Senior Manager, Payment Integrity - Data Mining Programs

About the role

This role will turn data into practical insight that improves visibility, decision-making, and business performance. You will partner with business, technical, and operational stakeholders to build reporting, surface trends, and translate analysis into action. The position offers the opportunity to strengthen data-driven execution and help teams focus on the metrics that matter most within a healthcare environment.

Location: Remote - US based candidates only, no visa sponsorship available.

Responsibilities

• Manage cost avoidance and recovery initiatives with vendors
• Collaborate with health plans and national vendors to identify cost containment strategies
• Develop annual budgets and targets for vendor savings
• Evaluate and refine processes to enhance cost reduction
• Present cost trends and actionable recommendations to management
• Educate health plans on cost recovery rules and processes
• Monitor departmental performance for cost recovery opportunities
• Compile reporting packages on cost initiatives for senior management

Requirements

• Bachelor’s degree in Accounting, Finance, Healthcare Management, or related field
• 6+ years of data analysis, finance, or accounting experience
• Preferred experience in government programs auditing
• Preferred experience in compliance monitoring programs
• Project management experience is advantageous

Benefits

• Competitive pay
• Comprehensive health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work arrangements including remote, hybrid, field or office options

Pay

$107,700 – $199,300 annually