Product Manager, Payment Integrity

Job Summary

A company is looking for a Product Manager, Payment Integrity.

Key Responsibilities

• Maintain a roadmap for payment integrity capabilities to ensure accurate medical claim payments
• Create systems to identify and adjust incorrect claims prior to payment while meeting operational performance requirements
• Collaborate with various departments to develop implementable solutions and regularly communicate performance updates

Required Qualifications

• 5+ years of experience in healthcare product management or consulting
• 2+ years of experience managing structured prioritization processes
• Bachelor's degree
• Experience with healthcare data, including claims and coding standards
• Familiarity with health plan and provider network concepts