Jobs in the United States

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Added 8 mins ago
EE
Supervisor, Capping Analyst
EFCOR Element Fleet Corporation
United States
- $75,500 to $103,840 USD / year
Accurate vehicle capitalization and activation help keep essential fleet and financial processes moving. As Supervisor, Capping Analyst, you will oversee the daily work of five Capping…
Added 15 mins ago
Licensed Practical Nurse (LPN) - Kennestone Pediatrics Marietta
Wellstar Medical Group, LLC
United States
…direction of the Physician, Nurse Supervisor and/or Practice/Office Manager. Recognizes patient's needs and symptoms in advance. Provides care for the patient under the physician's…
Added 22 mins ago
Pharmacy Executive IV - Children’s Hospital Association (CHA)
Vizient
Tulsa, OK · Tulsa
In this role, you will serve as a senior pharmacy advocate and strategic advisor within Vizient’s national pharmacy program, supporting Children’s Hospital Association (CHA) clients. You…
Added 23 mins ago
TH
General Manager - Chips N Ales - Riverwind Casino
Traditions Hospitality Group
Norman, OK
- $60,000 to $70,000 USD / year
As the General Manager at Traditions Hospitality Group, you'll play a pivotal role in overseeing all aspects of our establishment's operations. From ensuring exceptional guest experiences…
Added 23 mins ago
TH
General Manager - Aces - Chisolm Trail Casino
Traditions Hospitality Group
Duncan, OK
- $50,000 to $60,000 USD / year
As the General Manager at Traditions Hospitality Group, you'll play a pivotal role in overseeing all aspects of our establishment's operations. From ensuring exceptional guest experiences…
Added 23 mins ago
TH
Assistant Manager - Springs - The Artesian Casino
Traditions Hospitality Group
Sulphur, OK
- $48,000 to $57,000 USD / year
Must have a minimum of 2 years of experience in a hospitality-related role
Added 23 mins ago
ACCOUNTING MANAGER - 82810
State of Tennessee
TN
The Accounting Manager will provide financial management support to the Assistant Commissioner of Finance and assist in ensuring the accurate, timely, and compliant administration of TEMA's…
Added 28 mins ago
CH
Pharmacy Technician
CVS Health
El Centro, CA
- $18.55 USD / hour
Once in role, Technicians are required to complete a rigorous company training program and satisfy all registration, licensing, and certification requirements according to their State’s…
Added 30 mins ago
OO
Program Manager (Home Finding)
Office of Shared Administration (WV)
WV
- $27.66 to $46.09 USD / hour
Applicants must possess a valid WV driver’s license and reliable transportation
Added 39 mins ago
Head of HR
Jobgether
Remote, United States
Establish a practical, risk-based compliance program in partnership with Operations, oversee mandatory training and documentation, and manage relationships with external legal counsel.
Added 42 mins ago
Pharmacy Reimbursement Specialist
Vanderbilt University Medical Center
Nashville, TN
Provides written monthly update on activities and financial impact of program to enhance reimbursement.
Added 43 mins ago
RA
Territory Manager - Munhall, PA
Reynolds American
United States
- $68,700 USD / year
Reynolds American has an exciting opportunity for a Territory Manager within our Marketing Function in Munhall, PA.
Added 48 mins ago
Administrative Technician - Park Ranger Unit
COVB City of Virginia Beach
United States
The Administrative Technician will assist the Park Ranger Manager with the formation and implementation of the Park Ranger Unit from the ground up, establishing the operational foundation,…
Added 49 mins ago
A
Part Sales Manager – Full Time
AutoZone
Williamstown, NJ
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 49 mins ago
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Part Sales Manager – Full Time
AutoZone
Winston Salem, NC
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 50 mins ago
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Part Sales Manager – Full Time
AutoZone
Atlanta, GA · Decatur, GA
- Full-time
…executing store operations with excellence. Under the Store Manager’s guidance, MITs lead by example, demonstrating initiative and strong leadership. Through operational oversight and team…
Added 50 mins ago
Commercial Sales Manager
AutoZone
Laconia, NH
As the Commercial Sales Manager at AutoZone, you'll be the driving force behind our business to business (B2B) growth strategy, championing customer relationships and leading a…
Added 58 mins ago
Sr. PM
Hays
VA
We are seeking an experienced Project Manager to partner with technology leaders in organizing, governing, and advancing highly visible ServiceNow initiatives. This role will provide…
Added 1 hour ago
HR
Manager of Project Management and Operational Excellence
Health Research Inc.
United States
- $117,252 to $142,646 USD / year
The Manager will lead complex projects across GEM, establish scalable project and operational processes, develop dashboards and key performance indicators, and improve visibility into…
Added 1 hour ago
Events Coordinator IV (Coordinator, Summer Operations)
ULSA University of Louisville
United States
Assists Manager to develop marketing initiatives and install program improvements to meet annual 20% revenue growth objective for next five years
Added 1 hour ago
Tax Manager | Real Estate
Jobgether
Remote, United States
The Tax Manager will play a key role in supporting a growing Real Estate tax practice, advising a diverse portfolio of clients ranging from real estate investment trusts and private real…
Added 1 hour ago
J
Senior Program Manager
Jobgether
Remote, United States
- $80,000 to $100,000 USD / year
As Senior Program Manager, you will oversee strategic and complex projects from initiation to completion, ensuring alignment across teams, client expectations, financial objectives, and…
Added 1 hour ago
J
Senior Bid & Pursuit Manager - IT Services / Cloud
Jobgether
Remote, United States
- $35 to $50 USD / hour
The Senior Bid & Pursuit Manager will lead complex sales opportunities from initial qualification through proposal development and contract signature. This role combines commercial…
Added 1 hour ago
DM
MEP Construction Manager / Site Superintendent - CONTRACT
DAVENPORT MANAGEMENT AND CONSULTING
West Long Branch, NJ
- $105,000 to $150,000 USD / year
Must have the ability to communicate technical material to a non-technical audience
Added 1 hour ago
WV
Transportation DMV Regional Office Assistant Manager - Mineral Co.
West Virginia
Keyser, WV
- $22.26 USD / hour
Permanent, full-time employees of the State of West Virginia, receive a wide variety of financial and personal job benefits. Specific information about benefits is available from the hiring…

Closed listing

Senior Manager, Payment Integrity COE

Remote, United States

$75,400.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: $75,400.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
Closing date: Nov 11, 2026
Experience: 7-10 years of progressive experience in program, project management, process improvement, audit, provider reimbursement, analytics.
Posting language: English
Posted: Nov 3, 2026

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Original job description

Archived listing. The details below describe a past opening.

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary The Senior Manager, Payment Integrity COE Rework & Escalations provides centralized program leadership for the intake, tracking, coordination, reporting, and resolution of rework and escalations across the Payment Integrity Center of Excellence. The role establishes a reliable operating rhythm, creates end-to-end visibility to status and risk, and ensures that owners, dependencies, decisions, and due dates are clearly documented and actively managed. This leader works across Payment Integrity, Claims, Clinical, Network, Product, Technology, Compliance, Legal, Finance, Operations, SIU, vendors, and other enterprise partners to move complex issues from intake through closure. The role converts fragmented updates into concise, decision-ready reporting, identifies recurring drivers and control gaps, and supports leaders in prioritizing corrective actions that reduce avoidable rework and improve operational stability.

Primary Responsibilities:

Rework & Escalation Portfolio Management Own the centralized portfolio of Payment Integrity rework items and escalations, including intake, categorization, prioritization, status management, aging, dependencies, risks, decisions, and closure evidence. Maintain a consistent source of truth for active work, ensuring each item has a defined business owner, accountable action owner, target date, current status, next step, and escalation path. Coordinate multiple concurrent workstreams and follow up on commitments to sustain momentum, remove barriers, and prevent unresolved items from becoming operational risks. Establish criteria and working norms for intake, triage, prioritization, handoffs, escalation, closure, and post-implementation monitoring. Cross-Functional Coordination & Issue Resolution Lead structured working sessions with business and technical partners to clarify the issue, scope, impact, root cause, interim controls, corrective actions, and decision needs. Connect the appropriate stakeholders across functional boundaries and coordinate activities when resolution requires multiple teams, vendors, systems, or processes. Identify stalled work, conflicting priorities, unclear ownership, resource constraints, and unresolved dependencies; elevate decision points with clear options and recommendations. Support sensitive or high-impact escalations with disciplined documentation, neutral facilitation, and timely communication. Reporting, Metrics & Executive Visibility Develop and maintain recurring dashboards, scorecards, portfolio summaries, aging reports, risk views, and leadership updates for rework and escalation activity. Define meaningful measures for intake volume, backlog, aging, cycle time, on-time actions, closure rate, recurrence, financial or operational impact, and other agreed performance indicators. Synthesize detailed updates into concise, decision-ready reporting that highlights progress, emerging trends, exceptions, risks, required decisions, and accountable owners. Ensure reporting definitions, data sources, status criteria, and calculation methods are documented and applied consistently. Root Cause, Corrective Action & Rework Reduction Partner with operational owners and subject matter experts to document root causes, contributing factors, failure points, and control gaps using practical process-improvement methods. Track corrective and preventive actions through implementation, validation, and sustained closure rather than administrative completion alone. Analyze patterns across rework and escalation activity to identify repeat drivers, systemic issues, high-friction handoffs, and opportunities for standardization or automation. Translate lessons learned into process, training, control, communication, governance, or technology recommendations. Governance & Operating Rhythm Design and facilitate a tiered governance cadence for working teams, functional leaders, and executive stakeholders, with clear agendas, pre-reads, decisions, actions, and follow-up. Maintain decision logs, action registers, risk and issue logs, milestone plans, and escalation records with appropriate version control and auditability. Develop standard templates, definitions, workflows, and job aids that improve consistency across the PI COE rework and escalation lifecycle. Promote accountability through transparent reporting, timely follow-up, defined service expectations, and fact-based escalation.

Stakeholder Communication & Change Enablement Build trusted partnerships with leaders, process owners, analysts, project teams, and external partners involved in rework prevention and escalation resolution. Prepare executive summaries, briefing materials, talking points, and recommendations tailored to the audience and decision required. Coordinate communication and readiness activities for process changes resulting from corrective actions, including stakeholder alignment, documentation, training, and transition support. Encourage a collaborative, no-blame approach that focuses on facts, accountability, sustainable fixes, and measurable outcomes. Team Leadership & Capability Building Lead, coach, and develop assigned employees or contractors supporting portfolio tracking, analysis, reporting, or coordination. Set clear expectations, prioritize work, review deliverables, and build repeatable capabilities that improve quality, responsiveness, and stakeholder experience. Create an inclusive environment that values transparency, disciplined execution, continuous improvement, and professional growth. Key Deliverables Centralized rework and escalation tracker with clear ownership, milestones, aging, risk, impact, and closure evidence. Recurring operational and executive-level portfolio reporting, including trends, exceptions, decisions, and recommended actions. Governance calendar and meeting artifacts, including agendas, pre-reads, action logs, decision logs, and follow-up summaries. Root-cause and corrective-action documentation for priority items, with validation of implemented solutions. Standard intake, triage, prioritization, escalation, reporting, and closure practices for the PI COE. Leadership-ready summaries of portfolio health, resource or dependency constraints, and opportunities to reduce recurring rework.

Required Qualifications 7-10 years of progressive experience in program, project management, process improvement, audit, provider reimbursement, analytics. Demonstrated experience coordinating complex, cross-functional initiatives with multiple owners, dependencies, and competing priorities. Strong ability to build and maintain trackers, action plans, dashboards, scorecards, executive summaries, and governance materials. Experience using data to identify trends, explain portfolio health, surface risk, and support prioritization and decision making. Excellent written, verbal, facilitation, organization, and presentation skills. Ability to establish structure in ambiguous situations, work independently, follow through on commitments, and appropriately escalate barriers. Proven ability to influence without direct authority and build productive relationships in a matrixed organization. Working knowledge of healthcare claims, payment integrity, reimbursement, audit, recovery, or related operational processes.

Preferred Qualifications Experience with Commercial, Medicare, Medicaid, Marketplace, or other healthcare payment models. Experience leading rework reduction, escalation management, root-cause analysis, corrective-action, operational governance, or continuous-improvement programs. Advanced proficiency with Microsoft Excel, PowerPoint, Word, Teams, and SharePoint; experience with Power BI, Visio, Planner, or comparable workflow and reporting tools. Experience coordinating vendor-related issues, service-level performance, implementation risks, or cross-enterprise handoffs. Knowledge of Lean, Six Sigma, SIPOC, RACI, ADKAR, Agile, or other structured process, change, and project-management practices. Professional certification such as CPC, CCS, CPMA, CFE, AHFI, PMP, Lean Six Sigma, or a related credential.

Education Bachelor's degree or equivalent combination of education and relevant experience.

Pay Range

The typical pay range for this role is:

$75,400.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/11/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

About employer

More about this job

Skills

Leadership
Reporting
Regulatory compliance
Prioritization
Documentation
Communication skills
Process improvement
Team leadership
Project management
Decision making
Presentation skills
Work independently
Root cause analysis
Microsoft Excel
Microsoft PowerPoint
Microsoft Word
Microsoft Teams
Microsoft SharePoint
Microsoft Power BI
Microsoft Visio
Workflow
Lean manufacturing
Agile
PMP

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Jobs in the United States