Remote Payment Integrity Lead, Quality & Appeals
CorVel Corporation
A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations of the payment integrity team. Responsibilities include managing quality assurance measures and resolving provider appeals. The ideal candidate will also ensure compliance with healthcare auditing standards and maintain a focus on improving service delivery. This remote position requires strong experience in claims processing and excellent communication skills. Candidates must hold an Associate Degree in Nursing and RN licensure. #J-18808-Ljbffr
- The Payment Integrity Supervisor is responsible for the daily activities... ...team related to quality assurance and provider appeals. The Supervisor manages and... ...our customers. This is a remote position. ESSENTIAL FUNCTIONSAND... ...(I, II, III, Senior, Lead, etc.) new hires may be...Remote workQualityDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours
$100.5k - $150.8k
...improve the health and quality of people’s lives.... ...Teleflex Medical OEM is a leading global provider of... ...Position Summary Remote role: Preferred location... ...reporting, Lightning integration and Wave Analytics. -... ...any other discretionary payment or compensation program...Remote workQualityFull timeContract workTemporary workWork at officeFlexible hours$107.5k - $204.5k
...With our three market leading businesses, world-class... ...) Effectors Center we integrate, verify, and validate... ...onsite role in Tucson AZ. Remote work is not possible.... ...Security, Software Quality, Software Configuration... ...bargaining agreement. Payments under these annual...Remote workQualityTemporary workWork experience placementWork at officeRelocation packageFlexible hours$75k - $90k
The Quality Analyst - Data Mining, Payment Integrity plays a key role in ensuring the accuracy, quality, and consistency of audit work performed within the... ...experience, skills, and qualifications) Location: 100% Remote (U.S.-based) Up to 10% annual travel (for team...Remote workQualityFull time- CorVel Corporation seeks a Payment Integrity Analyst (Team Lead) to supervise the Policy and Payment Integrity (PPI) team while overseeing audits per... ...staff training, and timely completion of audits, with a remote work arrangement. Strong knowledge of CMS policies, ICD-...Remote job
$100k - $231.54k
...accountable and prioritize safety and quality in everything we do. Join us and be part... ...one community at a time. Overview: Leads and oversees the business strategy team... ...Cross Matrixed partners to enhance the Payment Integrity strategy and roadmap; translate and simplify...QualityHourly payFull timeTemporary workWork experience placementWork at officeLocal area3 days per week$150k - $175k
...Advisers L.P. is seeking a Workday Financials Integrations Lead to join our exceptional team. As a... ...work arrangement. You will receive 18 remote workdays per quarter to use at your... ...Enterprise Architecture, Project Management, Quality Assurance, Infrastructure, and Systems...Remote workQualityFull timeFor contractorsWork at officeLocal area1 day per week$190k - $230k
...planning, design, delivery, systems integration, assurance, safety and... ...Systems Design Coordination Lead based in our San Francisco office... ...full compliance with the Quality Management process. This includes... ...global profit share scheme (payments are dependent on the firm’s...Remote workQualityContract workFor contractorsWork at officeFlexible hours- ...: Senior Director, Portfolio Integration LeadOverview Cancer is unrelenting... ....The Portfolio Integration Lead (PIL) is a senior role in... ...improve efficiency and development quality.Drive innovation in clinical... ..., with a mix of on-site and remote work. Remote or fully home-...Remote workQualityFull timeLocal areaWork from homeRelocation
$73.35k - $113.25k
...Description Job Description The Payment Integrity Analyst (Team Lead) assists with leading the... ...of internal auditing, appeals of pre and post payment... ...or record that requires quality review to determine claim... ...healthcare policies. This is a remote position. ESSENTIAL...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours- ...The Global IS Mergers & Acquisitions Lead – Due Diligence, Integration & Separation plays a critical role... ...The work model for the role is: #LI-Remote ~Conduct IT/IS due diligence for M... ...within agreed timelines, budgets, and quality parameters. ~Provide methodology,...Remote workQualityFull time
$106.9k - $147k
...applications and next steps. Our partner is looking for a Lead, Data Quality/Integrity based in the United States. The Lead, Data Quality/Integrity... ...critical healthcare operations. The role is fully remote and suited to an experienced healthcare professional who combines...Remote workQualityFull timeTemporary work$113k - $197.7k
...Enterprise Enablement, Analytics and Toolchain Integration Lead based in United States. This is a... ...business analysis teams deliver high-quality requirements across federated... ...individual and organizational results. Fully remote work environment with no routine...Remote workQualityFull timeWork at office$132.4k - $251.6k
...With our three market leading businesses, world-class... ...Will DoLead the Teton Integrated Product Team (IPT)... ...manufacturing, supply chain, quality, program management,... ...as on-site, hybrid or remote.The salary range for... ...bargaining agreement. Payments under these annual programs...Remote workQualityTemporary workWork experience placementWork at officeRelocation packageFlexible hours$203.73k - $275.63k
...competitive advantage.The Global Integrated Access Strategy team, within... ...Integrated Access Strategy Lead for a defined subsection of... ...Flexible work models, including remote and hybrid work arrangements,... ...dedicated to improving the quality of life for people around the...Remote workQualityFull timeFlexible hours$107.5k - $204.5k
...With our three market leading businesses, world-class... ...responsibility of the Integrated Product Team Lead (... ...Operations, Supply Chain, Quality, Engineering Cross... ...as on-site, hybrid or remote.The salary range for this... ...bargaining agreement. Payments under these annual...Remote workQualityContract workTemporary workWork experience placementWork at officeRelocation packageFlexible hours- ...seeking a Senior Intelligence Solutions Integrator (Team Lead) to support INSCOM Data Capabilities... ...divisions and contracts. Where allowed, remote work must be coordinated with the team... ...architecture, data warehousing, data quality management, metadata management, data...Remote workQualityContract work
- Addison Group is actively seeking a Revenue Integrity Coding Coordinator to enhance coding operations in... ...hybrid work environment. In this role, you will lead a remote coding team, manage workflows, and ensure coding quality and operational efficiency. The ideal candidate...Remote jobQualityMonday to Friday
$99k - $225k
Program Integrator, LeadThe Opportunity: As a Program Integrator, you... ...looking for someone like you to lead a team of experienced... ...obtaining client consensus on quality products, you’ll provide meaningful... ...cameras on during meetings.Remote: If this position is listed as...Remote workQualityFull timeContract workPart timeWork at officeLocal area- ...Job Title: MOSA System Integration Lead / Architect Location: Aberdeen, San Antonio, or Remote. Hybrid if less than 40 miles from Aberdeen Proving Ground or Crystal... ...and economically, without compromising quality. System One not only serves as a valued partner...Remote workQualityPermanent employmentFull timeLocal area
$112.7k - $193.2k
...improving risk management, quality and revenue growth. Ready to... ...Connecting. Growing together.The Payment Integrity Platform organization is... ...burden and healthcare costs.As a Lead Technical Product Manager,... ...the flexibility to work remotely * from anywhere within the U...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal area- ...About Us: Cognizant is one of the world's leading professional services companies,... ...SAP and manufacturing teams, assessing integrations, identifying upgrade requirements, mitigating... ...Coordinate across SAP, MES, manufacturing, and quality teams. Support roadmap planning,...Remote jobQualityTemporary work
$125k - $150k
...needs in systems engineering and integration, mission operations, program... ...to the mission with speed, quality, and focus. Stellar Solutions... ...Attack Assessment (ITW/AA) Lead to provide enterprise-level systems... ...activities for space-based remote sensing systems. Experience...Remote workQualityFull timeWork at officeImmediate start3 days per week$112.7k - $193.2k
...improving risk management, quality and revenue growth. Ready to... ...product strategy for one of Optum Payment Integrity's Intelligent Fraud... ...enjoy the flexibility to work remotely * from anywhere within the U... ...enabled platformsExperience leading or mentoring other product professionals...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaShift work- Lead, Integrated Product MarketingSkip to main contentGEICO uses cookies to help us provide the... ...we honor our iconic brand by offering quality coverage to millions of customers and being... ...program offering up to four weeks of remote work per year.**A Note on Applications*...Remote workQualityHourly payWork experience placementLocal areaFlexible hoursShift work
$177k - $265.6k
...Defense Systems is looking for an Integrated Functional Capability (IFC) Lead 5 that will orchestrate the execution... ...in the Northridge, CA location. No remote/telework arrangement is available... ...functional activities such as testing, quality assurance, logistics support, and...Remote workQualityFull timeContract workRelocation packageShift work$112.7k - $193.2k
...product strategy for one of Optum Payment Integrity's Facility Claim Review... ...the flexibility to work remotely * from anywhere within the U... ...product launches are timely, high-quality, and aligned to go-to-market... ...or initiativesExperience leading cross-functional initiatives...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaShift work- ...the Job PCSP is a systems integrator headquartered in New Hudson,... ...The Integration Technician Lead is responsible for guiding the... ...build-out, configuration, and quality control of the servers and workstations... ...~ Proficiency with remote management interfaces (HPE iLO...Remote workQuality
- ...Title: Systems Engineer III – Integration & Verification Lead Reports To: Systems... ...stakeholder communication Ensures quality standards are met 100% of the time... ...facing integration activities, including remote and onsite technical support,...Remote workQualityWork at officeRelocation packageFlexible hours
$91.7k - $163.7k
...Senior Data Analyst supports Payment Integrity Operations through advanced... ...data resource needs, and may lead functional workstreams or... ...enjoy the flexibility to work remotely * from anywhere within the U... ...analysis and reportingMonitor data quality, algorithm performance,...Remote workQualityMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area
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