Operations Senior Supervisor

Job Summary

A company is looking for an Operations Senior Supervisor - Payment Integrity.

Key Responsibilities

• Lead and develop a high-performing team focused on maximizing internal overpayment identification and recoveries
• Collaborate with internal partners to identify and prioritize overpayment initiatives and audits
• Manage partnerships with recovery vendors and ensure program compliance with organizational policies and regulatory requirements

Qualifications

• Bachelor's degree or higher strongly preferred or equivalent work experience required
• 3+ years of experience leading and developing diverse operations teams with direct bottom-line impact preferred
• 3+ years of experience managing large data sets, including claims data; experience with Payment Integrity vendors strongly preferred
• Claims auditing experience required
• Advanced knowledge of provider contracts, reimbursement policies, and claim operations required