Fee Regulatory Manager

Job Summary

A company is looking for a Fee and Reimbursement Regulatory Manager.

Key Responsibilities:

• Develop and manage all plan fee schedules and code pricing
• Monitor multi-state regulations affecting provider payment and implement necessary changes
• Lead cross-departmental efforts to ensure timely completion of regulatory fee and reimbursement changes

Qualifications:

• Bachelor's Degree in a related field or equivalent experience
• 7+ years of experience in managed healthcare environment
• Advanced knowledge of provider fee schedules, pricing, and reimbursement methodologies
• Experience with Medicaid, Medicare, and commercial coding rules/regulatory requirements
• Medical chart auditing experience preferred