Sr. Manager, Provider Disputes Resolution (Remote)
Alignment Health(1 month ago)
About this role
The Senior Manager, Provider Disputes at Alignment Health leads efforts to manage and resolve provider payment disputes and post-payment reviews, ensuring compliance with regulatory and contractual requirements. The role oversees a team of dispute resolution specialists and vendor partners while supporting regulatory audits and driving process improvements to enhance provider satisfaction.
Required Skills
- Provider Disputes
- Post Payment
- Compliance
- Claims Processing
- CMS Reporting
- Payment Methodologies
- Claims Coding
- Root Cause
- Quality Audits
- Vendor Management
+5 more
Qualifications
- High School Diploma
- GED
- Bachelor's Degree Preferred
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