Payment Policy Manager
Brigham and Women(1 month ago)
About this role
The Payment Policy Manager at Mass General Brigham Health Plan develops and manages payment policies and strategies to optimize reimbursement and ensure compliance with federal, state, and payer-specific guidelines. The role supports provider payment guideline documentation and collaborates with clinical, financial, and revenue cycle teams to interpret and apply payment policies. This is a remote position with occasional planned onsite meetings.
Required Skills
- Claims Editing
- ClaimsXten
- Medical Coding
- Policy Development
- Reimbursement Strategy
- Documentation
- Analytical Skills
- Communication
- Leadership
Qualifications
- Bachelor's Degree
- Certified Professional Coder (CPC)
About Brigham and Women
brighamandwomens.orgBrigham and Women’s Hospital is one of the top hospitals in America with more than 790 beds, and a premier teaching hospital of Harvard Medical School. Learn more.
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