Top 1827 Healthcare manager Jobs in North Dakota

Manager, Payment Integrity-COB/TPL /Subrogation
Centene —North Dakota
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
3d
Patient Access Manager-West Market
Essentia Health —Fargo, ND
- $38.22 - $57.33 an hour
- Weekends as needed
- Clinic experience
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Sr. Operations Manager
Amazon.com Services LLC —Fargo, ND
- $121,500 - $164,400 a year
- Full-time
- Mid-level
- Bachelor's degree
- Mentoring
- AD&D insurance
- Health insurance
4d
Healthcare Revenue Cycle Consulting Manager - Remote Eligible
Eide Bailly LLP —Fargo, ND
- $100,000 - $150,000 a year
- Full-time
- Remote
- 7 years
- Microsoft Excel
- Hospital
- Profit sharing
- Disability insurance
4d
Case Manager, Registered Nurse
CVS Health —North Dakota
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Senior Manager – Operations Readiness
CVS Health —North Dakota
- $67,900 - $182,549 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
5d
Hospice Staff RN/Case Manager (1.0)
HIA Hospice —Fargo, ND
- From $34.67 an hour
- Full-time
- Background check
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Regional Sales Manager
G&G Garbage LLC —Watford City, ND
- $45,000 - $50,000 a year
- Full-time
- Sales
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Sales Manager
Aarons Sales & Lease —Jamestown, ND
- $17 - $20 an hour
- Full-time
- Mid-level
- Analysis skills
- Continuous improvement
- 401(k)
- Paid time off
Quick Apply
Account Manager
Sirius Controls —Williston, ND
- $90,000 - $120,000 a year
- Full-time
- Sales
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
Store Manager #086
Petro Serve USA —Fargo, ND
- Up to $60,000 a year
- Full-time
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
Customer Accounts Manager
Aarons Sales and Lease Fargo —Fargo, ND
- Full-time
- Pass drug screening
- Mid-level
- Driver's License
Quick Apply
District Food Service Manager
Petro Serve USA —Fargo, ND
- Weekends as needed
- Background check
- Sales
- ServSafe
- Health insurance
- Dental insurance
Quick Apply
9d
Area Manager
Campbell Properties —Fargo, ND
- From $45,000 a year
- Weekends as needed
- Customer service
- Mid-level
- Office
- Health savings account
- Disability insurance
Quick Apply
2d
Store Manager #202
Petro Serve USA —Grand Forks, ND
- Up to $60,000 a year
- Full-time
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Store Manager
Automotive Parts Headquarters, Inc. —Lisbon, ND
- Full-time
- Clean driving record
- Inventory management
- Computer literacy
- Profit sharing
- Disability insurance
Front of House Manager
Short or Tall Eatery & Drink Hall Grand Forks —Grand Forks, ND
- $53,173.98 - $55,628.19 a year
- Full-time
- Bar
- Sales
- Restaurant management
- Paid training
- Health insurance
Quick Apply
Store Manager #205
Petro Serve USA —Grand Forks, ND
- Up to $60,000 a year
- Full-time
- Background check
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
Safety & Asset Manager
Streamline Water Services, LLC —Watford City, ND
- $65,000 - $100,000 a year
- Full-time
- Background check
- Mid-level
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Electrical Prefabrication Manager
Magnum Electric Inc —West Fargo, ND
- $70,000 - $100,000 a year
- Full-time
- Background check
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
Quick Apply

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healthcare manager jobs near north dakota

Manager, Payment Integrity-COB/TPL /Subrogation

Centene -
North Dakota

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

healthcare manager jobs in north dakota

Manager, Payment Integrity-COB/TPL /Subrogation

Patient Access Manager-West Market

Sr. Operations Manager

Healthcare Revenue Cycle Consulting Manager - Remote Eligible

Case Manager, Registered Nurse

Senior Manager – Operations Readiness

Hospice Staff RN/Case Manager (1.0)

Regional Sales Manager

Sales Manager

Account Manager

Store Manager #086

Customer Accounts Manager

District Food Service Manager

Area Manager

Store Manager #202

Store Manager

Front of House Manager

Store Manager #205

Safety & Asset Manager

Electrical Prefabrication Manager

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