Top 2524 Plan manager Jobs in Mississippi

Manager, Payment Integrity-COB/TPL /Subrogation
Centene —Mississippi
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
4d
Sr. Manager, Forecasting & Business Planning
CVS Health —Mississippi
- $67,900 - $199,144 a year
- Full-time
- Remote
- Bachelor's degree
- Fair chance
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
4d
RN Clinical Manager / Home Health
Adoration Health —Olive Branch, MS
- Full-time
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Account Manager
Insured Solutions Group —Biloxi, MS
- $45,000 - $63,000 a year
- Email
- Background check
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
3d
Certified Dietary Manager (CDM)
Tallahatchie General Hospital Extended Care Facility —Charleston, MS
- $23 - $25 an hour
- Full-time
- Background check
- ServSafe
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
3d
Installation Manager
Singer Equipment Company —Meridian, MS
- $65,000 - $75,000 a year
- Full-time
- Construction site
- Engineering
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Construction Project Manager- Underground Utility
Wicker Construction Inc. —Jackson, MS
- Full-time
- Civil engineering
- OSHA
- Construction site
- Health insurance
- Dental insurance
Quick Apply
Business Development Manager
Midsouth Talent Inc —Senatobia, MS
- $38,000 - $38,500 a year
- Full-time
- Background check
- Mid-level
- Business development
Quick Apply
1d
Maintenance Supervisor
Sofidel America —Petal, MS
- Overtime
- Background check
- Mid-level
- Supervising experience
- Health savings account
- Health insurance
Quick Apply
10d
Assistant Manager
RNR Tire Express —Tupelo, MS
- $45,000 - $70,000 a year
- Full-time
- Background check
- Management
- Sales
- Health insurance
- Dental insurance
Quick Apply
Restaurant Manager
Chili's Grill & Bar —Olive Branch, MS
- $51,000 - $62,000 a year
- Full-time
- Bar
- Casual dining restaurant
- Mid-level
- AD&D insurance
- Disability insurance
4d
General Manager - Olive Branch, MS (Relocation Assistance)
Millstone Medical Outsourcing —Olive Branch, MS
- From $225,000 a year
- 8 hour shift
- Microsoft Word
- ERP systems
- Pass drug screening
- Relocation assistance
- Health insurance
Quick Apply
Digital Content and Website Manager Gulfport 5150
Keesler Federal Credit Union —Gulfport, MS
- Marketing
- Computer literacy
- Bachelor of Science
- Disability insurance
- Health insurance
LSW / Social Work Case Manager
Three Rivers Planning and Development District —Pontotoc, MS
- Full-time
- Background check
- Experience working with individuals with disabilities
- Mid-level
- 403(b) matching
- Health insurance
Quick Apply
10d
Network Manager
City of Starkville —Starkville, MS
- $80,000 - $90,000 a year
- Full-time
- Background check
- Computer Science
- Customer service
- Health insurance
- Dental insurance
Assistant Restaurant Manager
Freddy's Frozen Custard & Steakburgers —Philadelphia, MS
- $13 - $16 an hour
- Part-time
- 18 years or older
- No education required
- Computer literacy
- Employee discount
- Flexible schedule
Quick Apply
District Sales Manager
Premium Retail Services —Gulfport, MS
- $70,000 - $80,000 a year
- Weekends as needed
- Merchandising
- Mid-level
- Bachelor's degree
- Paid training
- Disability insurance
Quick Apply
5d
Customer Account Manager
RNR Tire Express —Hattiesburg, MS
- $32,000 - $48,000 a year
- Online Application
- Background check
- Clean driving record
- Sales
- Paid holidays
- Disability insurance
Quick Apply
Assistant Hotel Manager
InterMountain Management —Jackson, MS
- Up to $45,000 a year
- Overtime
- CPR Certification
- Sales
- Marketing
- Health insurance
- Dental insurance
Quick Apply
5d
Fleet Supervisor
Confidential —Brandon, MS
- $60,000 - $65,000 a year
- Contract
- Mid-level
- Presentation skills
- Warehouse
- Health insurance
- Dental insurance
Quick Apply
3d

I want to receive the latest job alert for plan manager in mississippi

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

plan manager jobs near mississippi

Manager, Payment Integrity-COB/TPL /Subrogation

Centene -
Mississippi

Apply Now

Job Details

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

Benefits

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

Qualifications

Medical terminology

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.

Position Purpose:
Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes

Oversee Coordination of Benefits (COB), Third Party Liability (TPL), and Subrogation recovery activities, including identification of other coverage, validation of recovery opportunities, coordination with internal operational teams, and timely resolution of provider, member, and carrier-related issues
Monitor internal and vendor and platform performance for COB/TPL/Subrogation programs, including savings, inventory, cycle times, quality outcomes, and adherence to recovery policies and regulatory requirements
Monitor business processes and systems to assure integrity and compliance in billing and claims payment
Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals
Develop customized fraud plans to meet contract and federal requirements
Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis
Respond to RFP request and implement new policies per contractual obligation
Attend state/federal meetings as required by specific contracts
Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes
Review post-payment cases with appropriate parties to obtain refund
Prepare and distribute monthly and quarterly saving reports
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:
Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Experience with Coordination of Benefits (COB), Third Party Liability (TPL), Subrogation, or healthcare recovery operations preferred. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred.

License/Certification: Medical records or coding license preferred.

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

plan manager jobs in mississippi

Manager, Payment Integrity-COB/TPL /Subrogation

Sr. Manager, Forecasting & Business Planning

RN Clinical Manager / Home Health

Account Manager

Certified Dietary Manager (CDM)

Installation Manager

Construction Project Manager- Underground Utility

Business Development Manager

Maintenance Supervisor

Assistant Manager

Restaurant Manager

General Manager - Olive Branch, MS (Relocation Assistance)

Digital Content and Website Manager Gulfport 5150

LSW / Social Work Case Manager

Network Manager

Assistant Restaurant Manager

District Sales Manager

Customer Account Manager

Assistant Hotel Manager

Fleet Supervisor

I want to receive the latest job alert for plan manager in mississippi

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected