Program Development Senior Manager, you will be responsible for identifying and researching new medical cost savings.... Our Payment Integrity Department ensures that provider claims are paid correctly by the responsible party, for eligible members...
, Program Integrity (CPC, RHIT or RHIA required) in United States. As a Senior Manager, Program Integrity, you will lead...This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Manager...
Admin/platform, Call Center/Member Services, Eligibility/Enrollment, Provider Operations/Data, Payment Integrity... tissue across Claims, Core Platform, Call Center, Support Functions, IT, and Finance-turning complex work into executive...
Program Manager/ Product Owner (PCENT01) to support requirements for a State Government Medicaid Management Information System... Department's transition from primarily a fee-for-service payer of claims towards a program and policy driver for health outcomes...
, and MCO payments Serve as the primary risk manager for RMMIS program Issue management Change management Ensure RMMIS... is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm...
from primarily a fee-for-service payer of claims towards a program and policy driver for health outcomes primarily through managed... Replacement MMIS Program are: Administrative Services Organization (ASO) for medical claims processing Pharmacy Benefits...