State Licensed Senior Manager, Payment Integrity

A company is looking for a Senior Manager, Payment Integrity to join their Payment Integrity team. Key Responsibilities Serve as the subject matter expert for Payment Integrity policies and claims processing Develop and implement standard Payment Integrity policies, procedures, and workflows Coach and lead a team to achieve identified outcomes and drive cross-functional collaboration Required Qualifications 6+ years of experience in operations, healthcare, data analytics, or consulting 6+ years of experience analyzing data to solve complex business problems 3+ years of experience leading and developing a team 6+ years of experience in medical coding with relevant certification (AAPC or AHIMA) Expert level experience with reimbursement methodologies and claims processing practices

Mar 21, 2025 - 17:42

A company is looking for a Senior Manager, Payment Integrity to join their Payment Integrity team. Key Responsibilities Serve as the subject matter expert for Payment Integrity policies and claims processing Develop and implement standard Payment Integrity policies, procedures, and workflows Coach and lead a team to achieve identified outcomes and drive cross-functional collaboration Required Qualifications 6+ years of experience in operations, healthcare, data analytics, or consulting 6+ years of experience analyzing data to solve complex business problems 3+ years of experience leading and developing a team 6+ years of experience in medical coding with relevant certification (AAPC or AHIMA) Expert level experience with reimbursement methodologies and claims processing practices