Payment Accuracy Policy Manager, Drugs
Rialtic, Inc.(1 day ago)
About this role
A Content Policy Manager focused on payment accuracy at Rialtic, supporting the company’s healthcare platform for claims processing related to drugs billed under the medical benefit. This new role centers on clinical policy and content management for drug edits and operates remotely with required EST hours for East Coast candidates.
Required Skills
- Clinical Policy
- Claims Testing
- Functional Design
- Project Management
- Payment Integrity
- Oncology Knowledge
- Drug Dosing
- Google Sheets
- Mentoring
- Data Validation
+3 more
Qualifications
- RN
- Pharmacist
About Rialtic, Inc.
rialtic.ioRialtic is a healthcare technology company that provides a cloud-based Payment Accuracy platform to help payers and providers reduce administrative costs and improve payment precision. Their SaaS solution replaces legacy on‑premise systems with user-friendly dashboards, self‑service configuration, automated edits and transparent reporting to streamline workflows and provider collaboration. By combining comprehensive claim edits, analytics, and platform-provided workflow tools, Rialtic aims to increase clarity, contain medical costs, and make the healthcare payment system more efficient.
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