61 payment integrity manager jobs found

Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than 1,300 higher education institutions, 11,500 K-12 schools, 3,500 churches, and millions of individual students, families, and supporters across the globe. Our culture of service enables us to form long-lasting and trusted partnerships, while our focus on creativity and innovative solutions empowers our customer communities to thrive. As a Nelnet company, the perks at NBS go beyond our benefits package. You're part of a community, invested in you as an individual and united by our mission to create opportunities for people where they live, learn and work. Responsible for the retention, growth and overall account service strategy for a designated group of Higher Education institutions across several states in the territory. These accounts utilize one or more of the following...

Northern Light Eastern Maine Medical Center Department: Primary Care - Brewer Position is located: Northern Light Health Center Brewer Work Type: Full Time Hours Per Week: 40.00 Work Schedule: Variable Summary: The Patient Service Representative III is a supporting position and is responsible for a variety of activities related to patient in-take and care. The Patient Service Representative III will also support the Patient Service Representatives I and II as required and may be the first point of contact for patients entering the practice. It involves all of the responsibilities of the PSR II but with a higher level of competency and experience. Activities may include but are not limited to greeting and checking in patients, verifying and updating insurance information and confirming other patient information, scheduling patient appointments, answering phones, updating demographic information, processing referrals, payment collection and posting, charge entry,...

Work Location: New York, New York, United States of America Hours: 40 Pay Details: $140,000 - $231,000 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs. As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. Line of Business: Legal Job Description: Team Overview: TD's Digital Banking and Innovation Legal Team is seeking a...

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Northern Light Eastern Maine Medical Center Department: Primary Care - Hampden Position is located: Hampden Family Medicine Work Type: Full Time Hours Per Week: 40.00 Work Schedule: Variable Summary : The Patient Service Representative I is a supporting position and is responsible for a variety of activities related to patient in-take and care. The Patient Services Representative I is generally the first point of contact for patients entering the practice. Activities may include but are not limited to greeting and checking in patients, verifying and updating insurance information and confirming other patient information, scheduling patient appointments, answering phones, updating demographic information, processing referrals, payment collection and posting, charge reconciliation, chart preparation and other duties as assigned. Responsibilities : Communicates effectively Demonstrates effective and courteous customer, physician/practice staff...

Summary The candidate serves as the Division's Transportation Finance Manager and key advisor to the Division Administrator. The purpose of this position is to strengthen FHWA's stewardship, ensure accountability of Federal funds and achieve organization excellence in delivering the Federal-aid highway and transportation program. The Finance Manager is responsible for monitoring and validating the proper use of Federal-aid highway funds across programs (formula, discretionary, specialized/earmarked). Learn more about this agency Duties Help This position performs duties in the areas of financial management, management analyses, procurement and contract administration. The Finance Manager exercises leadership, provides financial management direction of the Federal-aid highway program, and authorizes Federal reimbursement of applicable transportation projects. As a Transporation Finance Manager, you will : Represent the Division Administrator and have delegated...

Senior Manager - Biologics Drug Product Development (Formulation & Filling) To support our rapidly expanding biologics portfolio of assets, we are seeking a highly skilled technical leader to join our Biologics Drug Product Development team with a primary focus on formulation development and aseptic filling process development for clinical and commercial programs. In addition to hands-on experience, the ideal candidate will have experience partnering with and providing scientific guidance to external contract research, development and manufacturing organizations. This role will lead formulation design and characterization for parenteral biologics (e.g., mAbs, recombinant proteins, novel biologics modalities) and develop/scale automated filling processes across vials and prefilled syringes. Experience with lyophilization is optional but will strengthen the applicant's candidacy. The ideal candidate combines deep understanding of protein/excipient interactions and...

Become a part of our caring community Healthcare Quality Reporting & Improvement (HQRI) delivers integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. Additionally, HQRI leads cross-enterprise EMR interoperability efforts. HQRI Technology & Analytics (HTA) has recently launched a new organization dedicated to technical solutions that help support and connect across these member and provider focused efforts. HTA's new Member & Provider Analytics organization (MPA) is developing a new model of delivery by incorporating principles of Large-Scale Scrum, dedicated Partnership Leaders, and collective Product Ownership. MPA operates with a spirit of shared success whereby our ability to help business partners maximize the effectiveness and accuracy of their programs yields better member care, health outcomes, provider partnerships and the financing of benefits for Medicare Advantage...

Northern Light Eastern Maine Medical Center Bangor, ME Department: Cardiology Research Position is located: Northern Light Cardiology Work Type: Full Time Hours Per Week: 36.00 Work Schedule: 7:00 AM to 4:30 PM ***Sign On Bonus Available*** Summary : Through Northern Light Cardiology Research, cutting edge cardiac medical and device therapies are available to the people of our region. The NL Cardiology Research team is dedicated to providing patients with expert services to ensure that all research activity is ethical, safe, and patient-focused, and done in accordance with the Code of Federal Regulations. At Northern Light Health and NL Cardiology, the Clinical Research Nurse will have the opportunity to work with investigators, IRBs and the medical community to implement, execute and maintain clinical studies based upon specific protocols. Responsibilities : Maintains positive working relationships with all members of the healthcare...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Territory Sales Manager - Specialty. As our Territory Sales Manager - Specialty, you will have a unique opportunity to be the face of Sumitomo Pharma America (SMPA) to our customers. We reinforce a performance-based environment of ownership and accountability for our sales professionals by...

PagerDuty (NYSE:PD) is a leader in Digital Operations Management. In an always-on world, organizations of all sizes trust PagerDuty to help them deliver a perfect digital experience to their customers, every time. Teams use PagerDuty to identify issues and opportunities in real time and bring together the right people to fix problems faster and prevent them in the future. Over 13,000 organizations (including 60 of Fortune 100) rely on PagerDuty to succeed with Digital Transformation, Cloud Migration, and DevOps Modernization. Notable customers include GE, Cisco, Genentech, Electronic Arts, Cox Automotive, Netflix, Shopify, Zoom, DoorDash, Lululemon and more. We are expanding rapidly as a platform for Digital Operations Management using AI/ML and Automation and growing our adoption by Development, IT, Customer Service, Security, and other teams across the organization. PagerDuty is seeking a strategic, data-driven, and revenue-focused Senior Manager, Marketing Operations &...

Northern Light Eastern Maine Medical Center Department: Pharmacy - Residency Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 40.00 Work Schedule: 7:00 AM to 3:30 PM Summary: Performs technical support functions in the Pharmacy Department under the direct supervision of a Registered Pharmacist. Fills Pyxis machines on a daily basis. Fills new orders and medications not in Pyxis and delivers them to the nursing units in a timely manner. Assists with the preparation of Methadone doses for NTP clients. Maintains the medication inventory. Has knowledge of Maine Board of Pharmacy Law regarding technicians. Requires frequent trips from the Pharmacy to the nursing units. Perform any duties and/or responsibilities assigned by Manager or Supervisor for which qualified. Responsibilities: Demonstrates Competency in the Following Areas: Drugs for Pyxis are pulled accurately using the Pyxis refill sheets with...

Northern Light Eastern Maine Medical Center Department: Peds Multi-Spec Clinic-Webber Position is located: Northern Light Eastern Maine Medical Center Work Type: PRN Hours Per Week: Variable Hours Work Schedule: Variable Summary: Performs echocardiographic procedures to assist in the diagnosis of congenital heart disease according to established standards. Has the ability to recognize normal and abnormal characteristics of rare and complex congenital and acquired cardiovascular abnormalities including catheter and surgical interventions in a variety of settings. Understands and integrates into the delivery of patient care the needs of neonatal, pediatric, adolescent and adult congenital patients in regards to their growth and development process. The position actively supports the hospital's and department's continuous quality improvement and customer service goals, individually and as an effective team member. Responsibilities: Performs echocardiographic...

Northern Light Eastern Maine Medical Center Bangor, ME Department: Endoscopy or Procedure Room Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 36.00 Work Schedule: 6:00 AM to 6:30 PM ***Sign On Bonus Available*** Summary : This position is eligible for the EMMC Professional Advancement Commitment to Excellence (PACE) career ladder. The Staff Nurse is a Registered Nurse who is a beginning professional caregiver, entering into practice and establishing a professional identity. The incumbent is responsible for the practice of nursing according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies, and procedures. The Staff Nurse is responsible for the delivery of patient care to assigned patients, and for the supervision of other qualified staff to whom the Staff Nurse has delegated patient care in the exercise of...

Northern Light Eastern Maine Medical Center Department: Medical Surgical Unit- KPO3 Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 12.00 Work Schedule: 6:30 AM to 7:00 PM Summary: Provides direct and in-direct patient care under direction of nursing staff. Performs duties such as feed, bathe, dress, groom, or move patients, or change linens. May transfer or transport patients. Responsibilities: Communicates and interacts with patients and families, physicians, peers and other health care members to maximize successful customer outcomes and maximize function of the unit. Precepts team members to job function Orients patient to hospital environment and routine. Documents all aspects of patient care in a timely manner. Participates in unit quality improvement initiatives. Communicates appropriate information and patient needs to oncoming staff at change of shift and to RN in a...

Northern Light Mayo Hospital Department: Operating Room Position is located: Mayo Hospital, Dover-Foxcroft, ME Work Type: Full Time Hours Per Week: 36 Hour/Week Work Schedule: 7:00 AM to 4:30 PM Eligible for a Sign on Bonus Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible for the practice of nursing according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to assigned patients on a Nursing Unit, and for the supervision of other qualified staff to whom the Registered Nurse II has delegated patient care in the exercise of his/her independent judgment. The nurse plans and evaluates the nursing care for patients and families and exercises independent judgment in implementing the care him/herself or assigning the care to other qualified...

Northern Light Home Care and Hospice Department: Home Health - South Portland Position is located: Northern Light Home Care & Hospice So Portland Work Type: PRN Summary : The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible for the practice of nursing according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care to assigned patients, and for the supervision of other qualified staff to whom the Registered Nurse II has delegated patient care in the exercise of his/her independent judgment. The nurse plans and evaluates the nursing care for patients and families and exercises independent judgment in implementing the care him/herself or assigning the care to other qualified staff. The nurse addresses physical, spiritual, emotional and...

Software Developer Req number: R7606 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary We are looking for a motivated Software Engineer - Interoperability ready to take us to the next level! If you have SmileCDR, HL7 FHIR, Python/PySpark, and Informatica Big Data Management (BDM) expertise and are looking for your next career move, apply now. Job Description We are seeking a highly skilled Software Engineer -...

Software Developer Req number: R7606 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary We are looking for a motivated Software Engineer - Interoperability ready to take us to the next level! If you have SmileCDR, HL7 FHIR, Python/PySpark, and Informatica Big Data Management (BDM) expertise and are looking for your next career move, apply now. Job Description We are seeking a highly skilled Software Engineer -...

Northern Light Eastern Maine Medical Center Department: Medical Surgical Unit - G5 Position is located: Northern Light Eastern Maine Medical Center Work Type: PRN Hours Per Week: 36.00 Work Schedule: 7:00 PM to 7:30 AM Summary : Northern Light Eastern Maine Medical Center is pleased to be able to offer an opportunity for direct contracting for nurses to come and experience what it is like to be part of the Northern Light Eastern Maine Medical Center team and mission. We are opening to applications from interested nurses who would like to work directly for the organization in a traveler like role. These nurses will become part of our team as temporary per diem employees for a period of 132 weeks. Nurses will be scheduled as needed in the departments in consultation with the managers of the area and may be assigned to other areas based on business needs. Positions are available on both nights and days. At the end of the 12 weeks, we welcome you to...

Northern Light Eastern Maine Medical Center Department: General Surgery Clinic Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 40.00 Work Schedule: 7:00 AM to 5:00 PM Summary : Responsible for planning and managing the human, material, equipment and fiscal resources for areas of responsibility and accountable for developing action plans to contribute to the organization's ability to carry out its mission and accomplish annual pillar goals. Provides direction and leadership for clerical support staff. In conjunction with the lead physician, coordinates and evaluates clinical support staff. Forwards all nursing performance evaluations to the Director Physician Practices Clinical Services for review and sign off. Responsibilities : Responsible for safety: Ensures that the department environment is free from recognized hazards that create a risk of injury to healthcare workers, patients...

Northern Light Health Department: Pharmacy - Mercy Position is located: Mercy Fore River Work Type: Full Time Hours Per Week: 36.00 Work Schedule: No Hours Assigned Summary : Assist pharmacists in medication preparation and distribution while ensuring a high degree of quality and accuracy during daily tasks. Pharmacy Technicians coordinate with co-workers and other staff members, including RNs, CNAs, Pharmacists, etc. to ensure correct and timely filling and distribution of patient medication orders. Pharmacy Technicians are responsible for preparing and manufacturing medications, as prescribed following established protocols and procedures. Technicians also participate in the creation and management of medication histories in the electronic health records. Responsibilities : Provides excellent customer service and answers the phone in a timely manner (within 3 rings) Requires supervision by pharmacist and relies on Pharmacy...

Job Description Why Join Us? Oracle's Global Lease Administration team is a collaborative, forward-thinking group of professionals committed to driving efficiency, compliance, and innovation in lease administration. You will play a key role in ensuring accurate financial reporting and optimizing Oracle's lease portfolio worldwide. About the Role Oracle's Global Lease Administration team, part of the Global Controller Organization, is seeking an experienced and detail-oriented Lease Administrator - Data Centers (IC3) to manage a portfolio of data center leases and subleases and to support accurate lease data, billing/payment processing, compliance, and reporting. This position supports compliance with ASC 842 and IFRS 16 and contributes to efficiency and accuracy across Oracle's global data center lease portfolio. In this role, you will independently manage an assigned lease portfolio end-to-end, including maintaining lease records and supporting documentation in...

Northern Light Eastern Maine Medical Center Bangor, ME Department: Cardiology Clinic Position is located: Northern Light Cardiology Work Type: PRN Hours Per Week: 12.00 Work Schedule: Variable Summary : Hybrid Triage Nurses are expected to work both in the office as well as remote work as directed by leadership. In-office duties may include but are not limited to taking incoming triage calls, make outgoing patient monitoring calls directed by providers, monitoring providers Cerner message centers, including reviewing results and forwarding urgent results and messages to covering providers, emergent nursing assessments on symptomatic patients in clinic, EKG review for medication surveillance, emergent medication administration including IV placement, and occasional monitoring patients waiting for transport to NL EMMC via ambulance. Nurses are not routinely expected to provide in-person patient care, however, are expected to maintain competency...