Regional Safety Manager overseeing safety policy implementation and compliance in Texas. Leading department staff and improving safety culture across high - hazard construction job sites.
BA
Hybrid Senior Manager, Payment and Coding Policy
Posted 44 minutes ago
About the role
- Manage the Payment and Coding Policy team within the Healthcare Value Advancement department at AZ Blue. Oversee payment strategies, coding policies, and analytical insights for provider reimbursement.
Responsibilities
- Manage the day-to-day activities of the Payment and Coding Policy area within the Healthcare Value Advancement (HVA) department.
- Serve as the primary contact and resource for staff.
- Provide oversight, direction, development, problem resolution and leadership for the Team.
- Drive corporate payment strategy and coding policy that ensures appropriate, accurate and predictable provider reimbursement for Commercial, Medicare and FEP products.
- Ensure that payment and coding policies are properly maintained and integrated into claims processing systems and vendor solutions.
- Lead overall strategic direction and execution of coding updates, coding guidelines, industry standard coding practices, billing issues, and payment, taking into consideration possible business implications.
- Oversee development of strategic analyses that impact business decisions, improve efficiency and drive innovation.
- Transform data and analytics into meaningful and actionable information.
- Ensure strategic alignment between HealthCare Value Advancement (HVA) projects and the organization's broader goals.
- Integrate analytics strategy into the execution process, including program management, project controls, communications, and vendor oversight.
Requirements
- 5 years of experience in analytics and 5 years of experience working for a healthcare organization / health insurer (Level 1)
- 3 years of experience in supervisory/management role (Level 1)
- 10 years of experience in analytics and 10 years of experience working for a healthcare organization / health insurer (Level 2)
- 7 years of managerial experience (Level 2)
- Bachelor’s degree in a quantitative, healthcare administrative, business, or related field of study
- Preferred Work Experience 15 years of experience in a healthcare analytics role for a health insurer on a team such as informatics, healthcare economics, or actuarial (All Levels)
- 5 years of managerial experience (Level 1)
- 10 years of managerial experience (Level 2)
- Experience developing provider reimbursement and financial impact analyses (All Levels)
- Experience supporting code editing solutions (All Levels)
- Experience working with medical coders and coding (All Levels)
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Regional Safety Manager overseeing safety policies and compliance across service divisions in high - hazard construction environment. Leading initiatives to ensure regulatory compliance and safety culture in Roseville, California.
Regional Safety Manager overseeing implementation of safety policies and compliance with regulations in California. Lead safety programs and mentor department staff across service divisions.
Live Commerce Manager overseeing operations and strategy for livestream and video content in e - commerce. Leading cross - functional teams and ensuring alignment with brand objectives in a dynamic environment.
Senior Manager, Social Impact leading regional initiatives and partnerships for HPE's social impact efforts. Collaborating with various organizations to drive sustainable change across sectors.
R2R SME Manager at Genpact managing financial operations, ensuring compliance and efficiency. Overseeing financial processes and providing insights to business units in Poland.
Business Manager I overseeing financial operations in the Huntsman School of Business at Utah State University. Manage budgets, reconcile financial statements, and support faculty hiring processes.
Entry Level Manager at Wegmans managing store operations and customer service teams. Fostering team collaboration and ensuring excellent service standards in a fast - paced environment.
Maintenance Manager overseeing a team responsible for essential gas production maintenance. Driving safety and efficiency in Fergana and Navoiy Region, Uzbekistan.
Scheduling Optimization Manager overseeing enterprise - wide provider scheduling optimization at Christiana Care Health System. Leading operational strategy and managing template lifecycle across service lines.