Top 794 Relations manager Jobs in Nebraska

RN Readmission Manager, Payment Integrity
Centene Corporation —Nebraska
- $87,700 - $157,800 a year
- Full-time
- Remote
- Nursing
- RN License
- 3 years
- Paid holidays
- Health insurance
6d
General Manager
AC Nelsen Enterprises Inc —Omaha, NE
- Extended hours
- Dealership
- Bachelor's degree
- Mentoring
- Paid holidays
- Relocation assistance
Quick Apply
Senior Water / Wastewater Project Manager
HireOTS —Omaha, NE
- $100,000 - $175,000 a year
- Full-time
- 5 years
- Master's degree
- Data entry
- Health insurance
- Dental insurance
Quick Apply
Senior HR Specialist
Detego Health —Omaha, NE
- $85,000 - $125,000 a year
- Full-time
- Background check
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Medical Lab Technologist
Antelope Memorial Hospital —Neligh, NE
- Weekends as needed
- Hospital
- Laboratory experience
- Bachelor's degree
Quick Apply
Commercial Property Manager
Noddle Companies —Omaha, NE
- $65,000 - $88,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health savings account
- Health insurance
Quick Apply
6d
Senior Marketing Consultant-Health Insurance
Alliant Insurance Services —Omaha, NE
- $80,000 - $92,000 a year
- Email
- Microsoft Excel
- Microsoft Outlook
- Marketing
Quick Apply
8d
Human Resources Generalist
Brown Immigration Law (Lincoln, NE) —Lincoln, NE
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid jury duty
- Health savings account
Quick Apply
6d
General Manager
Zelle —Omaha, NE
- Customer service
- 5 years
- Hotel
Quick Apply
FSQA Manager
Universal Pure, LLC —Lincoln, NE
- Full-time
- Microsoft Word
- OSHA
- Mid-level
Quick Apply
Controller
Sudbeck Companies —Omaha, NE
- Full-time
- 7 years
- CPA
- Office
- Health insurance
- Dental insurance
Quick Apply
12d
Athletic Trainer / Orthopedics
Children's Nebraska —Omaha, NE
- Full-time
- High school
- Writing skills
- Mid-level
Field Service Technician Bilingual (Korean)
Venture HR —United States
- $35 - $43 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Windows
- Health savings account
- Health insurance
Quick Apply
HR Manager
Zelle —Lincoln, NE
- 6 years
- Office
- Bachelor's degree
- Employee stock ownership plan
Quick Apply
Patient Care Nurse
Amber Specialty Pharmacy —Omaha, NE
- $68,000 - $78,000 a year
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Paid holidays
4d
Market Operations Manager
FBG Service Corporation —Scottsbluff, NE
- $45,000 - $50,000 a year
- Full-time
- Background check
- Mid-level
- Driver's License
- Health savings account
- Health insurance
Quick Apply
9d
Leasing & Marketing Team Leader
Cardinal Group Companies —Omaha, NE
- Weekends as needed
- Computer literacy
- Writing skills
- High school diploma or GED
Assistant Property Manager
PrimeSites Real Estate Management —Grand Island, NE
- From $47,000 a year
- Full-time
- Administrative experience
- Driver's License
- 1 year
- Health savings account
- AD&D insurance
Quick Apply
4d
Director of Sales
Heritage Communities —Norfolk, NE
- Full-time
- Clean driving record
- Management
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Warehouse Operations Manager
Cohere Beauty Omaha Inc —Omaha, NE
- $80,000 - $90,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Bachelor's degree
Quick Apply

I want to receive the latest job alert for relations manager in nebraska

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

relations manager jobs near nebraska

RN Readmission Manager, Payment Integrity

Centene Corporation -
Nebraska

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
6 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical claims processing software
Healthcare team management
Healthcare reimbursement methods
Healthcare coding investigations
Documentation reviews
DRG

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

A Licensed RN paired with a Coding Credential is the candidate this team is seeking for this position that will lead and oversee PI initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a team focused on expanded readmission reviews allowing CNC to ensure payment accuracy as well as alignment with internal policies and regulatory requirements. Experience Required for all RN's with Coding Credentials applying:

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.

Position Purpose:
Manages a team of auditors and clinical professionals and is accountable for audit quality, consistency, and overall program performance for potentially preventable readmissions. Oversees payer readmission review programs to ensure accurate, compliant determinations and achievement of payment integrity objectives. This role directs the identification and validation of potentially preventable readmissions while supporting appropriate reimbursement under MS-DRG and APR-DRG methodologies. Responsible for driving program results through audit oversight, trend analysis, and the development of standardized review criteria and best practices.

Lead and oversee Payment Integrity initiatives focused on potentially preventable readmissions, cost recovery, cost avoidance, and payment accuracy, ensuring alignment with established objectives, internal policies, and regulatory requirements.
Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
Monitor program performance against defined metrics, financial targets, and operational benchmarks, using trend analysis to identify risks, variances, and opportunities for improvement.
Provide leadership and operational oversight to teams performing readmission, MS-DRG, and APR-DRG reviews, ensuring accuracy, consistency, timeliness, and adherence to established review standards.
Ensure compliance with federal and state regulations, managed care organization requirements, contractual obligations, and internal policies governing Payment Integrity and audit activities.
Prepare and present reports, analyses, and performance summaries to leadership and key stakeholders, highlighting audit outcomes, trends, and actionable recommendations.
Identify process gaps, operational risks, and control weaknesses, and implement or recommend corrective actions to improve quality, efficiency, and program effectiveness.
Lead, coach, and develop team members by setting clear expectations, promoting accountability, and fostering a culture of collaboration, quality, and continuous improvement.
Serve as a subject matter expert for Payment Integrity practices within assigned scope, providing guidance on readmission review methodology, audit standards, and reimbursement considerations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor’s degree in Healthcare Administration, Business, Public Health, Health Information Management, Nursing, or a related field required; an additional four (4) years of directly related experience may be considered in lieu of a degree.

5 + years of progressive experience in Payment Integrity, including readmission review and DRG validation activities, required.
3+ years of people leadership experience, including direct management of teams, required.
2+ or more years of experience using Diagnosis Related Group encoder and grouper tools (for example, 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required.
Experience working with payer claims systems preferred.
Demonstrated experience supporting government programs, regulatory compliance, or audit activities preferred.
Project management experience preferred.
Experience partnering with external vendors supporting Payment Integrity audit, recovery, or edit programs preferred.
Inpatient hospital documentation improvement experience preferred.

Master’s degree preferred.

License/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required.

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

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

Apply Now

Refine Your Search

relations manager jobs in nebraska

RN Readmission Manager, Payment Integrity

General Manager

Senior Water / Wastewater Project Manager

Senior HR Specialist

Medical Lab Technologist

Commercial Property Manager

Senior Marketing Consultant-Health Insurance

Human Resources Generalist

General Manager

FSQA Manager

Controller

Athletic Trainer / Orthopedics

Field Service Technician Bilingual (Korean)

HR Manager

Patient Care Nurse

Market Operations Manager

Leasing & Marketing Team Leader

Assistant Property Manager

Director of Sales

Warehouse Operations Manager

I want to receive the latest job alert for relations manager in nebraska

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected