Sr. Manager Payment Integrity Operations
About the role
The position is responsible for managing and controlling the day-to-day operations of Payment Integrity Operations. This position is responsible for delivering business value through the use of enterprise information, gathered via internal systems and from key internal partners, which also includes the design, development, deployment, maintenance, enhancement and support for structuring, organizing, storing, retrieving, analyzing, and reporting strategic and tactical enterprise refund & recovery management information and operational / production data.
Responsibilities
- Manage and control the day-to-day operations of Payment Integrity Operations.
- Deliver business value through the use of enterprise information, gathered via internal systems and from key internal partners.
- Design, develop, deploy, maintain, enhance and support structuring, organizing, storing, retrieving, analyzing, and reporting strategic and tactical enterprise refund & recovery management information and operational / production data.
Requirements
- Bachelor’s degree in business administration or related field.
- 6 years related business and management experience or its equivalent.
- Technical knowledge of group products and claims operations.
- Ability to analyze contract language and processes and procedures.
- Effective verbal, written and leadership skills.
Flex (Hybrid) Role
This is a Flex (Hybrid) role: 3 days in office; 2 days remote.
Pay
Compensation: $92,700.00 - $167,500.00
Schedule
This is a Flex (Hybrid) role: 3 days in office; 2 days remote.
Benefits
To learn more about available benefits, please click here.
Contact
We are an Equal Opportunity Employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.