Senior Payment Integrity Manager

Job Summary

A company is looking for a Senior Payment Integrity Manager responsible for overseeing payment integrity programs and ensuring accurate claims processing.

Key Responsibilities

• Lead and optimize enterprise payment integrity initiatives, ensuring performance across claims review programs
• Translate organizational strategy into operational action plans, aligning with savings goals and regulatory compliance
• Collaborate with cross-functional teams to identify audit opportunities and improve processes

Required Qualifications

• Bachelor's degree and a minimum of 6 years of relevant experience
• Understanding of US healthcare and claims adjudication
• Experience in revenue cycle management and payment integrity
• Ability to work effectively in leadership and execution roles
• Comfortable in ambiguous and startup environments