Job Description

Job Summary

The Supervisor is responsible for the supervision of Internal Operations Payment Integrity, vendor processes and team activities. Responsibilities include oversight of payment integrity vendor audits including but not limited to TPL, Recovery, Front End Editing and Credit Balance. The Supervisor also manages Payment Integrity vendors such as Optum and Rawlings to ensure performance and quality levels for contracted services are efficient and accurate.

Minimum Qualifications

  • Bachelor's degree and 3 years of related work experience; or equivalent combination of education and work experience
  • 2 years of supervisory or management experience.
  • Basic working knowledge of Excel and PowerPoint. Intermediate working knowledge of Word and Email/Outlook.
  • Strong relationship and interpersonal skills to be applied when working with vendors and regulatory agencies across the entire payment integ...

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