Senior Healthcare Data Mining & Payment Integrity Lead
Gainwell Technologies LLC
Gainwell Technologies LLC is seeking a Senior Data Mining & Payment Integrity Analyst to design and implement data mining concepts that identify improper payments across dental, medical, and pharmacy billing. You will translate healthcare policies into scalable audit solutions and collaborate with cross-functional teams to improve claims accuracy. The role requires 5 years in Healthcare Payment Integrity or Data Mining, 3+ years in medical/dental/pharmacy claims analysis, and familiarity with #J-18808-Ljbffr Gainwell Technologies LLC
- Gainwell Technologies LLC is seeking a seasoned healthcare data professional to join our team, focusing on payment integrity and data mining to identify overpayments across dental, medical, and pharmacy claims. You will review guidelines and contracts, develop algorithms...DataSeniorFlexible hours
$69.4k - $99.2k
...that unleashes the power of leading‑edge technologies to help... ...Develop and implement new data mining opportunities to identify... ...develop and configure improper payment algorithms. Review... ...review guidelines. 5 years of Healthcare Payment Integrity and/or Data Mining...DataSeniorFull timeContract workFlexible hours- ...initiatives, from new module rollouts to upgrades, integrations, and process improvements. This is a senior individual contributor role with hands-on... ...build integrated plans across workstreams, and lead testing, data migration, and change management. #J-18808-Ljbffr...DataSenior
- ...Ohio, is seeking a Guidewire Developer to design and implement integration solutions. Ideal candidates will have 3-5 years of Guidewire development... ...experiences and requires strong skills in GOSU programming and data transformation tools. Join us at G2O to drive impactful...DataSenior
$105.79k - $141.05k
...powered world, connecting people, data, and applications through our... ...today. The Role The Sr. Lead, GTM Growth Platforms is a critical role within Lumen’s new Integrated Demand & GTM team, reporting... ...does not require any form of payment from job applicants during the...DataSeniorFull timeTemporary workRemote work$132.23k - $176.31k
...powered world, connecting people, data, and applications through our... ...us today. The Role The Senior Lead Marketing Data Platform... ...business teams to ensure seamless integration across the marketing... ...does not require any form of payment from job applicants during the...DataSeniorFull timeTemporary work$105.79k - $141.05k
...powered world, connecting people, data, and applications through our... ...The Role We are seeking a Senior Lead Technical Marketing Manager... ...cases, solution blueprints, integration patterns, and deployment... ...does not require any form of payment from job applicants during the...DataSeniorFull timeTemporary workWork from home$120k - $200k
...touches virtually every aspect of healthcare. We are known for delivering... ...from you.We are seeking a Senior EHR Integration Specialist to design and... ...The successful candidate will lead the production integration... ...clinical and administrative data exchange. Design and configure...DataSeniorFull time- ...Vice President, Payment Integrity, Innovations & Solutions About the Company Leading outsourcing company for software... ...platforms healthcare finance & accounting... ...AI, automation, and data platforms. As a key driver... ...serving as a senior client-facing leader,...Data
- A healthcare technology company in Columbus is seeking a Senior Contract Compliance Analyst to operationalize their compliance framework. This role involves creating and monitoring the Contract Compliance Playbook, conducting audits, and partnering with sales teams to resolve...SeniorContract workWork at office
- ...OH or Tulsa, OK seeks a Workday Product and Configuration Lead to act as a senior functional expert in Workday HCM. The role designs... ..., drive complex design decisions, review releases, and ensure strong data integrity. #J-18808-Ljbffr American Electric Power Co.DataSenior
- Chipotle Mexican Grill, Inc. is seeking a Senior Manager, Facilities Tech EMS in Columbus, OH, to lead enterprise strategy for restaurant equipment connectivity and EMS, including IoT standards and data integration. You will own the EMS platform architecture, drive scalable...DataSenior
- Baystate Health seeks an experienced Senior Tumor Registrar to join the Baystate Regional... ...on maintaining accurate cancer registry data, regulatory compliance, and supporting research... ...The position emphasizes leadership, data integrity, and collaboration with investigators,...DataSeniorRemote job
$103.71k - $138.28k
...AI‑powered world, connecting people, data, and applications through our... ...today. The Role We are seeking a Senior Product Marketing Manager to lead go-to-market strategy for Lumen's secure... ...Lumen does not require any form of payment from job applicants during the recruitment...DataSeniorFull timeTemporary workLocal areaRemote work- The Ohio State University seeks a Research Senior Technician in Ophthalmology to support investigations into animal models of eye disease... ...cell culture, and Western analyses. You will record and analyze data, assist with grant proposals and manuscripts, supervise junior...DataSenior
- DescriptionPosition SummaryThe Senior Commercial Card & Integrated Payables Implementation Consultant serves... ...and driving successful adoption of payment solutions.The Implementation Consultant... ..., and payment file formats, Smart Data, 360 Control, Business Online, Commercial...DataSeniorFull timeWork at officeRemote workWork from homeFlexible hours
- Chase is seeking a Senior Associate, Payment Experiences and Services, to drive day‑to‑day product delivery for customer enrollment, limits, permissions, and notifications within Payments enrollment services. You’ll translate business needs into well‑defined work and align...Senior
$99k - $150.7k
...utilities for the site, and identifying long lead items that need to be expedited... ...for construction and our industry Gather data, interpret it into meaningful information... ...manage tasks and priorities Demonstrate integrity consistently with The HITT Way and HITT’s...DataSeniorTemporary workFor contractorsWork experience placementFor subcontractorWork at officeLocal areaImmediate startWeekend work- ...simple and meaningful: to help healthcare providers get paid... ...and patients alike. The Senior Client Integrations Manager coordinates client... ...enhancements to inbound and outbound data exchanges across Aspirion’s... ...exchanges. Experience leading cross-functional, client-...DataSenior
$18.65 - $20.5 per hour
...Ensemble! Ensemble is a leading provider of... ...We recognize that healthcare requires a human touch... .... Opportunity The Senior Billing Specialist... ...documentation for payment. Pulls EOB's and... ...billing data. Creates training... ...values of trust, integrity, loyalty and service...DataSeniorTemporary workWork experience placementWork at officeLocal areaRemote work- KeyBank is seeking a Senior Servicing Officer to manage end-to-end servicing of a commercial... ...emphasis on complex structures and healthcare financing. You will work alongside... ...relationship managers and lenders, ensuring data integrity and timely processing across pre-close...DataSeniorRemote jobWork at office
- Safelite in Columbus, OH seeks a Senior Integration Engineer to support, administer, monitor, and replatform enterprise integration platforms. You will ensure secure data movement across IBM MQ, MFT, APIs, and AWS services while contributing to the Replatform roadmap. You...DataSenior
$115k - $172.5k
...Ensemble! Ensemble is a leading provider of... ...We recognize that healthcare requires a human touch... ...by acting with integrity and following through... ..., interconnected data ingestion and... ...actions to clients and senior leadership. Define... ...never ask for a payment in exchange for a...DataSeniorTemporary workWork at officeLocal areaRemote work$112k - $228.8k
...As a Digital Product Manager Lead Senior within PNC's Digital... ...Lead Senior on the Digital Payments product team, you will lead... ...Zelle, Digital Assets, and integration of AI. This role will blend... ...market analysis• Driving the data mining necessary to understand consumer...DataSeniorFull timeTemporary workPart timeWork experience placementWork at office- ...Program Manager to own complex, data-driven programs across... ...clients and platforms. You will lead cross-functional teams, drive... ...stakeholders to deliver high-value healthcare revenue cycle initiatives.... ...needed. A background in data integration, HL7, APIs, and production...DataSeniorRemote job
- ...in research and mission-focused engineering, seeks a Senior Test Engineer to support development, integration, test, and evaluation of complex capabilities for... ...performance across hardware, software, sensors, networks, and data systems in lab, field, and distributed environments....DataSenior
$176.9k - $239.34k
...Reimbursement Manager, Senior Manager - Mid-... ...responsible for leading a regional team of... .... Use performance data to identify trends... ...discussions that integrate field KPIs, account... ...degree in business, healthcare, or a related... ...coding, coverage, and payment methodologies.Experience...DataSeniorFull timeWork at officeLocal areaRemote workWork from homeFlexible hours- ...is seeking a remote, full-time Quality Data Analyst to lead enterprise-wide quality reporting and... ...will develop dashboards, ensure data integrity, and collaborate with multiple departments... ...and about 5 years of experience in healthcare analytics or quality management. HEDIS...DataRemote jobFull time
- ...out more about Accenture's Oracle practice (.)You Are:A senior Oracle Utilities Integration Lead who brings both the architectural vision and the hands-on... ...(ICDs), integration design specifications, and data mapping artifacts.Establish and manage integration testing...DataWork experience placementLive inWork at officeLocal areaRemote work
- ...AccentureAccenture helps the world's leading enterprises reinvent... ...in AI and Data, Industry and Process,... ....com.The RoleAs Senior Manager, Software Sales... ...telecommunications) billing and payments ecosystems, including... ...readiness, payments integration and operational...DataSeniorContract workWork experience placementLive inWork at officeLocal area
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