Hands-on experience with audit preparation (CMS surveys, state surveys, ADRs, ZPIC/UPIC audits ... Strong project management skills, with the ability to prioritize and execute across multiple ...
Hands-on experience with audit preparation (CMS surveys, state surveys, ADRs, ZPIC/UPIC audits ... Strong project management skills, with the ability to prioritize and execute across multiple ...
Denials Management Specialist
$18.50 - $24.50/hr
Manages assigned audit reviews from intake through submission, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC ...
Denials Management Specialist
$18.50 - $24.50/hr
Manages assigned audit reviews from intake through submission, including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC ...
General Coder - Must have experience doing bill audit reviews
$19.25 - $25.50/hr
... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ... management process.
General Coder - Must have experience doing bill audit reviews
$19.25 - $25.50/hr
... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ... management process.
$17.25 - $23.25/hr
... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ... management process.
$17.25 - $23.25/hr
... RAC, UPIC, or commercial payer audit response • Multi-state Medicaid policy interpretation • ... management process.
Medical Review Supervisor (MCP)
$93K - $100K/yr
Monitor and manage the quality of reviews and department productivity to meet CMS and UPIC management expectations * Ensure that claim reviews meet the standards defined by the Statement of Work ...
Medical Review Supervisor (MCP)
$93K - $100K/yr
Monitor and manage the quality of reviews and department productivity to meet CMS and UPIC management expectations * Ensure that claim reviews meet the standards defined by the Statement of Work ...
Visit facilities as needed to support operations and program management * Orient and mentor ... UPIC defense etc. * Report to Chief Compliance Officer any concerns with compliance, including ...
Visit facilities as needed to support operations and program management * Orient and mentor ... UPIC defense etc. * Report to Chief Compliance Officer any concerns with compliance, including ...
Vice President of Quality and Compliance
$129K - $173K/yr
Manage responses to Medicare, Medicaid, commercial payer, and regulatory audits, including ADRs, UPIC, and TPE requests. * Monitor CMS regulations, accreditation standards, and payer requirements ...
Vice President of Quality and Compliance
$129K - $173K/yr
Manage responses to Medicare, Medicaid, commercial payer, and regulatory audits, including ADRs, UPIC, and TPE requests. * Monitor CMS regulations, accreditation standards, and payer requirements ...
RCM Lead
Manhattan, NY · On-site
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
RCM Lead
Manhattan, NY · On-site
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
Healthcare Coding Compliance Auditor - RUHS
Riverside, CA · On-site
$105K - $145K/yr
This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial ...
Healthcare Coding Compliance Auditor - RUHS
Riverside, CA · On-site
$105K - $145K/yr
This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial ...
Healthcare Coding Compliance Auditor - RUHS
Riverside, CA · On-site
$105K - $145K/yr
This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial ...
Healthcare Coding Compliance Auditor - RUHS
Riverside, CA · On-site
$105K - $145K/yr
This includes extensive expertise in inpatient and outpatient auditing (MS-DRGs, CC/MCC validation, POA indicators, PSI/HAC implications), managing external audits (RAC, MAC, OIG, UPIC, commercial ...
Certified Medical Coder (Medicare)
Virginia Beach, VA · On-site
$58K - $78K/yr
Experience with queue-based or low-code/no-code case management systems as an end user * Prior experience on a CMS program integrity, audit, or medical review contract (e.g., MAC, RAC, UPIC, SMRC ...
New
Certified Medical Coder (Medicare)
Virginia Beach, VA · On-site
$58K - $78K/yr
Experience with queue-based or low-code/no-code case management systems as an end user * Prior experience on a CMS program integrity, audit, or medical review contract (e.g., MAC, RAC, UPIC, SMRC ...
New
RCM Lead
New York, NY · On-site
$19.75 - $26.25/hr
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
New
RCM Lead
New York, NY · On-site
$19.75 - $26.25/hr
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
New
RCM Lead
Manhattan, NY · On-site
$19.75 - $26.50/hr
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
New
RCM Lead
Manhattan, NY · On-site
$19.75 - $26.50/hr
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
New
RCM Lead
New York, NY · On-site
$19.75 - $26.25/hr
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
Quick apply
RCM Lead
New York, NY · On-site
$19.75 - $26.25/hr
Build and maintain SOPs for every RCM workflow, and manage and coach the billing team, assigning ... You've been on the receiving end of payer or CMS audits (TPE, RAC, MAC, UPIC, or commercial payer ...
Manager Upic information
See salary details
$28.5K - $36.2K
9% of jobs
$36.2K - $44K
15% of jobs
$44.3K is the 25th percentile. Wages below this are outliers.
$44K - $51.7K
16% of jobs
The median wage is $57.3K / yr.
$51.7K - $59.4K
14% of jobs
$66.5K is the 75th percentile. Wages above this are outliers.
$59.4K - $67.1K
23% of jobs
$67.1K - $74.9K
8% of jobs
$74.9K - $82.6K
3% of jobs
$82.6K - $90.3K
3% of jobs
$90.3K - $98K
4% of jobs
$98K - $105.8K
2% of jobs
$105.8K - $113.5K
2% of jobs
$28.5K
$62.7K
$113.5K
How much do manager upic jobs pay per year?
What are the roles and responsibilities of a manager at Upic?
What are the key skills and qualifications needed to thrive as a manager at Upic?
What are some common challenges faced by a manager at Upic and how can they be addressed?
What is the difference between Manager Upic vs Supervisor Upic?
| Aspect | Manager Upic | Supervisor Upic |
|---|---|---|
| Credentials | Typically requires a bachelor's degree, relevant certifications, and management experience | Often requires a high school diploma or associate degree, with some supervisory training |
| Work Environment | Oversees multiple teams or departments, strategic planning | Manages daily operations of a specific team or shift |
| Industry Usage | Common in manufacturing, logistics, and service industries | Used in similar industries for team oversight |
| Search & Comparison Intent | People comparing managerial roles with operational oversight | Individuals seeking supervisory roles or entry-level management |
The main difference between Manager Upic and Supervisor Upic lies in scope and responsibilities. Managers typically handle strategic planning and oversee multiple teams, requiring more credentials and experience. Supervisors focus on daily team management and operational tasks. Both roles are vital in their industries but differ in level of authority and complexity.
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Part-time
Medical, Life, Retirement, PTO
Posted 10 days ago
Job description
Today, more people than ever are speaking publicly about their mental health. Whether it's ourselves, our friends and family or even public figures, taking care of your behavioral health is no longer a taboo, it's vital, and it's only human.
Eleos is on a mission to help deliver the world's most effective behavioral care through data, measurement, and personalization. Or simply put, we want to give clinicians the support they need to do the important work only they can do.
What is this opportunity?
We are looking for a Customer Insights Manager to join Eleos Health as we expand into the Home Health and Hospice (HH&H) market, working closely with the Clinical Strategy team. You'll be the HH&H compliance subject matter expert across the company - the bridge between our customers' clinical realities and our product, engineering, sales, and implementation teams. You'll translate regulatory frameworks like CMS Conditions of Participation, OASIS-E, HOPE, PDGM, and hospice eligibility standards into actionable product requirements, compliance rulesets, and customer-facing guidance, while helping build the compliance dashboard and custom rules engine for the Care at Home vertical.
Who are you?
You are someone who has lived the frustration of manual, fragmented compliance in home health and hospice and wants to build the technology that actually fixes it. You've spent real time delivering direct patient care and have since moved into quality assurance or compliance leadership, so you know both sides of the equation - what clinicians live day to day and what auditors expect on paper. You're comfortable in ambiguity and energized by cross-functional work, moving fluidly between product conversations, customer discovery calls, and frontline clinical detail. You're confident enough in your regulatory knowledge to push back when something isn't right, and you find genuine satisfaction in turning dense CMS language into something an engineer or a salesperson can actually use.
How will you contribute?
- Translate CMS Conditions of Participation, state regulations, accreditation standards, and payer requirements into operational workflows and AI rule sets, and maintain compliance rule libraries covering OASIS-E accuracy, HOPE assessment validation, hospice eligibility/recertification documentation, PDGM coding compliance, and SDoH capture.
- Provide clinical validation and subject matter expertise for AI-driven compliance prompts, Live Quality Assist nudges, and compliance dashboard checks, reviewing AI-generated narrative notes, OASIS responses, and HOPE items for clinical accuracy and regulatory alignment.
- Lead discovery sessions with HH&H executives, QA/QAPI directors, and clinicians to identify compliance needs and workflow gaps, and support compliance implementations end-to-end - including data schema validation, EHR ingestion review, and custom rules development.
- Serve as the HH&H compliance SME during customer meetings, QBRs, and onsite visits alongside sales, customer success, and implementation teams.
- Educate internal teams on HH&H compliance personas, regulatory frameworks, and market dynamics, and partner with Product, Clinical Strategy, Engineering, and Sales Engineering to keep HH&H needs reflected in product and go-to-market materials.
- Monitor changes in CMS regulations, MAC and payer requirements, and accreditation standards, translating market and competitive signals into product and positioning recommendations.
Required qualifications:
- Clinical licensure and direct patient care experience in home health or hospice (RN, PT, OT, SLP, SW, or equivalent)
- 5+ years in quality assurance, compliance, or clinical operations leadership (director level or above preferred) within a home health, hospice, or combined HH&H organization
- Deep working knowledge of CMS Conditions of Participation, OASIS-E, HOPE, PDGM, and hospice eligibility/recertification documentation standards
- Hands-on experience with audit preparation (CMS surveys, state surveys, ADRs, ZPIC/UPIC audits), QAPI programs, and corrective action planning
- Familiarity with major HH&H EHR systems (e.g., HCHB/Homecare Homebase, WellSky/Kinnser, MatrixCare, Netsmart, Careficient, Healthwyse)
- Strong project management skills, with the ability to prioritize and execute across multiple workstreams simultaneously
- Experience with LLM prompt engineering, AI model validation, or data-driven quality improvement methodologies
Some nice-to-haves:
- Background in revenue cycle management, coding compliance, or billing operations in HH&H
- Certifications such as COS-C, CHC, CPHQ, or HCS-D
- Experience navigating PDGM recoupment risk, hospice fraud enforcement, or CMS TPE reviews
This is a unique opportunity to join a startup that has a meaningful impact on thousands' well-being and mental health.
This role offers:
- A team of amazing people with a shared vision and the infinite drive to make it happen
- The base pay range for this position is $120,000-150,000 per year. The determination of what a specific employee in this job classification is paid depends on several factors, including, but not limited to, prior employment history/job-related knowledge, qualifications and skills, length of service, and geographic location.
- Opportunity to build, grow, and become highly instrumental in shaping how technology can increase the effectiveness of therapy
- Fully remote work environment
Benefits
For employees
- Competitive health and well-being benefits, mental healthcare support, and life and AD&D insurance
- Significant equity and 401(k) plans matched to 4%
- Company sponsored retirement plan
- Global business travel insurance for you and any dependents traveling with you
- Domestic conference budget and annual learning & development stipend
- Remote work stipend
Life & family
- Generous PTO, additional mental health days, and paid time off to recharge, care for yourself and loved ones, and handle life's moments
- Fertility treatment and family planning coverage
Culture & development
- Annual learning & development stipend
- Employee resource groups and team-driven celebrations and events
About Eleos Health
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
11 - 50 Employees
Headquarters location
Cambridge, MA, US
Year founded
2020