Manager of Carrier Engagement

The Manager of Carrier Engagement role is responsible for evaluating payment integrity processes, supporting operational decision-making, and partnering with internal and external stakeholders to improve outcomes, efficiency, and experience. The role leads, manages, and mentors the department's Clinical Analysts.

Requirements

• Provide data analytics to support client and carrier requests
• Partner with internal teams to improve accuracy using data analysis and carrier feedback
• Review medical records for billing accuracy and coding guidelines
• Lead, manage, and mentor the department's Clinical Analyst(s)
• Collaborate with IT and serve as the liaison on business and reporting requirements for departmental IT initiatives