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Payment Integrity Program Manager Jobs in Wisconsin

Executive Director, Inc.

Program Manager, MDS

Milwaukee, WI · Hybrid

$33.75 - $43/hr

Program Manager CLIENT ASSOCIATION(s): MDS POSITION REPORTS TO: Director of Scientific Engagement ... Maintain accuracy and integrity of the volunteer database and webpages for committees, task forces ...

Executive Director, Inc.

Program Manager, MDS

Milwaukee, WI · On-site

$33.75 - $43/hr

Program Manager CLIENT ASSOCIATION(s): MDS POSITION REPORTS TO: Director of Scientific Engagement ... Maintain accuracy and integrity of the volunteer database and webpages for committees, task forces ...

Deloitte

Senior Automation Engineer

Milwaukee, WI · Hybrid

$102K - $134K/yr

Working knowledge of healthcare claims processing workflows, payment integrity concepts, and ... Collaborate closely with Java developers, Mainframe engineers, product managers, and project ...

Deloitte

Automation Engineer

Milwaukee, WI · Hybrid

Working knowledge of healthcare claims processing workflows, payment integrity concepts, and ... Collaborate closely with Java developers, Mainframe engineers, product managers, and project ...

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All JobsPayment Integrity Program Manager JobsPayment Integrity Program Manager Jobs in Wisconsin

Payment Integrity Program Manager information

What is the difference between Payment Integrity Program Manager vs Payment Recovery Specialist?

AspectPayment Integrity Program ManagerPayment Recovery Specialist
CredentialsTypically requires a bachelor’s degree in healthcare, finance, or related fields; certifications like CPC or CPAT are commonOften requires similar healthcare or finance background; certifications like CPC or CPT may be preferred
Work EnvironmentWorks within healthcare organizations or insurance companies, focusing on program oversight and complianceOperates in claims departments or recovery units, focusing on identifying and recovering overpayments
Employer & IndustryHealthcare payers, insurance companies, government programsInsurance companies, healthcare providers, third-party recovery firms

The Payment Integrity Program Manager oversees programs to prevent improper payments, ensuring compliance and efficiency. In contrast, the Payment Recovery Specialist focuses on identifying and recovering overpaid claims. While both roles require healthcare and finance knowledge, the Program Manager has broader responsibilities related to program management, whereas the Recovery Specialist concentrates on claims recovery activities.

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Payment Integrity Program Manager jobs near you
Program Manager, MDS

Program Manager, MDS

Executive Director, Inc.

Milwaukee, WI • Hybrid

$33.75 - $43/hr

Full-time

Posted 16 days ago

Job description

Program Manager

CLIENT ASSOCIATION(s): MDS
POSITION REPORTS TO: Director of Scientific Engagement
DIRECT REPORTS: N/A
EMPLOYEE STATUS: Exempt, Full-time (Minimum of 37.5 hours/week)
ROLE TYPE/LEVEL: Mid-Level (Non-Supervisory)

CLIENT/DEPARTMENT OVERVIEW:
The International Parkinson and Movement Disorder Society is a non-profit medical professional society of approximately 12,000 influential clinicians, scientists, and other healthcare professionals from around the world dedicated to improving the care of patients with Parkinson’s disease and movement disorders through education and research.

JOB OVERVIEW:
Reporting to the MDS Director of Scientific Engagement, this position provides support and project management for the growing advocacy and outreach aspects of the organization and ensures effective operation of the volunteer database and online community platform. Position maintains a high level of responsibility and must maintain confidentiality, exercising discretion and sound independent judgment in performing assigned tasks. Ideal candidate will have impeccable communication skills, a high attention to detail, is organized, and adaptable to changing needs.

POSITION RESPONSIBILITIES (minimum of 37.5 hours/week):
  • Develop and maintain operational workflows for growing advocacy and outreach initiatives, including but not limited to the MDS Patient and Carers Group, and the Committee on Equality of Access to Care.
  • Maintain accuracy and integrity of the volunteer database and webpages for committees, task forces, study groups, and other working groups
  • Implementation and ongoing administrative support for online community tools for the Society's working groups
  • Support staff with MDS committees and groups as needed to achieve objectives, including, but not limited to, development of reports, agendas, minutes, timelines, action plans, correspondence, and other presentation materials, as needed
  • Serve as the primary staff liaison for additional assigned groups, supporting volunteer engagement, coordination, and effective communication between the group and the organization through process, internal staff collaboration, and strong project management.
  • Oversee development and deployment of volunteer interest forms to the Society membership
  • Oversee the deployment of the biannual term rotation process for committees, study groups, and special interest groups
  • Work with internal departments (IS, TS, CS, Mail, Accounting, etc.) as needed for MDS projects.
  • Serve as primary contact for patients asking questions about the organization
  • Carry out other related responsibilities as assigned

SKILLS AND QUALIFICATIONS:
Excellent interpersonal, organizational, and communications skills. Project management skills. Computer proficiency and ability to manage and juggle multiple projects. Attention to detail and accuracy. Able to work successfully in a team environment. Proficient in Windows, MS Word, and MS Excel. Experience with MS PowerPoint and iMIS and/or MS Access a plus.
EDUCATION/EXPERIENCE:
Bachelor’s degree preferred.
TRAVEL REQUIRED:
Up to 2 weeks per year, and may include some international travel.
WORK ENVIRONMENT:
This is a full-time position located in our office in downtown Milwaukee, WI and a minimum of two days onsite in the office (including Wednesday as an all-staff-in-office day) are a requirement of the role.

PHYSICAL REQUIREMENTS: (lifting, packaging, etc.)
Occasional lifting of up to 50 pounds may be required.

ADDITIONAL INFORMATION:
Some early morning/evening and weekend work may be required. Attendance at the annual meeting is required. Occasional morning or evening conference calls are required.

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