with our network and members is to pay claims accurately and on time while having transparent payment policies. Our Program Integrity..., not in error or duplicate, and free of fraudulent, wasteful or abusive practices. As the Pharmacy Payment Integrity Program...
Role Overview The Director of Payment Integrity Solutions is responsible for overseeing Payment Integrity edit... Strategic Leadership & Policy Development Develop and manage enterprise-wide payment integrity policies and strategy...
within Payment Integrity to define and enable strategic and operational priorities. Lead and set goals for teams responsible... & processes, promote quality, and maximize medical and administrative expense savings. Teams may include Payment Integrity...
Health’s Claims and Payment Integrity (PI) teams, and broader Core Service Operations, leading efforts to improve payment..., maintainable data pipelines, and determine our most impactful work to scale our payment accuracy program with new opportunities...
for the development, implementation and maintenance of the Medical Bill Review Quality Assurance Program. Responsible... operational consistency and integrity to claims and the medical payments processes. Serve as a technical expert with regard...
, Program Development and Operations, Provider Performance Enablement. In this role, you will work with the Director...Job Category: Business Operations Job Description: Your Role The Senior Manager, Program Development...
(i.e. performance development, career coaching, mentoring, training, resource management, budget management, etc.) Program Management... Services (GSS) is seeking an Associate Director of Cybersecurity Programs. As the Associate Director of Cybersecurity Programs...
Program Area Director - Applied Health Care Economics - Hybrid Washington DC Office Job no: 503683 Work type: Regular... of Chicago seeks a Program Area Director for our Applied Health Care Economics team. The incumbent will lead evaluation...
Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift..., manager, and/or director. Reviews and resolves accounts in work queues, including claim edits, Discharged Not Billed (DNB...
Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift... Job Description: Conducts retrospective and concurrent coding accuracy reviews as assigned by the supervisor, manager, and/or director. Reviews...
potential. Title and Summary Director, Product Development - Mastercard Developers Who is Mastercard? Mastercard... point for Mastercard partners to access a diverse range of payment, data, loyalty, and security APIs. Our team...
acceleration of promising early-stage assets and life-cycle management programs The Global Development Medical Director... personnel. The Global Development Medical Director and counterpart Global Development Scientist work collaboratively in the...
AstraZeneca is looking for a highly motivated, experienced and strategic Director, Viral Vector Process Development... as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company...
AstraZeneca is looking for a highly motivated, experienced and strategic Director, Development and Operations... reserves the right to modify base pay (as well as any other discretionary payment or compensation program) at any time...
Medical Director, Clinical Development Nephrology The Medical Director, Clinical Development Sciences Nephrology may... the clinical development strategy development and execution for 1 program, leading the clinical subteam to the GPT...
, and long-term growth. Job Description The Associate Director, Business Development will play a key role in sourcing.... Scientific and clinical literacy; ability to probe program data and development plans. Financial acumen (valuation, scenario...
Development Director for HPE to leverage your expertise in nurturing strategic relationships, while driving our mission to delight... reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time...
Wyndham Hotels & Resorts is now seeking a Director, Franchise Sales & Development - WI, MN, ND, SD, NE, KS..., this role is eligible to receive an incentive payment pursuant to the Franchised Development US Incentive Plan with a N...
Wyndham Hotels & Resorts is now seeking a Director, Franchise Sales & Development - WI, MN, ND, SD, NE, KS..., this role is eligible to receive an incentive payment pursuant to the Franchised Development US Incentive Plan with a N...
potential. Title and Summary Director, Product Development About the Team We are the team that transforms bold ideas...—this is where your leadership will make a global difference. The Opportunity As Director of Dispute Lifecycle Product Development, you will: Set...