Job Description
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Payment Selections Manager in the United States.
This role sits at the intersection of healthcare payment integrity, data analysis, and clinical coding expertise, driving the identification and recovery of improper claim payments. You will act as both a strategic thinker and hands-on expert, translating complex reimbursement rules into structured technical specifications used to build automated auditing logic. Working within a highly cross-functional environment, you will collaborate closely with data science, IT, and compliance teams to improve payment accuracy and operational efficiency. The position blends analytical depth with regulatory expertise, requiring strong command of medical coding standards and healthcare billing systems. You will also validate auditing logic through hands-on claims review and data analysis before deployment. This is a high-impact role where your work directly improves financial integrity across healthcare payment systems.
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Payment Selections Manager in the United States.
This role sits at the intersection of healthcare payment integrity, data analysis, and clinical coding expertise, driving the identification and recovery of improper claim payments. You will act as both a strategic thinker and hands-on expert, translating complex reimbursement rules into structured technical specifications used to build automated auditing logic. Working within a highly cross-functional environment, you will collaborate closely with data science, IT, and compliance teams to improve payment accuracy and operational efficiency. The position blends analytical depth with regulatory expertise, requiring strong command of medical coding standards and healthcare billing systems. You will also validate auditing logic through hands-on claims review and data analysis before deployment. This is a high-impact role where your work directly improves financial integrity across healthcare payment systems.