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
Jobs in United States
Payment Terminal Certification Expert in United States
385 active opportunities · Updated October 2026
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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
Become a part of our caring community Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience. Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value. Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals. Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance. Partner with finance team to conduct impact analysis and modeling for new VBP models. Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps. Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data. Ability to translate strategy into models that can be piloted and scaled across markets. <
We are looking for a strategic and execution-focused Product Marketing Manager to lead go-to-market strategy for NMI's card-not-present (CNP) processing and Value Added Solutions (VAS) portfolio, the tools and services that power secure, high-converting online and card-not-present transactions for merchants, software platforms and partners across the United States. NMI has evolved from a payment gateway into a full-service payment platform. Our CNP processing stack and VAS suite, including Customer Vault, Automatic Card Updater, Invoicing, ACH and fraud prevention tools, give merchants and partners a single, trusted path from sign up to pay out. This role supports that evolution, helping translate processing and VAS capabilities into messaging that speaks to the outcomes online merchants, marketplaces, subscription businesses and software platforms actually care about: conversion, fraud loss reduction, recurring revenue retention and total cost of acceptance. You will lead market positioning, messaging, launches and enablement for NMI's CNP processing and VAS offerings, working closely with product, sales and channel teams to help make sure NMI is the preferred processing and VAS partner for every merchant and partner selling online. This role calls for a solid understanding of how ecommerce merchants, subscription businesses and software platforms evaluate and adopt payment processing and value added services, and the ability to help translate technical capability (tokenization, network tokenization, recurring billing, customer vaulting, PCI scope reduction, fraud and chargeback tools) into outcome-led messaging that supports pipeline and adoption. This role is also NMI's evangelist for CNP processing and VAS. You will present to sales teams and internal stakeholders, and help represent NMI at ecommerce and payments industry events. You will build AI tools into your everyday workflow as a core habit rather than an occasional add-on, and bring enough technical fluen
The Ops Sup Lead Analyst is a senior-level operations professional responsible for managing transaction exception processing, including payment network claims, adjustments, disputes, settlement exceptions, and reconciliation activities for internal Citi business partners. The role is accountable for ensuring the accurate and timely resolution of operational exceptions, maintaining a strong control environment, and overseeing third-party vendors that support these functions. This individual serves as the primary liaison between Operations, Business, Technology, Risk & Control partners, payment networks, and external vendors to ensure operational issues are resolved effectively, controls are maintained, and processes continue to evolve to support business growth and regulatory expectations. The successful candidate will act as a subject matter expert in payment network operations, transaction routing, settlements, reconciliations, and exception management. Responsibilities Lead the end-to-end management and resolution of transaction exceptions, including payment network claims, adjustments, disputes, settlement discrepancies, and other operational exceptions. Oversee settlement and reconciliation processes to ensure the timely identification, investigation, and resolution of breaks, variances, and outstanding items. Monitor operational performance and service level adherence, ensuring all activities are completed accurately, timely, and in compliance with applicable policies and procedures. Serve as the primary operational liaison with internal Citi business partners, Technology, Risk & Control, Compliance, Finance, payment networks, and third-party vendors. Manage vendor relationships supporting claims, adjustments, settlement, and reconciliation functions, including performance monitoring, issue escalation, service delivery oversight, and process improvements. Act as the b
From $56K/yr
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
From $202.1K/yr
Every day, tens of millions of people come to Roblox to explore, create, play, learn, and connect with friends in 3D immersive digital experiences– all created by our global community of developers and creators. At Roblox, we’re building the tools and platform that empower our community to bring any experience that they can imagine to life. Our vision is to reimagine the way people come together, from anywhere in the world, and on any device. We’re on a mission to connect a billion people with optimism and civility, and looking for amazing talent to help us get there. A career at Roblox means you’ll be working to shape the future of human interaction, solving unique technical challenges at scale, and helping to create safer, more civil shared experiences for everyone. We are hiring a Senior Product Policy Manager with expertise in creator economy platforms and payment fraud to join our growing Monetization Policy function. You will help us design policies, enforcement guidelines incorporated into financial integrity products, services, and technologies that support our global community of monetizing creators. As a part of the Product Policy team, you will have a global impact on our payment integrity and fraud mitigation strategy. You will collaborate internally with our product, engineering, business, legal, public policy, marketing, finance, and operations teams to help drive the business forward on a foundation of safety & civility. You will report to Roblox’s Platform Policy lead and sit within our larger Safety Group at Roblox. This role is based in San Mateo, CA and you are expected to be in office Tue through Thu. You have: 4+ years of experience with online anti-fraud, trust & safety, or product policy space, especially for digital payment and/or creator economy platforms Subject matter expertise in digital payments, virtual economies, and/or creator monetization platforms. Strong written and verbal communication skills; Able to distill c
Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Software Engineer Overview Mastercard’s Network & Digital Payments group creates meaningful digital payment experiences for consumers, merchants, issuers, and partners at global scale. The Global Product Engineering team builds foundational payment solutions that are secure, resilient, scalable, and operationally reliable. This role is for a Senior Software Engineer who will contribute to the design, development, validation, automation, and operability of high-quality software solutions. The ideal candidate brings strong software engineering fundamentals, hands-on Java development experience, and a quality-first mindset, with the ability to build automation frameworks, contribute to application design, improve engineering practices, and support production readiness. Role As a Senior Software Engineer, you will independently execute key elements of software engineering projects and processes by applying strong technical knowledge, engineering best practices, and problem-solving skills. You will contribute to building and maintaining scalable software solutions, with a focus on testability, automation, performance, security, resiliency, and operational excellence. Key Responsibilities • Design, develop, and maintain high-quality software components, automation frameworks, and engineer
Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager, Advertising Technology & Revenue Enablement Overview: Mastercard is a technology company in the global payments business. We connect consumers, financial institutions, merchants, governments and businesses worldwide and enable them to use secure and convenient electronic forms of payment. Join the industry’s most passionate, motivated & engaged global team - Our employees are encouraged to drive innovation every day in support of a more connected world – A World Beyond Cash. The Services team is a key differentiator for Mastercard, providing the cutting-edge services that help our customers grow. Focused on thinking big and scaling fast around the globe, this agile team is responsible for end-to-end solutions for a diverse global customer base. Centered on data-driven technologies and innovation, these services include payments-focused consulting, loyalty and marketing programs, business Test & Learn experimentation, and data-driven information and risk management services. The Insights and Enablement team is a global team focused on ensuring that all of Services can make data-driven decisions and operate effectively and efficiently. The team is charged with managing and adapting the policies, processes and platforms used across Services. • The Manager, Advertising Tech
Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Analyst, Franchise Services Job Title: Analyst- Franchise Services (Payment Processing Domain) Overview: The GBSC (Global Business Solutions Center) is the shared services organization for Mastercard that provides services to all regions and all business units spanning 50 countries. Consistent with the One LFI model, GBSC is partnering with the Law and Franchise Integrity team to build a Franchise shared services function. An analyst on the Franchise Services team within the GBSC will be responsible for assisting with Franchise initiatives ranging from, but not limited to, supporting Mastercard customers in areas such as compliance or customer onboarding to assisting with process efficiency and reporting projects. Are you comfortable with a changing and fast paced environment? Do you have experience with B2B customers? Are you committed to customer service? Are you agile; do you love challenges and consider the business first? Are you detail oriented? Role • Support B2B customers in navigating payment industry compliance programs and various activities related to on-boarding customers, registration, card design, variance requests and responding to ad-hoc customer requests. • Ensure customer experience and data quality requirements in accordance to customer governance requirements and Master
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 Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor
F-18 General Mechanic Company: Boeing Aerospace Operations Boeing Global Services is searching for F-18 General Mechanic willing to on 1st or 2nd shift at Naval Air Station (NAS) Joint Reserve Base (JRB) New Orleans in Belle Chase, Louisiana. This position is eligible for a Stipend payment in addition to salary for eligible candidates. Position Responsibilities: Assembles, disassembles and/or modifies systems by changing, removing, replacing or upgrading aerospace vehicle components to correct failures or implement changes. Oversees assembly, disassembly or overhaul. Configures aerospace vehicles and bench test equipment. Troubleshoots complex pneumatic, hydraulic and electrical systems to isolate mechanical or electrical faults and repair faulty components. Performs validation/verification testing of systems and components. Documents procedures and established processes to ensure contractual and regulatory compliance (e.g., repairs, test results, applicable modifications and inspection results). Inspects components and verifies repairs for flight worthiness requirements. Oversees training. Works under general direction. General Mechanic: Performs end-of-runway, postflight, preflight, thru-flight, and phase inspections. Performs coordinated combat turns and hot pit refuels. Advises on problems maintaining, servicing, and inspecting aircraft and related aerospace equipment. Uses technical data to diagnose and address maintenance problems on aircraft systems. Interprets and advises on maintenance procedures and
Become a part of our caring community The Dental Recontracting Professional initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides dental insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This is a VSP role - work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. The Dental Recontracting Professional - VSP will recontract Humana contracted dentists to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures and work special projects as needed. This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. This role is also eligible for limited benefits. Use your skills to make an impact Required Qualifications 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures a
Become a part of our caring community The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting. Job Responsibilities: Support the contracting team in drafting, reviewing, and processing provider contracts and amendments Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff Conduct initial financial analyses of contracts and terms; prepare summaries for senior review Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance Assist in identifying and reaching out to potential providers for network development based on current needs and network composition Prepare reports and updates for contracting initiatives as requested Manage assigned priorities and deadlines, escalating complex issues to senior team members Use your skills to make an impact Required Qualifications 2+ years' experience in provider contracting, network management, or a related healthcare field Knowledge of managed care or value-based contracting Understand contract terms and basic financial impact Preferred Qualifications Experience supporting ACO or IPA provider
Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Director, Customer Performance Who is Mastercard? Mastercard is a global technology company in the payments industry, operating as the world’s fastest payment processing network. Our mission is to connect and power an inclusive, digital economy that benefits consumers, financial institutions, merchants, governments and businesses in more than 210 countries and territories. Safety and security are top priorities and we continually find opportunities to make transactions safe, simple, smart, and accessible. Overview: Franchise is core to all Mastercard business. Franchise enables business growth and value, fostering interactions with customers which provides ongoing trust and confidence in the evolving payments and data driven ecosystem. This role enables high-risk acquirers to participate in the Mastercard global ecosystem by engaging directly with customers to improve ecosystem performance and strengthen participants’ understanding of business requirements. About the Role: With the growth of merchant fraud, acquirers must strengthen their screening of new merchants, as well as closely monitor new risk signals in transaction data, while ensuring their merchants remain compliant with local laws and Mastercard standards. To help acquirers achieve this, the Franchise team is looking for a fraud
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