Payment Selections Manager
United Statesonsitemanager$110K – $122K
via Greenhouse
About this role
Opportunity Overview:
We are seeking a dynamic Payment Selections Manager to join our Payment Integrity team. In this role, you will drive the identification and recovery of improper claim payments, serving as a critical "player-coach" who balances high-level strategy with hands-on technical execution. You’ll partner closely with Data Science, IT, and Compliance teams to build innovative auditing algorithms, providing an opportunity to directly impact our payer clients' financial accuracy and operational excellence.
What you’ll do:
Research and document new payment integrity concepts by analyzing medical policies, billing regulations, and reimbursement logic.
Translate complex billing rules into precise technical specifications for automated claim auditing algorithms.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: cohere, teams
2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in United States. We weight your proximity and willingness to relocate.
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Skills in this role
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