2 ltc claims operations manager jobs found

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

The future you want is within reach. Let’s build it together. At PCL Civil Constructors, Inc., part of the PCL Family of Companies (PCL), we don’t just build projects—we build opportunities, careers and communities. We are 100% employee-owned, every employee has a stake in our success, and that shared commitment drives how we work, grow and lead in the construction industry. We’re a team of builders who care deeply about what we create and who we build it with. That includes you. We are not only investing in what’s next in construction, we are investing in what’s next for your career. As a Project Engineer Civil Bridge Structures & Transportation for PCL Civil Constructors, Inc. in Covington, Kentucky, you’ll have the opportunity to you’ll have the opportunity to complex transportation projects that enhance connectivity and improve community infrastructure. Responsible for supporting the design and construction of bridge structures within transportation projects. Why...