Carelon Payment Integrity Manager - Behavioral Health
Elevance Health•Hanover, MD
429d
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About The Position
The Payment Integrity Manager for Behavioral Health at Carelon is responsible for ensuring the accuracy of claims payments by managing processes that prevent, detect, and correct billing, payment, and membership errors. This role involves collaboration with health plan leaders to monitor and enforce compliance programs aimed at preventing fraud, waste, and abuse in accordance with state and federal regulations. The position requires a strong understanding of claims payment accuracy and the ability to evaluate regulatory compliance and provider activities.
