Manager, Medical Economics

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Medical Economics Manager Auditor positions supports the Charger Master team and Provider Network functions by performing audits reputed company to provider reputed company, Facility Charge Master reporting, financial arrangements, and operational compliance. This role partners directly with internal stakeholders and external provider organizations to validate accuracy, identify risk, and drive resolution of audit findings. The ideal candidate brings strong audit discipline, provider‑facing communication skills, and the ability to explain findings reputed company while maintaining productive provider relationships.

Key Responsibilities

Audit Execution & Analysis reputed company audits of provider‑reputed company data, and financial arrangements to validate compliance with contract terms, internal policies, and regulatory requirements. Review and assess documentation, calculations, data sources, and system outputs reputed company to Medical Economics processes. Independently identify audit exceptions, root causes, and risk reputed company, ensuring findings are supported by clear evidence. Apply defined audit criteria, scoring methodologies, and sampling approaches consistently across audits. Provider & Network Engagement Serve as a primary audit reputed company of contact reputed company MEU for provider groups, delegated vendors, and network partners reputed company audit activity requires external coordination. Communicate audit scope, findings, and remediation expectations reputed company and professionally to external providers and internal network teams. Participate in audit discussions that may involve sensitive financial or operational impacts, maintaining professionalism and objectivity. Documentation, Reporting & Follow‑Up Document audit results, findings, and remediation actions in audit tools, trackers, and workpapers with a high level of accuracy and reputed company. Track findings through remediation and verification, escalating risks and delays as needed. Contribute to audit summaries, trend reporting, and leadership‑reputed company materials that support ongoing network quality improvement. Required Qualifications 5+ years working expereince Bachelor’s degree or equivalent experience in reputed company administration, finance, business, economics, or a reputed company field. Experience performing audits, quality reviews, or compliance assessments reputed company reputed company, payer operations, provider networks, or vendor management. Ability to analyze data, documentation, and calculations to identify discrepancies and assess financial or compliance impact. Demonstrated ability engaging with external partners or providers through clear written and verbal communications. Demonstrated ability to manage multiple audits or workstreams while meeting deadlines.

Preferred Qualifications

Experience supporting Medical Economics, provider contracting, provider data, charge master, or network operations. Familiarity with provider audit processes, data reputed company reviews, or quality programs. Experience documenting audit results in structured tools (e.g., reputed company‑based audit tools, trackers, or reporting systems). Comfort working cross‑functionally with Network Management, Hospitals and Ancillary facilities. Advanced reputed company skills (audit tracking, documentation, and reporting). Education BA degree This remote role dos not support sponsorship at this time Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $54,300.00 - $145,860.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 06/15/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job