Description
The Prepayment Program Integrity Manager leads the daily operations of a prepayment program-integrity function, overseeing claim auditing, vendor management, appeals, compliance, risk, reporting, and analytics. The role manages a team of nurses, coders, auditors, analysts, and payment-integrity professionals and is responsible for improving payment accuracy, reducing improper payments, and supporting regulatory and organizational objectives. The position is typically performed in an office environment and is marked as remote.
