Senior Manager, Payment Integrity - Data Mining Programs
Core
Oversee and monitor performance of internal and external cost recovery and cost containment initiatives for Health Plans.
Role type
Senior Manager, Payment Integrity (Data Mining Programs)
Builds
Cost avoidance and recovery programs for national vendors and health plans
Domain
Healthcare administration and financial operations
Required skills
Data analysis, finance, accounting, government program auditing, compliance monitoring, project management, budgeting, process evaluation, reporting
Preferred skills
Experience with cost recovery rules and regulations
Responsibilities
Manage internal and external vendor initiatives, partner with health plans to identify and contain costs, develop annual budgets and targets, evaluate and streamline processes, present trends and recommend action plans, monitor departmental performance, compile reporting packages for senior management
Seniority
Senior, hands-on management
