Job Description

About the Role

The
Assistant Manager – Payment Integrity (Complex & Clinical Audit)
serves as the
day-to-day operations point of contact
for Medical Management and/or Medical Coding teams. You will lead a team of nurses and allied healthcare professionals, drive operational performance, support audit initiatives, and ensure quality, efficiency, and compliance across operations.

Key Responsibilities

  • Serve as the primary operations point of contact for Medical Management and/or Medical Coding teams
  • Act as a liaison between internal and external stakeholders for program initiatives
  • Support the creation, launch, and execution of critical account initiatives
  • Provide inputs to policies and processes impacting operations
  • Lead, manage, and motivate a team of nurses and/or allied healthcare professionals
  • Ensure team members meet or exceed daily, weekly, and monthly productivity and quality metrics
  • Coo...

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