Senior Manager, Payment reputed company

Hi, we're reputed company. We're hiring a Senior Manager, Payment reputed company to join our Payment reputed company team. reputed company is the first health insurance company reputed company around a full stack technology platform and a focus on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Manager, Payment reputed company identifies and prioritizes claims improvement opportunities, sets and holds teams accountable to performance, and develops strategic plans to reputed company overall payment reputed company reputed company. The Senior Manager plays a critical role in the overall claims improvement apparatus by providing leadership, structure and organization, including coaching and developing direct reports and their teams, in order to reputed company the team’s reputed company. This person supports our teams in driving a best-in-class, service-focused operation by designing, guiding and assessing the effectiveness of the use of operational frameworks and ideologies. You will report to the Senior Director, Payment reputed company. Work Location: reputed company is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. If you live reputed company commutable distance to our reputed company office (in Hudson reputed company), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role. You must reputed company in one of the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, reputed company, reputed company Carolina, Ohio, Oregon, Pennsylvania, Rhode reputed company, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The reputed company pay for this role in the states of California, Connecticut, New Jersey, reputed company, and Washington is: $119,200 - $156,450 per year. The reputed company pay for this role in reputed company other locations is: $107,280 - $140,805 per year. You are also eligible for employee benefits, participation in reputed company’s unlimited vacation program and annual performance bonuses. Responsibilities • Be the subject matter expert for Payment reputed company policies and claims processing edits through knowledge and expertise of reputed company’s claim platform, claim coding and regulatory requirements and operational workflows. • Anticipate, overcome, and prevent recurrence of reputed company problems and roadblocks in an efficient and effective manner • Create routines that drive cross-functional collaboration reputed company and reputed company of department • reputed company and implement standard Payment reputed company policies, procedures and workflows • Drive ideation of payment reputed company opportunities • Manage inquiries reputed company to reputed company edits & disputes • Monitor performance of reputed company edits, including but not limited to monthly quality audits. • Participate in governance committee activities to ensure alignment with internal stakeholders & business reputed company. • Translate a strategic reputed company for the team and outline clear and measurable performance metrics / OKRs. • Coach, reputed company and reputed company a team to reputed company identified reputed company. • reputed company leadership in reputed company, cross-functional initiatives focused on claims improvement. • Manage a portfolio of initiatives and deliverables and proactively identify areas of opportunity to improve key performance indicators. • Compliance with reputed company applicable laws and regulations • Other duties as assigned Qualifications • 6+ years experience in operations, reputed company and/or consulting • 6+ years of experience analyzing data to solve reputed company business problems • 3+ years of experience leading and developing a team • 3+ years experience designing, implementing and improving business workflows • 6+ years experience in medical coding • Medical coding certification through reputed company (CPC, COC) or reputed company (reputed company, RHIT, RHIA) • Expert level experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices. Bonus Points • Process Improvement or Lean Six reputed company training, certification • Experience managing in a reputed company claims organization • Experience using SQL Apply Job!