Top 5228 Process 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
3d
Fleet Manager
EverGreen Industries, Inc. —Liberty, MS
- From $60,000 a year
- Full-time
- Background check
- Management
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Senior Manufacturing Operations Manager
Unipres Southeast —Forest, MS
- $75,000 - $90,000 a year
- Full-time
- In-person
- Senior level
- Leadership
- Relocation assistance
- Health insurance
Quick Apply
RN Clinical Manager / Home Health
Adoration Health —Olive Branch, MS
- Full-time
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Electric Utilities Manager
City of Starkville —Starkville, MS
- $100,000 - $135,000 a year
- Full-time
- Heavy lifting
- Inventory management
- Customer service
- Health insurance
- Dental insurance
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
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
2d
General Manager – Multi-Venue Dining & Entertainment Property
The Fifth —Biloxi, MS
- $100,000 - $150,000 a year
- Weekends as needed
- Background check
- Bar
- 5 years
Quick Apply
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
2d
Business Development Manager
Midsouth Talent Inc —Senatobia, MS
- $38,000 - $38,500 a year
- Full-time
- Background check
- Mid-level
- Business development
Quick Apply
5h
Quality Manager
Ferrousouth —Iuka, MS
- Full-time
- Management
- Mid-level
- Office
Quick Apply
Hospice Registered Nurse Case Manager
Anvoi Hospice MS —Gulfport, MS
- From $36 an hour
- Full-time
- RN License
- In-person
- Hospice & Palliative Medicine
Quick Apply
Terminal Manager
Confidential —Gulfport, MS
- From $50,000 a year
- Full-time
- Clean driving record
- Computer literacy
- CDL A
- Fuel card
- Flexible schedule
Quick Apply
2d
Automotive Finance Manager
Cannon Nissan of Oxford —Oxford, MS
- Full-time
- Dealership
- Basic math
- Mid-level
- Paid training
- Disability insurance
Quick Apply
4d
Life Insurance Sales Manager
PR Bereswill Agency —Starkville, MS
- $100,000 - $150,000 a year
- Full-time
- Hybrid work
- Mid-level
- Mentoring
- Reliable transportation
- Work from home
- Flexible schedule
Quick Apply
10d
Construction Project Manager- Underground Utility
Wicker Construction Inc. —Jackson, MS
- Full-time
- Civil engineering
- OSHA
- Construction site
- Health insurance
- Dental insurance
Quick Apply
Manager - IT Infrastructure
HCTec —Pascagoula, MS
- $120,000 - $140,000 a year
- Full-time
- Hybrid work
- Computer science
- Azure
- Computer Science
- Health insurance
- Dental insurance
Quick Apply
12d
Field Marketing Manager (Mississippi)
American Association of Motorcycle Injury Lawyers - Law Tigers —Mississippi
- $60,000 - $75,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Health insurance
- Paid time off
Quick Apply
2d
Shop Assistant Manager
TravelCenters of America —Meridian, MS
- $50,000 - $55,000 a year
- Weekends as needed
- No background check
- Mid-level
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply
Environmental, Health, Safety, & Security Manager
Natureplex, LLC —Olive Branch, MS
- Full-time
- Spanish
- 5 years
- English
- Paid holidays
- Disability insurance
Quick Apply

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process manager jobs near mississippi

Manager, Payment Integrity-COB/TPL /Subrogation

Centene -
Mississippi

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year
3 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

process manager jobs in mississippi

Manager, Payment Integrity-COB/TPL /Subrogation

Fleet Manager

Senior Manufacturing Operations Manager

RN Clinical Manager / Home Health

Electric Utilities Manager

Installation Manager

Certified Dietary Manager (CDM)

General Manager – Multi-Venue Dining & Entertainment Property

Account Manager

Business Development Manager

Quality Manager

Hospice Registered Nurse Case Manager

Terminal Manager

Automotive Finance Manager

Life Insurance Sales Manager

Construction Project Manager- Underground Utility

Manager - IT Infrastructure

Field Marketing Manager (Mississippi)

Shop Assistant Manager

Environmental, Health, Safety, & Security Manager

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