Payment Integrity Manager

Job Summary

A company is looking for a Payment Integrity Business Transformation Manager.

Key Responsibilities

• Actively triage, investigate, and resolve operational issues and escalations
• Identify root cause drivers and implement solutions to improve processes
• Collaborate with technical, auditing, and business teams to enhance workflows

Required Qualifications and Experience

• 5+ years of operations experience, preferably in Medicare Advantage health plans or startups
• Strong desire and ability to learn Payment Integrity concepts and workflows
• Experience influencing and driving change in a highly-matrixed organization
• Comfort with ambiguity and ownership from triage to resolution
• Analytic mindset with the ability to conduct qualitative and quantitative analyses