Offer summary
Qualifications:
Bachelor's Degree in a related field or equivalent experience, 6+ years experience in healthcare, claims processing or payment policy.
Key responsabilities:
- Develop and maintain payment policies ensuring consistency with adjudication systems
- Monitor regulatory changes and collaborate with various departments for impact assessment
- Manage projects related to Medicare and Medicaid payment regulations
- Collaborate with stakeholders to identify cost-saving opportunities and improve payment accuracy
- Serve as research specialist on payment policies and participate in committees for policy development