beBeePaymentIntegrity Jobs in United States

Health Plan Payment Integrity Professional · Job Description: · Provides subject matter expertise for oversight, production, and resolution of health plan payment integrity concepts. · Executes and monitors scoreable action items (SAIs) to ensure performance levels exist in PI Bu ...

Health Plan Payment Integrity Specialist · This role plays a pivotal part in ensuring top-notch performance and quality standards within PI Business products and processes. · In charge of inventory management, collaborating closely with the PI team to achieve SAI objectives. · ...

Health Plan Payment Integrity Specialist · Overview: · We are seeking a skilled Health Plan Payment Integrity Specialist to join our team. As a key member of our organization, you will play a crucial role in ensuring the accuracy and integrity of health plan payments. · Responsib ...

Health Plan Payment Integrity Specialist · The ideal candidate will provide subject matter expertise for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. This includes executing and monitoring health plan scoreable action items (SAIs) ...

Job Overview · We are seeking a skilled Chief Medical Officer (CMO) to serve as a physician executive and clinical leader, driving trusted client relationships and guiding payment integrity policy. · ...

This role requires the ability to identify and evaluate opportunities for cost containment through detailed analysis of claims, medical spend, and utilization trends. · Design and implement comprehensive PI programs ensuring alignment with organizational goals and compliance stan ...

We are seeking a Strategic Director to oversee the development and implementation of effective payment integrity strategies. · The successful candidate will possess exceptional executive presence, leadership skills and the ability to drive strategic initiatives effectively. · Req ...

Health Plan Payment Integrity Specialist · The goal of this role is to ensure the accuracy and integrity of health plan payments. This involves providing subject matter expertise for oversight, production, and resolution of recovery concepts. · This includes executing and monitor ...

Chief Medical Officer Job Description · The Company is in search of a Chief Medical Officer (CMO) to serve as a physician executive and clinical leader, focusing on driving trusted client relationships, guiding payment integrity policy, and representing the clinical voice in prod ...

Duties of Health Plan Payment Integrity Professional · The position requires expertise in maintaining high-quality levels across various aspects including data integrity, analytics, process enhancements and customer satisfaction. · Strategically manage business inventories while ...

Payment Integrity Specialist Job Overview · This role is responsible for managing scorable action items, overseeing project execution, data analysis interpretation claims trends process gaps assessments provider reimbursement models identification development validation recomm ...

Product Manager Job Description · Your Role: · The Product Management team is responsible for defining and bringing technology products to market, enabling customers to improve cost, quality, experience and growth. The Product Manager - Payment Integrity will report directly to t ...

Product Leadership Role · The Product Management function is responsible for defining and bringing technology products to market, aiming to enhance customer experience, quality, growth, and cost-effectiveness. · ...

**Product Manager - Payment Integrity** · About the Role: · The Product Management team defines technology products and brings them to market, helping health plan customers improve cost, quality, experience, and growth. · ...

Responsible for ensuring the accuracy and compliance of payment integrity reviews, working closely with coding professionals across departments. · The ideal candidate will have in-depth experience in auditing medical claims, be knowledgeable about Microsoft Office programs includ ...

Director of Payment Integrity Solutions · A leading healthcare company is seeking a Director to oversee the product vision and roadmap for payment integrity solutions. The ideal candidate will have strong product management experience in healthcare, with a proven ability to trans ...

Health Plan Payment Integrity Specialist · As a Health Plan Payment Integrity Specialist, you will play a vital role in ensuring the accuracy and integrity of health plan payments. Your expertise will be essential in overseeing production and resolution of health plan payment int ...

Health Plan Payment Integrity Expert · Main Responsibilities: · , ...

About This Role · Our organization's Payment Integrity team is responsible for ensuring the accuracy of healthcare claims in both pre-payment and post-payment scenarios. · Critical evaluation of coding rules to validate payment integrityAnalysis of correct party membership eligib ...

Senior Business Intelligence Analyst · The primary function of our Healthcare Claims Payments Group is to ensure timely and accurate payment processing for all client claims, thereby upholding the highest standards of fiscal responsibility and safeguarding business integrity. · W ...