Top 4414 Field training manager Jobs in Pennsylvania

Manager, Payment Integrity-COB/TPL /Subrogation
Centene —Pennsylvania
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
3d
Regional Manager - Healthcare Emergency Management
Public Health Management Corporation —Philadelphia, PA
- Full-time
- Remote
- Management
- Surgery
- Hospital
Quick Apply
Manager Provider Government Programs
Highmark Inc. —Pennsylvania
- $94,200 - $151,000 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Master's degree
Security Manager, Assistance
International SOS —Blue Bell, PA
- 12 hour shift
- 5 years
- Writing skills
- Public speaking
- On-the-job training
Preschool Lead Teacher
Kiddie Academy of Wexford —Wexford, PA
- $17 - $19 an hour
- Full-time
- Background check
- Classroom
- Childcare
- Health insurance
- Dental insurance
Quick Apply
Project Manager- Substation
InfraSource Construction —King of Prussia, PA
- $87,517.67 - $105,397.63 a year
- Full-time
- AutoCAD
- Construction site
- Mid-level
- Health savings account
- Health insurance
Quick Apply
2d
Project Manager
Lifestyle Solar —Harrisburg, PA
- $64,740.50 - $77,967.05 a year
- Full-time
- Google Workspace
- Construction site
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
MRI Manager
Bucks County Orthopedic Specialists —Doylestown, PA
- $30.00 - $38.77 an hour
- Full-time
- Anatomy knowledge
- BLS Certification
- Team management
- Dental insurance
- 401(k)
Quick Apply
13d
Territory Sales Manager (Commercial Construction)
GRIPPLE INC —Pittsburgh, PA
- $75,000 - $85,000 a year
- Full-time
- English
- Mid-level
- Driver's License
- Disability insurance
- Health insurance
Quick Apply
Enterprise Risk Management Program Manager
Members 1st Federal Credit Union —Enola, PA
- $87,000 - $142,000 a year
- Full-time
- Hybrid work
- Writing skills
- English
- Research
- Health insurance
- Opportunities for advancement
COMMUNITY MANAGER (Washington Garden's)
POST ROAD MANAGEMENT LLC —Pittsburgh, PA
- $65,000 a year
- Full-time
- 5 years
- Writing skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Construction Observation & Testing (COT) Project Manager
Geo-Technology Associates Inc. —York, PA
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Tax Manager - Senior Level
Boyer & Ritter —Camp Hill, PA
- Full-time
- Hybrid work
- CPA
- Research
- 8 years
Quick Apply
Territory Manager -Western PA
Sewer Equipment Co Of America —King of Prussia, PA
- $60,000 - $70,000 a year
- Full-time
- Clean driving record
- Construction site
- Heavy equipment operation
- Paid holidays
- Dental insurance
Museum Operations Manager
Frank Lloyd Wright's Kentuck Knob —Chalkhill, PA
- $62,000 - $75,000 a year
- Weekends as needed
- Merchandising
- Mid-level
- 3 years
- Paid time off
- Employee discount
Quick Apply
9d
Unit Manager - TRD Thermal Reduction Department
Sibanye-Stillwater —Fairless Hills, PA
- $1 an hour
- Full-time
- 5 years
- Engineering
- Training & development
- Paid holidays
- 401(k) matching
5d
Outpatient Clinical Manager
Family Pathways —Butler, PA
- Email
- Background check
- LMFT
- Licensed Clinical Social Worker
- Continuing education credits
- 403(b) matching
Quick Apply
Lead Painter/Working Foreman
Militello Painting and Powerwashing, LLC. —Ambler, PA
- $28 - $35 an hour
- Overtime
- Spanish
- Construction site
- 5 years
- Paid holidays
- Paid time off
Quick Apply
9d
Sample Management Supervisor
SPL —Reading, PA
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- AD&D insurance
Quick Apply
Branch Manager
The Arrimour Group —Conshohocken, PA
- Full-time
- 3 years
- High school diploma or GED
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
9d

I want to receive the latest job alert for field training manager in pennsylvania

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

field training manager jobs near pennsylvania

Manager, Payment Integrity-COB/TPL /Subrogation

Centene -
Pennsylvania

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

field training manager jobs in pennsylvania

Manager, Payment Integrity-COB/TPL /Subrogation

Regional Manager - Healthcare Emergency Management

Manager Provider Government Programs

Security Manager, Assistance

Preschool Lead Teacher

Project Manager- Substation

Project Manager

MRI Manager

Territory Sales Manager (Commercial Construction)

Enterprise Risk Management Program Manager

COMMUNITY MANAGER (Washington Garden's)

Construction Observation & Testing (COT) Project Manager

Tax Manager - Senior Level

Territory Manager -Western PA

Museum Operations Manager

Unit Manager - TRD Thermal Reduction Department

Outpatient Clinical Manager

Lead Painter/Working Foreman

Sample Management Supervisor

Branch Manager

I want to receive the latest job alert for field training manager in pennsylvania

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected