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.
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
OptumInsightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and innovative technology empower
Anticipated End Date:2026-09-11 Position Title:Business Change Advisor - Carelon Payment Integrity Job Description: Business Change Advisor - Carelon Payment Integrity Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing
Anticipated End Date:2026-09-18 Position Title:Provider Auditor Senior - Payment Integrity Complex and Clinical Audit Job Description: Provider Auditor Senior – Payment Integrity Complex and Clinical Audit Location: This role requires associates to be in-office 1 - 2 days per week,