Position: Manager of Claims Delegation

Location: Hybrid (Must Reside in NY/NJ/CT)

Compensation:$118,135.58 - $132,902.53

Job Summary:

The position will be responsible for developing strategies to optimize the claims audit/review process, overseeing the completion of claims audits/reviews of delegated vendors to ensure compliance with health plan and regulatory standards and internal policies, monitoring key performance indicators (KPIs) to ensure ...