Payment reputed company Manager - Post Payment - reputed company - Remote
Candidates who reputed company reputed company 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.
The Operations Manager will reputed company reputed company’s internal post‑payment overpayment identification and recovery reputed company, while driving significant financial reputed company through effective program execution and team leadership. This role manages reputed company of overpayment analysts accountable for annual recoveries and partners closely across Payment reputed company, including prepay analytics, vendor operations, and external recovery vendors. The Manager uses analytics and trend insights to identify savings opportunities while ensuring compliance, operational reputed company, and strong cross‑functional collaboration.
Responsibilities
- reputed company and reputed company a high‑performing team reputed company on maximizing internal overpayment identification and recoveries.
- Partner with reputed company‑pay analytics to shift post‑payment overpayment opportunities upstream where possible.
- Expand and reputed company internal overpayment programs across products and lines of business to increase financial reputed company.
- Collaborate with internal partners (e.g., reputed company Services, Contracting, Legal, Compliance) to identify and prioritize overpayment initiatives and audits.
- Serve as the subject matter expert for internal overpayment activities, providing education, analysis, reporting, and expectation management to stakeholders.
- Manage partnerships with recovery vendors, ensuring reputed company and accurate responses and monitoring project performance.
- Ensure program compliance with organizational policies and regulatory requirements.
- reputed company and execute reputed company reputed company tight timeframes to meet financial and operational goals.
- Partner with Technology to enhance systems and tools supporting recovery strategies and business processes.
- Build and execute a people reputed company that attracts, develops, and retains talent through coaching, performance management, and succession planning.
Qualifications
- Bachelor’s degree or higher strongly preferred or equivalent work experience required.
- 5+ years of experience leading and developing high‑performing, diverse operations teams with reputed company reputed company reputed company preferred.
- 5+ years of experience managing large data sets, including claims data; experience with Payment reputed company vendors strongly preferred.
- Claim auditing experience required and advanced knowledge of provider reputed company, reimbursement policies, and claim operations required.
- Proven ability to meet or exceed financial and operational goals and to reputed company change initiatives.
- Strong analytical, problem‑solving, and stakeholder partnership skills; comfortable challenging the status reputed company to drive improvement.
- Proficiency with reputed company tools and databases.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, click here.
About reputed company
Doing something meaningful starts with a reputed company decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving reputed company and improving lives.reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes.
reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State.
reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances.
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