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Payment Integrity Program Manager Jobs in Iowa (NOW HIRING)

Maintains a working knowledge of the Trinity Health Organization Integrity Program, as well as ... Manage and participate in the supervision of ware washing, equipment cleaning and maintenance ...

Maintains a working knowledge of the Trinity Health Organization Integrity Program, as well as ... Manage and participate in the supervision of ware washing, equipment cleaning and maintenance ...

Maintains a working knowledge of the Trinity Health Organization Integrity Program, as well as ... Manage and participate in the supervision of ware washing, equipment cleaning and maintenance ...

Coding Payment Resolution Spec

Des Moines, IA · On-site

$18.25 - $23.50/hr

... Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence ... company, managed care organization or other health care financial service setting, performing ...

Showing results 21-40

Payment Integrity Program Manager information

What is the difference between Payment Integrity Program Manager vs Payment Recovery Specialist?

AspectPayment Integrity Program ManagerPayment Recovery Specialist
CredentialsTypically requires a bachelor’s degree in healthcare, finance, or related fields; certifications like CPC or CPAT are commonOften requires similar healthcare or finance background; certifications like CPC or CPT may be preferred
Work EnvironmentWorks within healthcare organizations or insurance companies, focusing on program oversight and complianceOperates in claims departments or recovery units, focusing on identifying and recovering overpayments
Employer & IndustryHealthcare payers, insurance companies, government programsInsurance companies, healthcare providers, third-party recovery firms

The Payment Integrity Program Manager oversees programs to prevent improper payments, ensuring compliance and efficiency. In contrast, the Payment Recovery Specialist focuses on identifying and recovering overpaid claims. While both roles require healthcare and finance knowledge, the Program Manager has broader responsibilities related to program management, whereas the Recovery Specialist concentrates on claims recovery activities.

What are popular job titles related to Payment Integrity Program Manager jobs in Iowa? For Payment Integrity Program Manager jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Payment Integrity Program Manager jobs in Iowa look for? The top searched job categories for Payment Integrity Program Manager jobs in Iowa are:
What cities in Iowa are hiring for Payment Integrity Program Manager jobs? Cities in Iowa with the most Payment Integrity Program Manager job openings:
Infographic showing various Payment Integrity Program Manager job openings in Iowa as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 68% In-person, 9% Hybrid, and 23% Remote job distribution.

Catastrophic Nurse Case Manager - Omaha, NE

Paradigm

Council Bluffs, IA • On-site

Other

Medical, Life, Retirement, PTO

Re-posted 27 days ago


Job description

Paradigm Specialty Care Management

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We're proud to be recognized—again! For the fourth year in a row, we've been certified by Great Place to Work®, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Paradigm is looking for a full-time, benefited Catastrophic Nurse Case Manager to cover the Omaha, NE, area.

A Catastrophic Nurse Case Manager role is a hybrid position. The candidate must be located in the Omaha, NE, area due to regular local travel (80% of the time) for in-person patient appointments. You must be willing to travel and have a compact RN license in the state of NE.

The catastrophic nurse case manager is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The catastrophic nurse case manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.

At Paradigm, People Come First

It's more than a job. It's a passion. Work at Paradigm, and you'll find deep satisfaction knowing you're making a profound difference in people's lives.

  • Meaningful work: better outcomes for all isn't just our tagline. It's what guides us to do our best—every day. At Paradigm, you'll find an authentic connection between the work you do and your passion for making a difference in the world.
  • Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives.
  • Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.

Qualifications

  • Current, unencumbered compact Registered Nurse (RN) license in Nebraska required
  • Experience in case management of workers comp cases strongly preferred
  • Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred (must obtain within two years of hire date)
  • Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)
  • Ability to operate autonomously with minimal oversight
  • Skilled at patient education
  • Valid driver's license and good driving history

Paradigm Benefits:

  • Health and wellness – We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
  • Financial incentives - Paradigm's financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
  • Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
  • Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
  • Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster