Manager, Payment Integrity
EXL
full-time
Posted on:
Location Type: Hybrid
Location: Hartford • Connecticut • United States
Visit company websiteExplore more
Salary
💰 $70,000 - $90,000 per year
About the role
- Prepare and execute Medicaid CXT/Cotiviti editing test scripts
- Ensure comprehensive validation of coding and clinical edits
- Document discrepancies and analyze claim-processing functionality
- Conduct thorough pre- and post-implementation testing
Requirements
- Bachelor’s/Master’s degree in Computer Science / IT / Engineering or equivalent experience
- 6 plus years of experience in payment integrity claims processing
- High integrity, sound judgment, and independence of thought
Benefits
- For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicaid CXTCotiviticoding validationclinical editsclaim-processing functionalitypre-implementation testingpost-implementation testing
Soft Skills
high integritysound judgmentindependence of thought