Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Payment Selections Manager based in the United States.
This role sits at the intersection of healthcare payment integrity, clinical coding expertise, and data-driven financial accuracy, focusing on identifying and recovering improper claim payments. You will operate in a hybrid “player-coach” capacity, combining hands-on technical claims auditing with strategic concept development for automated auditing algorithms. The position involves close collaboration with Data Science, IT, and Compliance teams to translate complex reimbursement rules into actionable technical specifications. You will play a key role in shaping how payment integrity concepts are designed, validated, and deployed at scale. The environment is highly analytical and mission-driven, with a strong focus on precision, healthcare economics, and continuous improvement. Your work will directly influence payer accuracy, cost containment, and overall system integrity across healthcare transactions.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Payment Selections Manager based in the United States.
This role sits at the intersection of healthcare payment integrity, clinical coding expertise, and data-driven financial accuracy, focusing on identifying and recovering improper claim payments. You will operate in a hybrid “player-coach” capacity, combining hands-on technical claims auditing with strategic concept development for automated auditing algorithms. The position involves close collaboration with Data Science, IT, and Compliance teams to translate complex reimbursement rules into actionable technical specifications. You will play a key role in shaping how payment integrity concepts are designed, validated, and deployed at scale. The environment is highly analytical and mission-driven, with a strong focus on precision, healthcare economics, and continuous improvement. Your work will directly influence payer accuracy, cost containment, and overall system integrity across healthcare transactions.