At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.
The incumbent is responsible for conducting comprehensive audits of Network Providers (Institutional, Professionals and Allied) for compliance and to identify and remediate Provider fraud, waste and/or abuse. The incumbent collaborates with Management and the Provider Compliance team to implement proactive Provider billing monitoring designed to identify potential fraud, waste and abuse. The incumbent is responsible for collaborates with the Clinical Quality and Claims Operations Business Areas to identify and address fraud, waste and abuse and implement controls to address identified fraud, waste and abuse and quality issues.
Job-Specific Requirements:
Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
Auditor, Special Investigations • Flowood, MS, United States
Doctor of Medicine | Psychiatry - General/Other.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with CompHealth to find a qualified Psychiatry MD in Flowood, Mississippi, 3... Show more
Senior Claims Advocate - Property and Casualty.Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.More than 11,000 of the in... Show more
Senior Claims Advocate - Property and Casualty.Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.More than 11,000 of the in... Show more
Location 145 Ridgeland Plaza, Ridgeland, MS, 39157, United States.Description Requirements Summary. Show more
Account Associate - State Farm Agent Team Member.As Account Associate - State Farm Agent Team Member for Jason Quin - State Farm Agent, you are vital to our daily business operations and customers'... Show more
We take pride in what we do! Deciding to come grow with us is an exciting opportunity to enhance your career success stories.You are the center to what we do.We would love to have you here!.The Com... Show more
Senior Claims Advocate - Property and Casualty at Marsh McLennan Agency (MMA).Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary pe... Show more
DescriptionWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield.We bring 120 years of successful mission support t... Show more
Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements.Click apply for complete details on the recruitment incentive detail... Show more
Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.More than 11,000 of the industry's brightest talent drive our efforts to ... Show more
FCCI is guided by our core values of Loyalty, Integrity, Vision, Excellence and Service.These are the principles and behaviors that guide how we support and trust one another, build our teams, cult... Show more
This opportunity offers a balanced mix of obstetrics and gynecology, dedicated surgical time, a highly favorable call schedule, strong earning potential, and a clear path to future partnership with... Show more
California applicants: Please review the Costco Applicant Privacy Notice.The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist.The listing does... Show more
Psychiatry physician employment in Mississippi : Flowood is located in Rankin County and is located east of Jackson, the Capitol City of Mississippi.Because of its strategic location, Flowood is ea... Show more
Location 105 Katherine Dr, Building C, Flowood, MS, 39232, United States.Job Category Retail Inventory, Auditing.Description Requirements Summary. Show more
Claims Advocate Property and Casualty at Marsh McLennan Agency (MMA).Award-winning, inclusive, top workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.Mor... Show more
The responsibilities of this job are to provide support to the retail and wholesale platform in loan decisions, underwriting guidance, and scenario questions based on GSE guidelines and requirement... Show more
Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.More than 11,000 of the industry's brightest talent drive our efforts to ... Show more
