Remote Health Plan Integrity Lead
-
Healthcare
Job Description & How to Apply Below
Molina Healthcare of Kentucky is seeking a Program Manager, Health Plan Payment Integrity (Claims & Recovery) to lead PI efforts remotely. You will oversee SAIs, ensure regulatory compliance, and collaborate with CMS/state teams to optimize pre-pay edits, post-payment data mining, and over payment recovery.
The role emphasizes independent ownership, strong analytical skills, and effective communication across cross-functional teams to improve cost containment and provider outcomes.
We would love to welcome a new Remote Health Plan Payment Integrity Lead to our group in United States.
Step into the Remote Health Plan Payment Integrity Lead role at Molina Healthcare, Inc. in United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
View / Apply for Jobs
Matching My Jurisdiction