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Payment Integrity Program Manager
A company is looking for a Payment Integrity Program Development Manager responsible for improving claim payment accuracy and reducing medical spend. Key Responsibilities Leverage expertise and data to identify medical cost savings opportunities Collaborate with internal teams to analyze claims payment inaccuracies and their impact on expenses Independently analyze trends in medical costs and claims processing to enhance payment integrity programs Required Qualifications Bachelor's degree and a minimum of 4 years of relevant experience Experience in U.S. healthcare Proficiency in analytical and data mining tools Knowledge of claims adjudication and revenue cycle management Experience with payment integrity concept ideation
A company is looking for a Payment Integrity Program Development Manager responsible for improving claim payment accuracy and reducing medical spend.
Key Responsibilities
Leverage expertise and data to identify medical cost savings opportunities
Collaborate with internal teams to analyze claims payment inaccuracies and their impact on expenses
Independently analyze trends in medical costs and claims processing to enhance payment integrity programs
Required Qualifications
Bachelor's degree and a minimum of 4 years of relevant experience
Experience in U.S. healthcare
Proficiency in analytical and data mining tools
Knowledge of claims adjudication and revenue cycle management
Experience with payment integrity concept ideation
