Payment Policy Manager
A company is looking for a Payment Policy Manager. Key Responsibilities: Manage implementation of payment and billing policy changes due to regulatory or contractual updates Collaborate with various departments to define and document requirements for payment rule implementation Research and recommend changes to payment policies based on competitor and regulatory analysis Required Qualifications: Bachelor's Degree in a related field or equivalent experience 6+ years of experience in a managed healthcare environment 6+ years of direct experience in claims processing, payment policy, or contracting Extensive knowledge of medical billing and coding principles Experience with Medicaid, Medicare, and commercial coding regulatory requirements
A company is looking for a Payment Policy Manager.
Key Responsibilities:
Manage implementation of payment and billing policy changes due to regulatory or contractual updates
Collaborate with various departments to define and document requirements for payment rule implementation
Research and recommend changes to payment policies based on competitor and regulatory analysis
Required Qualifications:
Bachelor's Degree in a related field or equivalent experience
6+ years of experience in a managed healthcare environment
6+ years of direct experience in claims processing, payment policy, or contracting
Extensive knowledge of medical billing and coding principles
Experience with Medicaid, Medicare, and commercial coding regulatory requirements
