Senior Manager Payment Integrity

Job Summary

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

Key Responsibilities:

• Be the subject matter expert for Claims operations
• Provide leadership in complex, cross-functional initiatives focused on claims improvement
• Manage inquiries related to vendor edits & disputes

Required Qualifications:

• 6+ years experience in operations, healthcare, data analytics and/or consulting
• 3+ years of experience leading and developing a team
• 3+ years experience designing, implementing and improving business workflows
• 6+ years experience in medical coding
• Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)