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Devoted Health logo
Devoted Health

Our mission: to dramatically improve the health & well-being of older Americans by caring for everyone like family

Senior Payment Integrity Manager

ManagerManagerOtherRemoteSeniorTeam 1,001-5,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

108 days ago

Salary

$104.5K - $155K / year

Seniority

Senior

Bachelor Degree6 yrs expEnglishSQL

Job Description

Senior Payment Integrity Manager

Devoted Health

• Lead and optimize the execution of enterprise payment integrity initiatives, with accountability for performance across prepay and postpay claims review programs. • Translate organizational strategy into operational action plans, ensuring alignment with savings goals, audit integrity, and regulatory compliance. • Partner with analytics, finance, compliance, and tech to identify new audit opportunities, improve processes, and develop scalable solutions. • Oversee the health of audit pipelines by ensuring work inflow and outflow are properly forecasted, balanced, and executed. • Monitor program KPIs such as savings, throughput, adjustment timeliness, and audit yield. • Take corrective action when performance falls short. • Use data to identify root causes of inefficiencies or payment errors and lead the development of solutions to reduce future risk. • Serve as a senior escalation point for complex issues involving claims adjustments, provider disputes, and operational bottlenecks. • Collaborate with departments such as Claims, Appeals, Provider Relations, and Medical Management to troubleshoot issues and implement improvements across the payment life cycle.

Job Requirements

  • Bachelor’s degree and 6+ years of professional experience in high-growth operations, strategy, or healthcare management
  • Proven ability to drive alignment across departments (Operations, Product, Engineering) and manage up to senior leadership.
  • An understanding of the US healthcare ecosystem.
  • Ability to build a process where one doesn't exist and pivot gracefully when company needs shift
  • Ability to use the company’s vision and values as a North Star when making operational trade-offs
  • Proficiency with SQL
  • Familiarity with agile methodologies or frameworks for managing complex, cross-functional initiatives

Benefits

  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

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