Carelon Payment Integrity Manager - Kansas
Location: Kansas
Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Carelon Payment Integrity Manager Kansas is responsible for ensuring the accuracy of claims payment through the management of a robust process for prevention, detection, and correction of billing, payment and membership errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud, waste, and abuse compliance program to prevent and detect potential fraud, waste, and abuse activities pursuant to state and federal rules and regulations.
How you will make an impact:
Minimum Requirements:
Preferred Skills, Capabilities, and Experiences:
Job Level: Non-Management Exempt
Workshift: 1st Shift (United States of America)
Job Family: FRD > Compliance
Carelon Payment Integrity Manager - Kansas • Topeka, KS, United States
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