Remote Senior Payment Integrity Operations Manager

Job is Expired
Location: Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington
Compensation: To Be Discussed
Staff Reviewed: Wed, Jan 18, 2023

Job Summary

A health insurance company needs applicants for an opening for a Remote Senior Payment Integrity Operations Manager.

Must be able to:

  • Manage operational payment integrity activities
  • Manage strategic plans, plans, and goals according to organizational vision and goals
  • Provide oversight and ensure updated procedures are maintained across Operations

Position Requirements Include:

  • 5+ years experience managing people
  • 3+ years experience in a payment integrity or operations capacity
  • Bachelor's degree or 4+ year of equivalent experience
  • Experience with reimbursement methodologies
  • Experience using analysis tools such as SQL, AWS, Python, or Looker
  • Knowledge of managed care and health plan concepts, principles, practices and operations

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