Average salary: $158,642 /yearly
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$80.72k - $124.62k
...Job Description Job Description The Policy and Payment Integrity Manager oversees the PPI team and assists with implementation of policies to perform reviews conducted by CERIS, including but not limited to itemized bill review, professional review, hospital outpatient...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX16 days ago- ...Integrated Payments Specialist Planet DDS is a leading provider of a platform of cloud-based solutions that empowers growth-minded dental businesses. Now serving over 13,000 practices and 118,000 customers in North America, Planet DDS delivers a comprehensive suite...Suggested
- ...for committed, empowered, learning-oriented people to join our team. If this describes you, we want to speak with you. The Payment Integrity Auditor is responsible for conducting complex and high-risk audit assignments to ensure claim payment accuracy and compliance...SuggestedWork at officeRemote work
- ...Senior Product Manager – Payments & Integrations Location: New York, NY The Opportunity We’re looking for a Senior Product Manager with a deep understanding of payments and a passion for building partner-friendly APIs to join our growing product team. You’ll...SuggestedFull timeWork at office
$223.8k - $313.1k
...including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. Utilization management experience...SuggestedFull timeTemporary workApprenticeshipRemote work$65k - $88.6k
...Payment Integrity Coding Professional Become a part of our caring community and help us put health first. The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost reduction by utilizing code editing guidelines and...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$137.1k - $195.8k
...your contributions and puts a premium on work flexibility, learning, and career development. Summary As the Director of Payment Integrity (PI) Implementation at Gainwell, you can contribute your skills as we harness the power of technology to help our clients...SuggestedFull timeWork experience placementRemote workFlexible hours- ...approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across... ...entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a...SuggestedFull timeImmediate startRemote workFlexible hours
$54.36k - $107.97k
...Payment Integrity Analyst Purpose: The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment concepts, as well as...SuggestedRemote jobWork experience placementImmediate start- ...About the role The Payments & Stripe Integration Engineer – SwishShop is responsible for designing, implementing, and maintaining payment systems and Stripe integrations that power the SwishShop marketplace. Reporting to the Product Director – SwishShop and working closely...SuggestedRemote jobFull time
$223.8k - $313.1k
A healthcare organization is seeking a Medical Director in Montgomery, Alabama. The role involves using medical expertise to evaluate care services and ensure compliance with regulations. Candidates must have an MD or DO degree and at least 5 years of clinical experience...SuggestedRemote job$223.8k - $313.1k
A leading health services organization is seeking a Medical Director to join their team. The role involves making determinations regarding services authorized at the inpatient level, utilizing a medical background and clinical judgment. The ideal candidate will have a medical...SuggestedRemote job- A leading health insurance company is looking for a Medical Director to utilize their medical expertise in determining service authorizations, primarily for inpatient care related to Medicare populations. Candidates should have significant clinical experience and leadership...SuggestedRemote job
- ...Business Consultant - Carelon Payment Integrity Location : This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines...SuggestedTemporary workWork at officeLocal area2 days per week1 day per week
$223.8k - $313.1k
A healthcare organization is looking for a Medical Director to oversee medical interpretations and ensure compliance with guidelines. This remote position requires an MD or DO degree and at least 5 years of clinical experience, preferably in inpatient settings. The selected...SuggestedRemote job$223.8k - $313.1k
A healthcare company is seeking a Medical Director to utilize their medical expertise to determine care authorizations within a regulatory framework. The role involves reviewing clinical records and making decisions to ensure services meet established guidelines. Candidates...Remote job- A leading healthcare organization is seeking a Medical Director to make clinical determinations related to inpatient services, ensuring compliance with regulations and guidelines. The role demands clinical expertise, independent judgment, and collaboration with healthcare...Remote job
- A leading health services provider is seeking a Medical Director to oversee the authorizations of inpatient care services. This role involves using clinical knowledge to make determinations on care levels and providing medical interpretation to team members. Candidates ...Remote jobFlexible hours
$223.8k - $313.1k
A leading healthcare organization in Denver is seeking a Medical Director to oversee healthcare services and ensure compliance with regulations. The successful candidate will have an MD or DO degree, with at least 5 years of clinical experience, and will work closely with...Remote job- A blockchain-based payment company is looking for an early Product Engineer to help partners move money on-chain. You will work with design partners to build production-ready applications. Responsibilities include delivering customer applications, building fullstack solutions...
- A national healthcare organization is seeking a Medical Director to provide medical determinations and review services in accordance with national guidelines and policies. The role requires an MD or DO degree, substantial clinical experience, and strong communication skills...Remote job
$223.8k - $313.1k
A leading health insurance company seeks a Medical Director responsible for interpreting and determining service agreements with clinical standards. The ideal candidate will have an MD or DO, with at least 5 years of clinical experience and a board certification. This role...Remote job- A healthcare organization is seeking a Medical Director to utilize clinical expertise in determining medical necessity and service authorizations. The ideal candidate will possess an MD or DO degree, with over 5 years of clinical experience, ideally in inpatient settings...Remote job
- A leading health services organization in Baton Rouge seeks a Medical Director to oversee service authorization and make clinical determinations. You will collaborate with healthcare professionals, support quality management initiatives, and engage in reviews of inpatient...Remote job
$223.8k - $313.1k
A leading health services company is seeking a Medical Director to support its mission of prioritizing health. This role involves making medical determinations for service authorizations, utilizing national guidelines, and collaborating across teams. The ideal candidate...Remote job$223.8k - $313.1k
A leading healthcare organization in Atlanta, Georgia is seeking a Medical Director to ensure regulatory compliance and make medical determinations. This role requires an MD or DO degree and at least 5 years of direct clinical experience, preferably in an inpatient setting...Remote job- A healthcare organization is seeking a Medical Director to oversee clinical services and ensure compliance with national guidelines. This position requires an MD or DO degree and extensive clinical experience, ideally in an inpatient setting. Responsibilities include medical...Remote jobFull time
- A leading healthcare organization seeks a Medical Director to oversee clinical determinations and ensure compliance with national guidelines. Candidates must hold an MD or DO degree, with 5+ years in clinical patient care, ideally in an inpatient setting. Responsibilities...Remote job
$223.8k - $313.1k
A leading health services organization seeks a Medical Director in Sacramento, CA, responsible for ensuring services align with national guidelines and Humana policies. Candidates must possess an MD or DO degree, 5+ years of clinical experience, and strong communication...Remote job$223.8k - $313.1k
A healthcare organization is searching for a Medical Director to provide medical interpretations and ensure compliance with regulations. The ideal candidate will have an MD or DO degree, at least 5 years of clinical experience, and a Board Certification. This role involves...Remote job
