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Partner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.

YEAR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Medicaid Risk Adjustment Market Manager

The Payment Integrity Analytics Team focuses on measurement and analytics for national Payment Integrity programs-helping leaders understand the future strategy and current program performance including what's working, where opportunities exist, and how we can continue to improve affordability and customer experience at scale. The role will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches for understanding medical cost trends, provider behavior, provider billing behavior, and healthcare industry operations to streamline medical costs for health plan members.

The Cigna Group

Business Analytics Senior Manager Payment Integrity - Risk & Affordability (Remote)

Customers will include Healthcare Providers (HCPs) and staff within offices, ambulatory surgery centers (ASCs), hospital outpatient departments (HOPDs), and other appropriate site-of-care facilities. Ocular Therapeutix, Inc. (NASDAQ:OCUL) is a biopharmaceutical company focused on the formulation, development, and commercialization of innovative therapies for diseases and conditions of the eye using its proprietary bioresorbable hydrogel-based formulation technology, ELUTYX.

Ocular Therapeutix Inc

Field Reimbursement Manager - Tennessee

The amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.

AbbVie Inc

Field Reimbursement Manager Immunology Gastroenterology - Nashville TN

Ocular Therapeutix

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Benefits configuration: Translates complex benefit plan documents (like Summary Plan Descriptions) into system rules, logic, and cost-sharing structures such as co-pays, deductibles, and out-of-pocket maximums Contract and pricing implementation: Accurately configures and tests new and updated provider contracts and pricing models to ensure correct claims payments according to negotiated terms. DUTIES INCLUDE BUT NOT LIMITED TO: Ensure claims processing platform is optimally and accurately configured and maintained to meet the organization's strategic business operational needs specific to vendor contracts, fee schedules, benefits/DOFR, and provider/vendor/place of service data.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare Inc

Data Management Manager

The role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record collection, provider collaboration and data sharing, general coding education and related activities, as well as other activities as assigned. 7+ years of experience in risk adjustment, clinical quality, or healthcare quality improvement required; experience supporting provider‑based or value‑based initiatives preferred.

Medicare Risk Adjustment Manager (Southeast)

Team Leadership, Architecture Governance & Mentorship (20%):Guide and mentor technical leads and development teams, providing technical direction, architectural guidance, and day-to-day problem-solving support. Strategy-to-Execution Alignment & Stakeholder Management (25%):Serve as the primary liaison between senior IT leadership, business sponsors, and engineering teams, translating high-level vision into actionable technical roadmaps.

DaVita Inc

Sr Manager, Technical Strategy Initiatives

3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.

Senior Manager - Software Development Engineering

Analyze, troubleshoot, and identify root causes of complex system issues and guide corrective actions, including: Lead triage efforts for complex Oracle Utilities C2M production and operational issues by identifying impacted components, determining root causes, and defining the specific corrective actions required for resolution. The ideal candidate possesses deep functional knowledge of Oracle Utilities C2M, including business processes, workflows, and configurations, with sufficient technical understanding to evaluate solutions and troubleshoot issues without requiring deep architecture-level expertise.

INSPYR Solutions

C2M Development Manager

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Proactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.

At Regeneron, we believe in the power of original thinking. Our company is built on breakthrough ideas; which is why we foster a spirit of openness, and strive to inspire from within. We are collaborative by design and driven by curiosity. Each one of us plays an active role in transforming people’s lives through our work. Regeneron’s people make us who we are, and we are truly more than a company &ndash; we’re a community. Simply put, we’re a tight-knit group working together to change the world.

Regeneron Pharmaceuticals

Reimbursement Business Manager

Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. Identifies skill gaps across teams, and empowers team members to pursue learning and knowledge sharing opportunities that build their expertise in new areas and coaches them to apply learnings to advance the organization.

For over three decades, Oracle has been the center of innovation for business software birthplace of the first commercially available relational database, the first suite of internet-based applications, and the next-generation enterprise-computing platform, Oracle Fusion. Today, Oracle provides the world's most complete, open, and integrated business software and hardware systems, with more than 370,000 customers including - 100 of the Fortune 100 - representing a variety of sizes and industries in more than 145 countries around the globe. And Oracle's 110,000 global employees - including 30,000 developers working full-time on Oracle products -are critical to that success.
Oracle Supports Workforce Diversity

Oracle Corp

Senior Manager, Platform Software Engineering

Nonprofits use Givebutter to replace multiple tools so they can launch fundraisers and events, use donation forms and donor management (CRM), send emails and text blasts-all in one place. Youll ship code, review PRs, make architectural decisions from a place of actual context, and stay close to production - monitoring systems, jumping into incidents, and understanding how your teams work actually behaves in the wild.

Givebutter

Engineering Manager, Treasury

Engineering Manager, Fundraising

Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. Own and build solutions to scale and optimize AI compute infrastructure components like GPU control plane and GPU data plane with the goal to optimize customer experience and customer workload performance on our AI infrastructure.

Senior Manager, Core Infrastructure Engineering

In this position, you will collaborate with physician leaders, operational partners, analytics teams, and executive stakeholders to develop and implement strategies that enhance clinical outcomes, strengthen patient safety programs, and support evidence-based care delivery. If you're a quality-focused nursing professional who is passionate about patient safety, clinical excellence, and driving meaningful improvements in emergency medicine, we invite you to bring your expertise to TeamHealth.

TeamHealth was founded in 1979 with a vision of developing the best teams of healthcare professionals. With the relentless pursuit to advance patient care through strong leadership, innovation and teamwork, we're proud to say that 33 years later we have made great strides towards our goals.

The impressive growth of TeamHealth should come as no surprise to hospitals and clinicians aware of our reputation for efficiency and commitment to excellence and collaboration.

Originally founded to provide emergency department administrative and staffing services, TeamHealth is one of the nation's largest providers of hospital-based clinical outsourcing in multiple departments, including Anesthesia, Hospital Medicine, in addition to Emergency Medicine. Although we are a national organization, our operating philosophy is essentially the same as when we started. TeamHealth is committed to a patient-centric model of healthcare delivery with hospitals, physician groups and TeamHealth working collaboratively to deliver compassionate, effective, efficient and safe patient care.

Team Health Holdings Inc

Manager, Quality & Patient Safety

Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

Pharmacy Operations Manager

Partners across Technology, Operations, Digital, and Data (TODD) to ensure controls are designed, implemented, and monitored to strengthen risk management, compliance, and cyber security, effectively mitigating risk to levels within the company's risk appetite. Job Description: At Regions, the Enterprise and Cyber Security Architecture Manager directs the program to develop, maintain, and leverage key Enterprise Architecture (EA) principles across the organization which may include enterprise-wide Core initiatives, Security Architecture (SA), and/or cloud strategy and transformation.

Regions Financial Corporation (NYSE:RF), with $121 billion in assets, is a member of the S&P 500 Index and is one of the nation's largest full-service providers of consumer and commercial banking, wealth management, mortgage, and insurance products and services. Regions serves customers in 16 states across the South, Midwest and Texas, and through its subsidiary, Regions Bank, operates approximately 1,700 banking offices and 2,000 ATMs. Additional information about Regions and its full line of products and services can be found at www.regions.com.

Regions Financial Corp

Enterprise & Cyber Security Architecture Manager

Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

AI Security Engineer Manager

Lead end-to-end Revenue Cycle engagements for complex, large-scale health care providers, with deep expertise across Patient Access (scheduling, registration, eligibility, prior authorization), Mid-Cycle/Revenue Integrity (CDM, charge capture, CDI, coding), and Back-End Operations (billing, collections, denials management, underpayment recovery). Embed AI, automation, and advanced analytics into revenue cycle operations to drive measurable improvement, applying tools such as Tableau, Power BI, and Python to surface revenue leakage, model financial scenarios, and target use cases including denials prediction, propensity-to-pay analytics, underpayment detection, prior authorization, and coding support.

Coding Manager Jobs in Evansville, IN

Medicaid Risk Adjustment Market Manager CVS Health Corp

Business Analytics Senior Manager Payment Integrity - Risk & Affordability (Remote) The Cigna Group

Field Reimbursement Manager - Tennessee Ocular Therapeutix Inc

Field Reimbursement Manager Immunology Gastroenterology - Nashville TN AbbVie Inc

Field Reimbursement Manager - Tennessee Ocular Therapeutix

Data Management Manager HCA Healthcare Inc

Medicare Risk Adjustment Manager (Southeast) CVS Health Corp

Sr Manager, Technical Strategy Initiatives DaVita Inc

Senior Manager - Software Development Engineering CVS Health Corp

C2M Development Manager INSPYR Solutions

Reimbursement Business Manager Regeneron Pharmaceuticals

Senior Manager, Platform Software Engineering Oracle Corp

Engineering Manager, Treasury Givebutter

Engineering Manager, Fundraising Givebutter

Senior Manager, Core Infrastructure Engineering Oracle Corp

Manager, Quality & Patient Safety Team Health Holdings Inc

Pharmacy Operations Manager HCA Healthcare Inc

Enterprise & Cyber Security Architecture Manager Regions Financial Corp

AI Security Engineer Manager Deloitte

Health Provider Revenue Cycle Manager Accenture Plc

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