Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management * Oversees ...
Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management * Oversees ...
Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management * Oversees ...
Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management * Oversees ...
Wealth Advisor
$116K - $194K/yr
Leads client relationship review discussion with committee. Manage and review the relationship on an ongoing basis to ensure client goals and objectives are achieved. * Adhere to applicable ...
Wealth Advisor
$116K - $194K/yr
Leads client relationship review discussion with committee. Manage and review the relationship on an ongoing basis to ensure client goals and objectives are achieved. * Adhere to applicable ...
Wealth Advisor
$116K - $194K/yr
Leads client relationship review discussion with committee. Manage and review the relationship on an ongoing basis to ensure client goals and objectives are achieved. * Adhere to applicable ...
Wealth Advisor
$116K - $194K/yr
Leads client relationship review discussion with committee. Manage and review the relationship on an ongoing basis to ensure client goals and objectives are achieved. * Adhere to applicable ...
Wealth Advisor
Portland, ME · On-site
$116K - $194K/yr
Leads client relationship review discussion with committee. Manage and review the relationship on an ongoing basis to ensure client goals and objectives are achieved. * Adhere to applicable ...
Wealth Advisor
Portland, ME · On-site
$116K - $194K/yr
Leads client relationship review discussion with committee. Manage and review the relationship on an ongoing basis to ensure client goals and objectives are achieved. * Adhere to applicable ...
Property Manager
Portland, ME · On-site
$60K - $65K/yr
Property Manager Location: Portland, ME 04101 Company: Dirigo Management Company Job Type ... Attend Board and committee meetings as requested Requirements: Qualifications * Strong written and ...
Quick apply
Property Manager
Portland, ME · On-site
$60K - $65K/yr
Property Manager Location: Portland, ME 04101 Company: Dirigo Management Company Job Type ... Attend Board and committee meetings as requested Requirements: Qualifications * Strong written and ...
Director US Strategy
Scarborough, ME · On-site
$160K - $240K/yr
Supports US materials for the Executive Committee, Management Board, and Supervisory Board * Brings information to senior leaders regarding market trends, insights and competitive intelligence
Director US Strategy
Scarborough, ME · On-site
$160K - $240K/yr
Supports US materials for the Executive Committee, Management Board, and Supervisory Board * Brings information to senior leaders regarding market trends, insights and competitive intelligence
... negotiations Outcomes Management & Operational Support * Recommend necessary strategies to ... Prepare relevant recommendations and reports for committees and boards, as required Stakeholder ...
... negotiations Outcomes Management & Operational Support * Recommend necessary strategies to ... Prepare relevant recommendations and reports for committees and boards, as required Stakeholder ...
... negotiations Outcomes Management & Operational Support * Recommend necessary strategies to ... Prepare relevant recommendations and reports for committees and boards, as required Stakeholder ...
Quick apply
... negotiations Outcomes Management & Operational Support * Recommend necessary strategies to ... Prepare relevant recommendations and reports for committees and boards, as required Stakeholder ...
Senior Manager, Financial Crime Risk Business Oversight (US)
Portland, ME · On-site
$115K - $186K/yr
The DAP team also participates on project steering committees, advisory committees, and is ... The role of Sr. Manager will be responsible for assisting the Head of Digital Asset Programs in ...
Senior Manager, Financial Crime Risk Business Oversight (US)
Portland, ME · On-site
$115K - $186K/yr
The DAP team also participates on project steering committees, advisory committees, and is ... The role of Sr. Manager will be responsible for assisting the Head of Digital Asset Programs in ...
... negotiations Outcomes Management & Operational Support * Recommend necessary strategies to ... Prepare relevant recommendations and reports for committees and boards, as required Stakeholder ...
... negotiations Outcomes Management & Operational Support * Recommend necessary strategies to ... Prepare relevant recommendations and reports for committees and boards, as required Stakeholder ...
Prepares loan presentations as needed for Commercial Banking Officer approval, management loan committee and the Board of Directors as required under the Bank's loan policy, including loan pricing ...
Prepares loan presentations as needed for Commercial Banking Officer approval, management loan committee and the Board of Directors as required under the Bank's loan policy, including loan pricing ...
Human Resources Manager
Biddeford, ME · On-site
Lead the Safety Committee * Represent the district at hearings and legal proceedings as needed * Manage Information Systems for employee data Full Certification/License: * Professional HR ...
Human Resources Manager
Biddeford, ME · On-site
Lead the Safety Committee * Represent the district at hearings and legal proceedings as needed * Manage Information Systems for employee data Full Certification/License: * Professional HR ...
Commercial Portfolio Manager
Gorham, ME · On-site
Prepares loan presentations as needed for Commercial Banking Officer approval, management loan committee and the Board of Directors as required under the Bank's loan policy, including loan pricing ...
Commercial Portfolio Manager
Gorham, ME · On-site
Prepares loan presentations as needed for Commercial Banking Officer approval, management loan committee and the Board of Directors as required under the Bank's loan policy, including loan pricing ...
Safety & Compliance Manager
Eliot, ME · On-site
Lead the Safety Committee and provide regular updates to leadership. Incident Management * Investigate workplace incidents, near misses, and accidents; identify root causes and implement corrective ...
Safety & Compliance Manager
Eliot, ME · On-site
Lead the Safety Committee and provide regular updates to leadership. Incident Management * Investigate workplace incidents, near misses, and accidents; identify root causes and implement corrective ...
Human Resources Manager
Biddeford, ME · On-site
Lead the Safety Committee * Represent the district at hearings and legal proceedings as needed * Manage Information Systems for employee data Full Certification/License: * Professional HR ...
Human Resources Manager
Biddeford, ME · On-site
Lead the Safety Committee * Represent the district at hearings and legal proceedings as needed * Manage Information Systems for employee data Full Certification/License: * Professional HR ...
Compliance Officer
Saco, ME · On-site
Prepare periodic reports on the status of the respective programs administered by the role to senior management, the Risk Management Committee, the Compliance Committee of the Board of Directors and ...
Compliance Officer
Saco, ME · On-site
Prepare periodic reports on the status of the respective programs administered by the role to senior management, the Risk Management Committee, the Compliance Committee of the Board of Directors and ...
Compliance Officer
Saco, ME · On-site
Prepare periodic reports on the status of the respective programs administered by the role to senior management, the Risk Management Committee, the Compliance Committee of the Board of Directors and ...
Compliance Officer
Saco, ME · On-site
Prepare periodic reports on the status of the respective programs administered by the role to senior management, the Risk Management Committee, the Compliance Committee of the Board of Directors and ...
Compliance Officer
Saco, ME · On-site
Prepare periodic reports on the status of the respective programs administered by the role to senior management, the Risk Management Committee, the Compliance Committee of the Board of Directors and ...
Compliance Officer
Saco, ME · On-site
Prepare periodic reports on the status of the respective programs administered by the role to senior management, the Risk Management Committee, the Compliance Committee of the Board of Directors and ...
Area Service Manager
Portland, ME · On-site
The Area Service Manager is accountable for owning service operations with direct responsibility ... inspections, committees, communications, investigations, and prevention. * Identification and ...
Area Service Manager
Portland, ME · On-site
The Area Service Manager is accountable for owning service operations with direct responsibility ... inspections, committees, communications, investigations, and prevention. * Identification and ...
Committee Manager information
See Saco, ME salary details
$28.8K - $39.3K
9% of jobs
$39.3K - $49.7K
13% of jobs
$52.4K is the 25th percentile. Wages below this are outliers.
$49.7K - $60.2K
12% of jobs
$60.2K - $70.7K
9% of jobs
The median wage is $78.2K / yr.
$70.7K - $81.1K
9% of jobs
$81.1K - $91.6K
5% of jobs
$91.6K - $102.1K
4% of jobs
$102.1K - $112.6K
6% of jobs
$115.7K is the 75th percentile. Wages above this are outliers.
$112.6K - $123K
22% of jobs
$123K - $133.5K
6% of jobs
$133.5K - $144K
3% of jobs
$28.8K
$85.5K
$144K
How much do committee manager jobs pay per year?
What are committee managers?
What is the highest position in a committee?
What are the duties of the management committee?
What is the job description of a committee head?
What positions do you need for a committee?
What are the key skills and qualifications needed to thrive as a Committee Manager, and why are they important?
How does a Committee Manager typically balance the needs and expectations of diverse stakeholders within a committee?
What is the difference between Committee Manager vs Event Coordinator?
| Aspect | Committee Manager | Event Coordinator |
|---|---|---|
| Required Credentials | Typically a degree in management, public relations, or related fields; experience in organizational leadership | Often a background in hospitality, marketing, or communications; event planning certifications are common |
| Work Environment | Office-based, overseeing committee activities, meetings, and strategic planning | On-site at event locations, coordinating logistics and vendor management |
| Employer & Industry Usage | Nonprofits, associations, corporate boards | Event planning companies, hospitality, corporate events |
While both roles involve coordination and organizational skills, a Committee Manager focuses on managing committee operations and strategic oversight, whereas an Event Coordinator handles the logistics and execution of specific events. The roles often overlap in skills but differ in scope and environment.
Senior Director, Claims & Payment Integrity - Remote
Portland, ME • On-site, Remote
Full-time
Posted 21 days ago
Martin’s Point Health Care rating
7.4
Based on 6 frontline employees who took The Breakroom Quiz
Job description
Position Summary
The Senior Director, Claims & Payment Integrity, is responsible for oversight of health plan claims administration and payment integrity functions. The position will develop, maintain, and optimize process flows to maintain claims payment accuracy.
Job Description
Key Outcomes:
- Drives quality, timely claims processing to allow the health plan to achieve regulatory compliance, robust financial management and product strategy outcomes
- Oversee strong inventory management processes and enhance auto adjudication
- Delivers strong vendor oversight to optimize system processing to improve efficiency and accuracy; pursue new vendor opportunities including Request for Information (RFI)/Request for Proposal (RFP) as deemed appropriate
- Collaborates with business and IT teams to ensure system and operational readiness for system fixes, configuration, and project rollouts impacting claims processing
- Ensures operational readiness, testing, training, reporting, and communications are in place for claims processing updates
- Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management
- Oversees, develops, and maintains documentation for claims and configuration processes and procedures with appropriate controls, reporting and quality assurance
- Develops work intake mechanisms, exploring and implementing tools to manage claims processing tickets, prioritize backlog and assess different work types (i.e., reporting, configuration, project vs. production fixes, etc.)
- Remains up to date on industry trends and advancements in claims provider reimbursement and system technology to identify opportunities for improvement
- Supports regular audits and quality checks to ensure data accuracy and system performance
- Oversees the research, development, implementation, ongoing operational maintenance and administration of provider payment methodologies and fee schedules for all provider types in support of provider contractual arrangements
- Supports the development and integration of provider payment policies and guidelines applicable to institutional and professional reimbursements and in concert with the Organization's products and member benefits
- Maintains all institutional and professional reimbursement methodologies leveraged by the organization. This includes demonstrating deep knowledge in industry standard payment methods
- Demonstrates working knowledge in the design and roll out of alternative payment methods that are focused on an incentive-based pay for value approach. This will require partnering cross organizationally to support the development of these new programs, and direct the operational activities necessary to stand them up
- Researches and provides recommendations on development of new or enhancements to existing reimbursements in conjunction with corporate and contractual initiatives including sound financial modeling/impact analyses
Education/Experience:
- Bachelor's degree required; Master's in business administration or comparable advanced degree strongly preferred
- CPC Preferred
- 10+ years health plan management experience required
- Experience managing vended system applications
- Experience with test plan development, strategy, and execution
Skills/Knowledge/Competencies (Behaviors):
- Demonstrates an understanding of and alignment with Martin's Point Values.
- Maintains knowledge and understanding of reimbursement agreements as well as claims and billing practices that impact cost and utilization data.
- Detailed knowledge of applicable regulatory and accrediting body standards (National Committee of Quality Assurance (NCQA), Centers of Medicare and Medicaid Services (CMS))
- Develops and maintains positive, effective working relationships with colleagues, vendors, and other internal and external customers.
- Excellent workflow and inventory management skills.
- Excellent problem solving, quantitative and analytical skills with the ability to assess performance against metrics.
- In-depth technical knowledge and ability to learn new technologies; knowledge of the Software Development Life Cycle (SDLC).
- Ability to manage, organize, and prioritize workload in a timely accurate manner.
- Ability to manage multiple competing demands and function independently.
- Knowledge of industry standards for claims and enrollment configuration, reporting and analysis.
- Knowledge of benefit coverage and servicing members, providers, and the DoD, CMS/ Medicare Advantage, and ME state insurance coverage.
- Knowledge of managed care computer systems, features, and reporting.
- Demonstrated interpersonal, communications, operational, team building, and quality improvement skills.
- Critical thinking: can identify root causes and implement short- and long-term sustainable solutions.
There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.org
Do you have a question about careers at Martin's Point Health Care? Contact us at: jobinquiries@martinspoint.org
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About Martin's Point Health Care
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Portland, ME, US
Year founded
1858