![Magellan Health](https://assets.phenompeople.com/CareerConnectResources/pp/MAGAUS/images/job_logo_config-1575909707603.jpg)
Supervisor, Payment Integrity
1 month ago
•Identifies, designs, develops, coordinates and performs audits of claims payments across all claims platforms.
•Authors corrective action plans in coordination with internal and or external partners.
•Develops audit reports requests.
•Reports financial and statistical results on a monthly basis.
•Identifies and develops operational and tactical business initiatives for the purpose of achieving desired financial goals related to the accomplishment of corporate, departmental and PIP targets as defined.
•Builds and maintains collaborative relationships with both internal and external customers / partners (including claims, compliance legal, configuration, networks, ASD, IT, care management, underwriting and accounting management) to achieve desired financial goals in relations to PIP targets.
•Fosters trust and confidence through demonstration of knowledge, ability, cooperation and follow up.
•Project manages entire implementation of corrective action plans and develops tools to measure financial impact of changes implemented going forward.
•Ensures application and adhere to all facets of Federal, State, Provider and group mandates.
•Demonstrates the ability to develop cost benefit analysis, R.O.I. and C.A.P. on perspective projects.
•Prioritizes activities in relation to R.O.I.
Other Job Requirements
Responsibilities
2+ years of supervisory experience.3+ years of claims/collections experience.
Bachelor's Degree plus above experience or equivalent combination of experience and education.
General Job Information
Title
Supervisor, Payment IntegrityGrade
23Work Experience - Required
Claims, Collections, SupervisoryWork Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor'sEducation - Preferred
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$53,125Salary Maximum:
$84,995This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
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