Sr. Manager Payment Integrity Operations
Health Care Service Corporation•Helena, MT
•$92,700 - $167,500
About The Position
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.
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.
Responsibilities
- Managing and controlling the day-to-day operations of Payment Integrity Operations.
- Delivering business value through the use of enterprise information, gathered via internal systems and from key internal partners.
- 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.
Benefits
- health and wellness benefits
- 401(k) savings plan
- pension plan
- paid time off
- paid parental leave
- disability insurance
- supplemental life insurance
- employee assistance program
- paid holidays
- tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Manager
