Top 4819 Care manager Jobs in Mission, Ks

Carelon Payment Integrity Manager - Kansas
Elevance Health —Overland Park, KS
- Hybrid work
- Nursing
- Management
- Bachelor of Science
- Employee stock purchase plan
- Paid holidays
12d
Clinical Research Associate, Full Service
5PY IQVIA RDS Inc. —Overland Park, KS
- $47,400 - $169,300 a year
- Full-time
- Microsoft Excel
- Computer literacy
- English
Healthcare Recruiter
Tallgrass Creek by Erickson Senior Living —Overland Park, KS
- From $80,000 a year
- 18 years or older
- Mid-level
- 3 years
- Health insurance
- Dental insurance
9d
Personal Shopper Lead
Sam's Club —Lenexa, KS
- $22 - $30 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
Talent Acquisition Partner (172528)
Colgate-Palmolive —Overland Park, KS
- $86,000 - $121,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- US work authorization
- Profit sharing
- Paid parental leave
Talent Acquisition Partner
Hill's Pet Nutrition —Overland Park, KS
- $86,000 - $121,000 a year
- Full-time
- Hybrid work
- Research
- Office
- Bachelor's degree
- Profit sharing
- Paid parental leave
Operations Support Specialist
US Citizenship and Immigration Services —Overland Park, KS
- $41,400 - $81,553 a year
- Part-time
- Background check
- Psychiatry
- Word processing
- Paid holidays
- Health insurance
3d
Success Operations Manager (173329)
Colgate-Palmolive —Overland Park, KS
- $96,800 - $137,000 a year
- Hybrid work
- Bachelor's degree
- Travel
- Senior level
- Profit sharing
- Paid parental leave
Client Service Specialist
Cetera Financial Group —Leawood, KS
- $55,000 - $75,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Continuous improvement
- Paid parental leave
- Paid holidays
Care Manager
Sunrise Senior Living —Overland Park, KS
- $16.30 - $20.40 an hour
- Part-time
- 18 years or older
- High school diploma or GED
- Communication skills
- Paid training
- Paid holidays
Immigration Services Analyst
US Citizenship and Immigration Services —Overland Park, KS
- $41,400 - $81,553 a year
- Part-time
- Background check
- Psychiatry
- Writing skills
- Paid holidays
- Health insurance
2d
Talent Rights & Compliance Manager (174624)
Colgate-Palmolive —Overland Park, KS
- $86,000 - $121,000 a year
- Hybrid work
- Marketing
- 3 years
- Bachelor's degree
- Profit sharing
- Paid parental leave
12d
CRM Manager
Hill's Pet Nutrition —Overland Park, KS
- $96,800 - $137,000 a year
- Hybrid work
- Marketing
- Bachelor's degree
- Contracts
- Profit sharing
- Paid parental leave
Physician - Family Practice
Sunflower Medical Group/Heartland Primary Care Private Practice —Lenexa, KS
- Full-time
- Background check
- Private practice
- Medicine
- Health insurance
- 401(k)
Quick Apply
Radiologic Technologist Weekend Shift
TridentCare —Kansas City, KS
- $0.01 - $999.00 an hour
- Mid-level
- Driver's License
- Geriatrics
Lead Driver - Kansas City
Tricont Trucking a Division of Del Monte Fresh Produce —Kansas City, MO
- $26 an hour
- Full-time
- Background check
- DOT physical examination
- Pass drug screening
- Paid training
- Health insurance
Quick Apply
Registered Nurse Case Manager (RN)
St. Croix Hospice —Independence, MO
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
11d
Licensed Specialist Clinical Social Worker (LSCSW) - Kansas license required
Iris Telehealth —Kansas
- From $77,000 a year
- Full-time
- Mid-level
- Outpatient experience
- Leadership
- Paid holidays
- Disability insurance
Quick Apply
13d
RN Case Manager ($7,500 sign on bonus)
Harbor Healthcare System —Overland Park, KS
- Online Application
- RN License
- Pass drug screening
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Case Manager RN- Field
Somatus, Inc. —Kansas City, KS
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Continuing education credits
- Health insurance

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Carelon Payment Integrity Manager - Kansas

Elevance Health -
Overland Park, KS

Apply Now

Job Details

12 days ago

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Management

Full Job Description

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:

Coordinate and respond to inquiries from executives, ensuring timely and accurate communication.
Handle the processing and management of Payment Integrity waivers.
Assist in preparing responses to Requests for Proposals across all lines of business.
Document process flows accurately to ensure clear and effective communication of processes.
Help with preparing presentations, ensuring they are polished and ready for delivery.
Review and approve performance guarantees, ensuring compliance with standards.
Has detailed technical knowledge of claims payment accuracy and participates on cross functional teams focused on problem remediation and long-term resolution.
Anticipates the effect of changes in the business environment on future claim errors.
Evaluates regulatory compliance and Health Care Reform changes to determine potential impact.
Evaluates provider activities to assist in the detection of fraud, waste and abuse activities.
Monitors provisions of the compliance plan, including fraud, waste, and abuse policies and procedures, investigates unusual incidents and implements corrective action plans.
Develops and analyzes monthly reports.
Develops project plans and oversees project execution, issue management and progress reporting.
Develops processes to support early detection of systemic issues causing operational inefficiencies.

Minimum Requirements:

Requires a BA/BS in business, engineering, nursing, finance, or healthcare administration and minimum of 5 years related work experience, including minimum of 2 years leadership experience; or any combination of education and experience, which would provide and equivalent background.

Preferred Skills, Capabilities, and Experiences:

2-5 years of experience with Fraud, Waste and Abuse.
Experience with payment integrity.
Familiarity with claims systems and processes.
Experience with GBD Facets.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

care manager jobs in mission, ks

Carelon Payment Integrity Manager - Kansas

Clinical Research Associate, Full Service

Healthcare Recruiter

Personal Shopper Lead

Talent Acquisition Partner (172528)

Talent Acquisition Partner

Operations Support Specialist

Success Operations Manager (173329)

Client Service Specialist

Care Manager

Immigration Services Analyst

Talent Rights & Compliance Manager (174624)

CRM Manager

Physician - Family Practice

Radiologic Technologist Weekend Shift

Lead Driver - Kansas City

Registered Nurse Case Manager (RN)

Licensed Specialist Clinical Social Worker (LSCSW) - Kansas license required

RN Case Manager ($7,500 sign on bonus)

Case Manager RN- Field

I want to receive the latest job alert for care manager in mission, ks

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