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Program Manager, Health Plan Payment Integrity (Claims & Recovery) at Jobgether - ApplyBlast

Program Manager, Health Plan Payment Integrity (Claims & Recovery)

Jobgether

8 days ago

Remote

Full Time

Manager

0 applicants

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About this role

The Program Manager, Health Plan Payment Integrity leads initiatives to ensure accurate health plan payments and recover overpayments. This role involves managing operational projects, analyzing claims data, and collaborating with cross-functional teams to meet regulatory and financial targets. The position requires expertise in managed care claims processing, payment integrity, and healthcare regulations.

Responsibilities

Lead health plan payment integrity initiatives and recovery concepts
Oversee projects supporting CMS and state regulatory requirements
Analyze claims data to identify trends and improve payment accuracy

Skills

About Jobgether

jobgether.com

Headquarters

Brussels, Belgium

Company Size

11-50 employees

Founded

2020

View Profile

Jobgether is a remote job platform and career tool designed specifically for senior professionals with 10+ years of experience. It uses AI-powered matching to surface relevant remote and flexible roles, providing match scores, CV review, LinkedIn optimization, and one-click auto-apply. The platform also offers networking guidance and career coaching to help experienced professionals improve their positioning and land the right opportunities faster.