
- ...role requires a Bachelor's degree and significant experience in the healthcare or managed care industries. You'll monitor payments, document appeals, and analyze processes to resolve issues. Join to help transform healthcare billing with precision and purpose! #J-18808-...Full time
- ...to work for a global company that values integrity, teamwork, and loyalty? Company... ...Supplemental Insurance Position Summary The Director, Legal will serve as the sole in‑house legal... ...affecting the business. Litigation, Dispute Resolution & Insurance Manage all litigation...Contract workLocal areaRemote workWorldwideFlexible hours
- ...Excellence Build and maintain scalable talent ops processes and documentation for the team Manage internal team to route tickets, execute payments, and improve response times Lean on data and dashboards to monitor talent performance, coverage, and risk Design and implement a...Full timeWork experience placementRemote workFlexible hours
- ...technical health, readiness, and delivery of a strategic B2B payments product backlog supporting Wire Transfers and Real-Time Payments... ...Readiness Partner with SQA teams on performance, load, integration, and regression testing. Ensure technical requirements and NFRs...
- ...story of your life. When you build a career here, you’ll add depth, purpose, and meaning beyond what you ever imagined. Our Story Integrity and passion drive us to be extraordinary. Since 1990, our dynamic, purpose-driven community has set the standard for excellence in...Full time
$143k - $286k
...decision‑making. Strategic visions & alignment Market intelligence & target origination Deal structuring & execution Post‑merger integration Business development Required Qualifications Bachelor’s degree 8+ years of experience in M&A, corporate development, and/or investment...Temporary work$150k - $190k
Whether it's the unique breadth of our integrated offering that covers Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology... ...an unparalleled, direct impact. The Opportunity The Associate Director, Business Operations, US Aesthetics is a highly visible role...Temporary workWork experience placementWork at officeWorldwideShift work- ...can make a difference together. About this role The Associate Director, General Legal provides general legal advising for Carrier’s North... ...‑represented. Assist business leaders to resolve commercial disputes, negotiate complex contracts, and provide legal guidance for U....
- ...Microsoft Excel is required. Familiarity with payroll systems such as ADP and a strong understanding of labor laws. High level of integrity with the ability to handle sensitive financial and personnel data. Preferred Skills Bilingual in English and Spanish. Professional...
$130k - $155k
...administration. It is accountable for anticipating workforce needs, identifying organizational risks and opportunities, and delivering integrated people solutions that enable operational continuous improvement and sustainable growth. The HR Manager acts as a trusted advisor...Local area- ...billing adjustments in Great Plains when necessary Monitor outstanding pension balances and follow up with churches on delinquent payments Responsible for recruiting, hiring, supervising, training, and performance management activities for conference staff Prepare position...Temporary workWork at officeLocal areaWeekend workAfternoon shift
$135k - $170k
...The Associate Director, Sales Capabilities (Sales Training) - Alastin Skincare is a leader responsible for setting the vision, strategy... ...and first level leader development. Ensure training programs integrate clinical knowledge, brand strategy, , provider and patient...Temporary workWork at officeWorldwideNight shift- ...regulations, and stay informed of changes. Conduct employee relations activities, including resolving complex employee complaints and disputes. Develop and implement training and development programs to enhance employee skills and leadership capabilities. Oversee HR...Work at officeLocal area
- ...reports and identifying trends. HRIS Administration : Maintain data integrity within internal HR systems to drive metric‑based reporting.... ..., and career growth. Benefits : Copartner with Benefits Director to assist in the benefits enrollment process and/or selection...Hourly payPart timeWork experience placementSeasonal workLocal area
- ...directly coaching advisors to optimize impact. Serves as a trusted advisor and problem solver for UHNW clients delivering customized, integrated solutions embedded in a strong risk culture. Builds relationships across lines of business and product groups to deliver the...
$110.5k - $163.06k
...partnership with agencies and internal stakeholders. Ensure campaign planning, content development, and social media activation are fully integrated within the regional marketing calendar. Lead day‑to‑day creative processes, ensuring high craft in messaging, content, and...$130k - $150k
...enrollment, renewals, employee education, and vendor relationships HRIS & Data Management Own and manage the HRIS, ensuring data integrity, reporting accuracy, and process optimization. Develop HR metrics and dashboards to support leadership decision‑making Compliance...Local areaRemote work- ...ServiceNow is seeking a Senior Director of HR Operations to lead the design of AI-powered HR service delivery. This pivotal role demands... ...HR operations experience, with a strong emphasis on AI integration and large-scale HR transformations. This position will balance...
$96k - $192k
...related issues, training issues, equipment start-up, controls integration, and service-related issues. Occasional travel throughout North... ...-up and troubleshoot projects Negotiate and process all open disputed warranty claims on a regular basis for distributor, Direct Sales...Temporary workFor contractorsWork at officeRemote workRelocation$100k - $231.54k
...family and one community at a time. Lead Director, MPPS Compliance & Policy Optimization,... ...place to support compliance and business integrity. Cross-Functional Leadership Partner... ...governance, compliance, healthcare operations, payment integrity, medical policy, utilization...Hourly payFull timeTemporary workLocal area- ...layers optimization, and team effectiveness. Partner closely with Talent Acquisition, Total Rewards, and COEs to design and deploy integrated talent solutions that attract, retain, and develop high-performing Finance talent. Lead workforce planning and analytics efforts,...
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