Waltham, Massachusetts, 02453
Job description
**Job Title: Senior Manager**
The Senior Manager will act as the main clinical architect for claims editing and auditing processes, engaging in research to develop automated payment integrity methodologies. This role involves spearheading the development of policies across different departments and managing the comprehensive implementation of clinical strategies in diverse healthcare environments. Applicants need to possess an active Registered Nurse (RN) license along with a recognized coding certification like CPC or CCS. A minimum of five years of experience in payment integrity with an emphasis on the creation of new claim edits is essential.
STEMHUNTER is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
