Jobs in the United States

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Added just now
CH
Birth Certificate Clerk PT - Methodist
Carle Health
Peoria, IL
- $16.59 to $26.88 USD / hour
Is timely in collecting and reporting statistical data for review by the Nurse Manager or Director.
Added just now
CH
Healthcare Planner
Carle Health
Urbana, IL
- $33.13 to $56.98 USD / hour
…parallel with multiple healthcare departments and operational support teams. This position reports directly to the Design Manager and works with organizational leaders to successfully scope…
Added just now
Preservation Planning and Documentation Project Assistant
The Regents of the University of California on behalf of their Los Angeles Campus
Los Angeles, CA
Under the direction of the MEAP Program Manager, the Preservation Planning and Documentation Project Assistant will support the planning and documentation of MEAP's digital file management…
Added 1 min ago
Patient Clinical Specialist II
RadNet
Rancho Mirage, CA
Support technologists with procedures as needed, including setting up coils, scheduling maintenance, and/or cleaning the MRI suite, and other duties as assigned.
Added 2 mins ago
Emerging Store Manager
Walgreens
BATON ROUGE, LA
Collaborates with external partners to drive the future of their Walgreen store. Identifies ways to support external partnerships and services as a resource for Pharmacy Operations Manager…
Added 5 mins ago
AVP Banking Center Manager (Branch Manager)
Bank OZK
Lake Park, GA
…providing our dedicated team members with the best resources to support their physical, mental and financial wellbeing, including generous PTO, 401(k) matching, health, dental, vision (and…
Added 8 mins ago
CC
Vehicle Operations Check-In Specialist I (Manheim)
CAI Cox Automotive Corp Svcs., LLC
Kent, WA
- $18.17 to $27.21 USD / hour
…include commission (annual, monthly, etc.) and/or an incentive…
Added 11 mins ago
MS
Retail- Full Time Sales Manager
Michaels Stores, Inc.
United States
- Full-time
Michaels offers a range of benefits to support team members and their families. Depending on position and eligibility, team members may have access to a 401(k) with employer match, an…
Added 11 mins ago
PF
Senior, Client Service Manager
Principal Financial Group
UNAVAILABLE
- $84,600 to $187,200 USD / year
As a Senior, Client Service Manager, you will manage day-to-day client relationships within our Large Market business and manage an assigned portfolio to ensure accuracy and timely service.…
Added 11 mins ago
PF
Claim Manager
Principal Financial Group
Des Moines, IA
- $84,600 to $152,400 USD / year
The Claim Manager is responsible for leading day-to-day operational performance within assigned claims teams. Ensures consistent interpretation and application of policy language, drives…
Added 12 mins ago
Service Technician
Royal Cup, Inc.
Sacramento, CA
The Service Technician reports to the Service Manager, and is responsible for the installation, repair, and maintenance of various commercial coffee and beverage equipment. This role plays…
Added 12 mins ago
Service Technician
Royal Cup, Inc.
Portland, OR
The Service Technician reports to the Service Manager, and is responsible for the installation, repair, and maintenance of various commercial coffee and beverage equipment. This role plays…
Added 12 mins ago
Service Technician
Royal Cup, Inc.
New Orleans, LA
The Service Technician reports to the Service Manager, and is responsible for the installation, repair, and maintenance of various commercial coffee and beverage equipment. This role plays…
Added 12 mins ago
Service Technician
Royal Cup, Inc.
Kansas City, MO
The Service Technician reports to the Service Manager, and is responsible for the installation, repair, and maintenance of various commercial coffee and beverage equipment. This role plays…
Added 12 mins ago
Service Technician
Royal Cup, Inc.
Houston, TX
The Service Technician reports to the Service Manager, and is responsible for the installation, repair, and maintenance of various commercial coffee and beverage equipment. This role plays…
Added 12 mins ago
Customer Project Manager
Royal Cup, Inc.
Birmingham, AL
The Customer Projects Manager reports to the Director, Field Service Operations. The role carries two areas of ownership. First, it leads the planning and execution of special…
Added 12 mins ago
Service Technician
Royal Cup, Inc.
Austin, TX
The Service Technician reports to the Service Manager, and is responsible for the installation, repair, and maintenance of various commercial coffee and beverage equipment. This role plays…
Added 12 mins ago
Regional Account Manager
Royal Cup, Inc.
Oklahoma City, OK
…negotiate customer contracts in coordination with Director, Sales Support Manager, Div. VP and CFO as…
Added 12 mins ago
Business Development Manager (Convenience Store Division)
Royal Cup, Inc.
Houston, TX
We're looking for a Business Development Manager, CSD to drive new business growth across National, Regional, and Local chain accounts within our Convenience Store Division. This is a…
Added 12 mins ago
Distributor & Licensee Partner Manager
Royal Cup, Inc.
Fort Worth, TX
Job Title: Distributor & Licensee Partner Manager
Added 12 mins ago
Marketing Data & Segmentation Manager
Royal Cup, Inc.
Birmingham, AL
Job Title: Marketing Data & Segmentation Manager
Added 12 mins ago
Distributor & Licensee Partner Manager
Royal Cup, Inc.
Birmingham, AL
Job Title: Distributor & Licensee Partner Manager
Added 12 mins ago
Marketing Data & Segmentation Manager
Royal Cup, Inc.
Atlanta, GA
Job Title: Marketing Data & Segmentation Manager
Added 12 mins ago
Business Development Manager (Convenience Store Division)
Royal Cup, Inc.
Atlanta, GA
We're looking for a Business Development Manager, CSD to drive new business growth across National, Regional, and Local chain accounts within our Convenience Store Division. This is a…
Added 12 mins ago
Market Manager
Royal Cup, Inc.
Mobile, AL
Royal Cup Coffee offers a competitive compensation plan and a comprehensive benefits program. On top of being a part of a well-caffeinated team, the benefits program includes healthcare,…

Centene Corporation

Program Manager III - Payment Accuracy

Jefferson City, MO, United States

$87,700 to $157,800 USD / year · Full-time

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Job details

Pay: $87,700 to $157,800 USD / year
Job type: Full-time
Posting language: English

Original job description

Summary

Business Area: Project Management

Job Type: Full time

Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.

+ Identify opportunities to increase efficiency, improve service levels and to ensure regulatory compliance through enhanced operations

+ Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment

+ Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure

+ Utilize corporate and industry standard project management tools and techniques to effectively manage projects

+ Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans

+ Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations

+ Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks

+ Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives

+ Provide functional and technical knowledge regarding overall program requirements and operations

+ Responsible for the Governance communications and ceremonies

Education/Experience: Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred. Experience with Amisys, Xcelys or similar claims adjudication engines strongly preferred. Demonstrated knowledge and experience of Payment Accuray programs within EDI Gateway Availity or similar programs preferred.

Pay Range: $87,700.00 - $157,800.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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