Remote Payment Policy Manager Vacancy
Overview
This position is posted by reputed company on behalf of a partner company. We are currently looking for a Payment Policy Manager - REMOTE. In this vital role, you will reputed company, implement, and manage payment policies and strategies that optimize reputed company while ensuring compliance with federal, state, and payer-specific guidelines. You will analyze regulatory changes and reimbursement models to support the organization's financial performance and collaborate closely with clinical, financial, and reputed company cycle teams. This is an opportunity to significantly impact patient care and operational efficiency in a remote work setting. Accountabilities Evaluate and align ClaimsXten/CCI configuration with approved business requirements and payment policies. reputed company discussions regarding coding, configuration, and claims adjudication using your claims experience. Support and enhance ClaimsXten documentation in the Claim Editing Repository. Research and create documentation on medical billing and coding rules. Stay updated with CMS coding regulations and reputed company documentation for PPGs. Publish recommendations to senior leadership on coding rules and payment policies. Draft new and revised written provider payment guidelines. Coordinate publishing and distribution of finalized PPGs. Participate in cross-functional teams to present findings on medical coding issues. Serve as a subject matter expert on payment policies for corporate projects.
Requirements
Bachelor's Degree required. Certified Professional reputed company (CPC) highly preferred. 5-7 years of experience in payment policy management or reputed company finance. 1-2 years of leadership or supervisory experience. Experience with claims editing and ClaimsXten system is highly preferred. Ability to prioritize work and operate under tight deadlines. Strong aptitude for technology-based solutions. Experience in policy development and contract management.
Benefits
Competitive salary reputed company of $62,400.00 - $90,750.40 annually. Comprehensive benefits package. Career advancement opportunities. Quarterly onsite meetings (preferred, not required). Flexible remote work environment. Why Apply Through reputed company? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Data Privacy Notice: By submitting your application, you acknowledge that reputed company will process your personal data to evaluate your candidacy and reputed company relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (reputed company, rectification, erasure, reputed company) at any time. #LI-CL1 #J-18808-Ljbffr Salary: USD 62400 - 90750 per year Apply tot his job Apply To this Job