You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Hi, were Oscar. Were hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
Overview BerryDunn is seeking an experienced Senior Consultant with subject matter expertise in Medicaid payment integrity to support Hawaiʻi Med-QUESTs (MQD) Fraud, Waste, and Abuse (FWA), program integrity, audit, third party liability (TPL), payment integrity, and claims review initiatives. You will
Overview If you’re passionate about medical coding accuracy, payment integrity, and making a meaningful impact on healthcare affordability and quality, this is your opportunity to make a difference for our members and providers. Come Find your Spark at
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive
Position Summary: MedReview is looking for a Outpatient Payment Integrity Production Coder. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments. This role supports
The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Reviews, analyzes, and completes internal
Hi, were Oscar. Were hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
Hi, were Oscar. Were hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members.
The Project Manager – Payment Integrity Quality Operations is a hands-on individual contributor role responsible for driving quality workflow improvements, business testing, reporting support, new client workflow setup, and implementation activities. This role partners with quality leaders, audit
JOB DESCRIPTION Job Summary Leads and manages team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques that achieve optimal payment integrity operational standards and production targets. Essential Job Duties •
The Senior Lead of Carrier Engagement is responsible for the end‑to‑end performance, satisfaction, and operational excellence of the company’s carrier network. This role develops, manages, and strengthens strategic carrier relationships while ensuring accuracy, compliance, service quality,
For those who want to invent the future of health care, heres your opportunity. Were going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing
Become a part of our caring community Ready for a great career move? The Code Edit Management Organization has a new Payment Integrity Professional 2 opening available. The Payment Integrity Professional 2 utilizes vendor platforms, claims processing platforms, and data
Anticipated End Date:2026-09-11 Position Title:Clinical Provider Auditor II - Payment Integrity SIU Job Description: Clinical Provider Auditor II – Payment Integrity SIU Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing
About Us Abacus Insights is transforming how data works for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence. We help