Payment Policy Manager

Job Summary

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