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Payment Policy Manager

Company: VirtualVocations
Location: Toms River
Posted on: March 23, 2025

Job Description:

A company is looking for a Payment Policy Manager, responsible for developing and managing payment policies and strategies.
Key Responsibilities

Evaluate ClaimsXten/CCI configuration and ensure alignment with payment policies
Lead discussions on coding, configuration, and claim adjudication based on regulatory requirements
Create and publish provider payment guidelines and monitor changes in coding regulations

Required Qualifications

Bachelor's Degree required
5-7 years of experience in payment policy management or healthcare finance
1-2 years of experience in a leadership or supervisory role
Demonstrated experience in policy development and reimbursement strategy
Strong aptitude for technology-based solutions

Keywords: VirtualVocations, Toms River , Payment Policy Manager, Executive , Toms River, New Jersey

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