Senior Payment Integrity Program Development Manager – Operational Excellence

Work from anywhere

Remote • United States • Unknown • $111–150k / год

Зарплата

$111–150k / год

Опубликовано

13 ч назад

Описание

Job Description

_A bit about this role:_

At Devoted, our mission is to build trust with our providers and members by ensuring claims are paid accurately and on time with transparent policies. Our Payment Integrity Concept Development team develops and sustains programs that improve payment accuracy, affordability, and provider experience.

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As our Senior Payment Integrity Program Development Manager – Operational Excellence, you will help ensure our internal and vendor-supported payment integrity edits and audits are implemented accurately, perform as intended, and continue delivering value over time.

You will combine payment integrity expertise, analytical judgment, and operational leadership to manage complex portfolio activities, investigate performance issues, and develop more effective and scalable ways of working. Partnering across technical and operational teams, you will drive improvements that strengthen program accuracy, financial performance, efficiency, and provider experience.

Success means not only resolving today's problems, but im

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proving the systems that prevent them from recurring.

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_Your responsibilities and impact will include:_

Portfolio Performance & Optimization: Evaluate the effectiveness of payment integrity edits and audits, independently investigate complex performance or operational issues, identify root causes, and drive improvements in accuracy, financial outcomes, and provider experience.

Implementation & Validation Assurance: Ensure new and modified payment integrity programs are appropriately validated and implemented as intended. Partner with technical and operational teams to strengthen testing, quality controls, and implementation reliability.

Portfolio Maintenance & Operational Execution: Lead assigned internal and vendor-supported portfolio activities, ensuring effective pr...

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