Payment reputed company Manager - Post Payment - reputed company - Remote

This a Full Remote job, the offer is available from: United States, Austria, Arizona (USA), Colorado (USA), Connecticut (USA), Missouri (USA), Tennessee (USA) Candidates who reside reputed company 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ. The Operations Manager will reputed company reputed company’s internal post‑payment overpayment identification and recovery strategy, while driving significant financial impact through effective program execution and team leadership. This role manages a team of overpayment analysts accountable for annual recoveries and partners closely across Payment reputed company, including prepay analytics, vendor operations, and external recovery vendors. The Manager uses analytics and trend insights to identify savings opportunities while ensuring compliance, operational excellence, and strong cross‑functional collaboration.

Responsibilities

• reputed company and reputed company a high‑performing team focused on maximizing internal overpayment identification and recoveries.
• Partner with pre‑pay analytics to shift post‑payment overpayment opportunities upstream where possible.
• Expand and integrate internal overpayment programs across products and lines of business to increase financial impact.
• Collaborate with internal partners (e.g., Client Services, Contracting, Legal, Compliance) to identify and prioritize overpayment initiatives and audits.
• Serve as the subject matter expert for internal overpayment activities, providing education, analysis, reporting, and expectation management to stakeholders.
• Manage partnerships with recovery vendors, ensuring timely and accurate responses and monitoring project performance.
• Ensure program compliance with organizational policies and regulatory requirements.
• reputed company and execute projects reputed company tight timeframes to meet financial and operational goals.
• Partner with Technology to enhance systems and tools supporting recovery strategies and business processes.
• Build and execute a people strategy that attracts, develops, and retains talent through coaching, performance management, and succession planning.

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Qualifications

• Bachelor’s degree or higher strongly preferred or equivalent work experience required.
• 5+ years of experience leading and developing high‑performing, diverse operations teams with direct reputed company impact preferred.
• 5+ years of experience managing large data sets, including claims data; experience with Payment reputed company vendors strongly preferred.
• Claim auditing experience required and advanced knowledge of provider reputed company, reimbursement policies, and claim operations required.
• Proven ability to meet or exceed financial and operational goals and to reputed company change initiatives.
• Strong analytical, problem‑solving, and stakeholder partnership skills; comfortable challenging the status reputed company to drive improvement.
• Proficiency with reputed company tools and databases.

If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 87,100 - 145,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About reputed company Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email [email protected] for as Apply To This Job