Payments Finance And Reconciliation Manager Jobs

Opportunity Overview: We are seeking a Technical, Hands-on Manager to lead a team in building AI-driven healthcare enterprise applications . In this role, you will combine strong people leadership with deep technical expertise to guide the development of scalable, data-intensive solutions that drive meaningful business impact. As a leader who is still technically involved , you will mentor and manage data scientists and analysts while having the ability to guide the team through evaluating, selecting, and implementing the right models , paired with an understanding of end to end workflow and ensure the delivery of scalable AI solutions . This position requires excellent communication and collaboration skills as you partner closely with internal stakeholders and cross‑functional engineering, product, and clinical teams . In our fast-paced environment, adaptability is key—your ability to reprioritize quickly and lead your team through evolving business needs will ensure maximum impact What you’ll do: Lead, mentor, and develop a high‑performing team of Data Scientists and ML Engineers, ensuring strong execution and continuous skill advancement. Contribute to event‑driven architecture design and implementation, enabling asynchronous processing and large‑scale system integration. Work seamlessly across functions—partnering with Data Scientists on model tuning, experimentation, and prompt design; collaborating with Product and Software Engineering to embed AI/ML into user-facing applications; engaging with DevOps/Platform Engineering on environment setup, CI/CD, monitoring, and reliability; and working with Data Engineering on pipeline design and ingestion strategies. Provide technical leadership in the effective use of AWS services such as Lambda, EC2, EMR, S3, Athena, Batch, Textract, Comprehend, Bedrock. Drive the implementation of project scope definition, effort estimation, and planning in close coordination with cross-functional teams. Conduct code reviews, pr

Opportunity Overview: We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends,

Opportunity Overview: We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and

ABOUT THE TEAM Trendyol Pay is where cutting-edge payment technology meets seamless user experience. This team designs and manages end-to-end payment solutions for millions of users across the globe. Trendyol Pay is focused on building secure, fast, and reliable payment infrastructure not just for today’s needs, but for the future of digital commerce. We simplify every transaction and elevate user confidence through technology-driven, customer-first design. About the Role In this role, you will play a key role in driving the strategic growth of our process. This position is ideal for someone who thrives at the intersection of strategy, data, and execution. Working cross-functionally with product, marketing, and data teams, you'll help shape and execute our growth roadmap.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Manager, Project Management is responsible for leading and overseeing Coordination of Benefits projects and operational initiatives that improve payment accuracy, reduce overpayments, enhance compliance, and drive process efficiency across the organization. This role manages a portfolio of complex, cross-functional projects and collaborates with stakeholders across Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to ensure successful delivery of strategic business objectives. The Senior Manager is accountable for defining project scope, objectives, timelines, resource requirements, and success measures while ensuring initiatives are delivered on time, within budget, and aligned with organizational goals. This role leverages data analytics and business intelligence to identify trends, assess risks, develop solutions, and implement process improvements that enhance operational performance and the provider and member experience. In addition to project leadership, the Senior Manager directly manages staff, providing day-to-day leadership, coaching, performance management, and professional development. Responsibilities include establishing team priorities, allocating resources, managing workload distribution, fostering collaboration, and creating a culture of accountability, innovation, and continuous improvement. The role

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Lead, Senior Decision Scientist serves as a strategic analytics and ideation leader supporting Payment Integrity Affordability initiatives with a primary focus on Fraud, Waste & Error (FWE) and Special Investigations Unit (SIU) programs. This role provides leadership and guidance to a team of Decision Scientists while driving the development, evaluation, and implementation of innovative opportunities that improve affordability outcomes and strengthen Payment Integrity capabilities. The Lead Decision Scientist is responsible for establishing analytical frameworks, managing ideation pipelines, defining success metrics, and identifying cross-functional opportunities that create enterprise value across Payment Integrity programs. Required Qualifications 7+ years of experience in healthcare analytics, Payment Integrity, Fraud, Waste & Error (FWE), Special Investigations, or related healthcare operations. 5+ years of experience leading analytical projects or providing technical leadership within a healthcare environment. Demonstrated experience working with healthcare claims platforms including ACAS, QNXT, HRP, or comparable systems. Experience using SAS, SQL, Python, R, or other analytical and statistical programming languages. Experience performing advanced data analysis, opportunity identification, trend analy

Job Responsibilities: • Identify and coordinate with vendors and suppliers. • Source materials and obtain quotations. • Negotiate prices, payment terms, and delivery schedules. • Prepare and process Purchase Orders (POs). • Follow up with suppliers to ensure timely delivery of materials. • Coordinate with stores, warehouse, and accounts teams. • Maintain purchase records and vendor details. • Resolve supplier-related issues and ensure quality standards. • Monitor inventory and arrange timely procurement of materials. Required Skills: • Good communication and negotiation skills. • Basic knowledge of procurement and purchasing processes. • Proficiency in MS Excel and MS Office. • Good organizational and follow-up skills. • Ability to work independently and manage multiple tasks.

This role is responsible for managing billing processes, revenue, and payment collection by ensuring accurate and timely updates on various portals, responds to disputes, and provides detailed financial reporting. Source: Adani Group | Job ID: 58639

Locations: South Jordan, UT Salary: $56,000 Launch Your Career in Technology Every app, website, payment, and digital service relies on technology running smoothly behind the scenes. When something goes wrong, Production Support Engineers are the people who investigate the issue, restore service, and help prevent it from happening again. If you're curious, analytical, and enjoy solving problems, this is an opportunity to build hands-on experience with cloud platforms, Linux, automation, databases, and large-scale enterprise systems from day one. What Is Production Support? Production Support Engineers keep business-critical applications running reliably in live environments. Think of it this way: Software Engineers build the platform. QA Engineers test the platform. Production Support Engineers keep the platform running when it matters most. Working at the intersection of technology and business, you'll troubleshoot issues, automate processes, and help improve the reliability and performance of systems used by thousands, or even millions, of people every day. If you enjoy solving puzzles, working under pressure, and understanding how large-scale systems work, this could be the perfect place to start your career. What You'll Do As part of a global production engineering team, you'll: Help support large-scale applications and platforms used by leading organizations around the world. Monitor business-critical applications and services to ensure high availability and performance. Investigate and resolve production incidents across applications, infrastructure, databases, and cloud environments. Analyse logs, alerts, and system metrics to identify root causes and prevent recurring issues. Partner with software engineers, infrastructure teams, and business stakeholders to improve system reliabilit

About Us OpenFX is on a mission to become the global backbone for cross-border FX transactions. We are building the infrastructure to power the next generation of cross-border payment systems for institutions. The team's execution has been exceptional, and we're scaling remarkably. We're backed by Accel, NFX, Accomplice, and other top-tier investors. We seek an experienced Head of Client Success, MENA to ensure the satisfaction and retention of our institutional clients, and to build the client success team for the region. As a key member of our customer-facing team, you'll manage the overall customer experience, understand their needs, and work cross-functionally to deliver tailored solutions that drive their success. Responsibilities & Expectations Client Growth & Optimization Analyze client trading data to identify opportunities for volume growth and cost savings. Create regular reviews showcasing platform value and optimization opportunities. Develop and execute account growth strategies based on quantitative analysis that grow transaction volume by helping customers optimize their FX flows and ensuring they manage a larger share of their trading activity through our platform. Team Building & Leadership Build and hire the MENA client success team, sequencing roles against regional growth. Set the operating rhythm: account planning cadence, coverage model, and escalation paths. Coach and develop the team, owning their performance and progression. This is a player-coach role. For the first year you are the team, carrying accounts and handling client service requests while building the function around you. Operational Excellence Manage smooth client ramping processes, including technical integration and training. Coordinate with internal teams to resolve any trading or settlement issues promptly. Provide regular reporting on client health metrics and growth opportunities. Collect and organize client feedback for product and service improvement. Trading

ABOUT US Nestem Technologies is ISO 9001:2008 Certified and Govt Registered Leading Healthcare BPO Service Provider. Medical Coding and Billing Job offered For US Healthcare BPO. MEDICAL BILLING Medical Billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs Self Supportive Training will be provided for Freshers with Placement. BILLING INDUSTRY Employment is expected to grow faster than average. Job prospects is very good; persons with a strong background in medical billing and coding will be particularly high demand. PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai. 9000/- to 12000/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 979 1196 983 / 044-2481 4757.

ABOUT US Nestem Technologies is ISO 9001:2008 Certified and Govt Registered Leading Healthcare BPO Service Provider. Medical Coding and Billing Job offered For US Healthcare BPO. MEDICAL BILLING Medical Billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs Self Supportive Training will be provided for Freshers with Placement. PLACEMENTS & PAY DETAILS FOR TRAINED After successful completion of the Training job offer will be provided in Leading MNC's. Placements will be in Chennai. 9500/- to 12000/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits). For further Information Call us on 9791196983

9930167855 "Audition for print shoot / tv show / web series & tv commercials" fresh faces of all age group male & females boys / girls /kids can apply for this. role:- supporting / continuity / character / 2nd lead / parallel lead languages:- Hindi shoots location :- mumbai maharashtra regular & weekends shoots good fame / good payment/ good publicity For details contact at:- email id:- Mob- 9930167855.

This role is responsible for managing billing processes, revenue, and payment collection by ensuring accurate and timely updates on various portals, responds to disputes, and provides detailed financial reporting. Source: Adani Group | Job ID: 55246

This role is responsible for managing billing processes, revenue, and payment collection by ensuring accurate and timely updates on various portals, responds to disputes, and provides detailed financial reporting. Source: Adani Group | Job ID: 56469