As our Payment Integrity Program Development Manager you will serve as a premier coding and billing regulations expert operating in a high-autonomy, outcomes-driven Individual Contributor (IC) role.
As our Payment Integrity Program Development Manager you will serve as a premier coding and billing regulations expert operating in a high-autonomy, outcomes-driven Individual Contributor (IC) role.
Manager, Program Development
Baltimore, MD · On-site
$85K - $133K/yr
The Manager, Program Development is responsible for the oversight, management, review, and analysis of agency asset, condition and maintenance data to drive program development activities. This ...
Manager, Program Development
Baltimore, MD · On-site
$85K - $133K/yr
The Manager, Program Development is responsible for the oversight, management, review, and analysis of agency asset, condition and maintenance data to drive program development activities. This ...
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
Quick apply
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Timonium, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Timonium, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
Quick apply
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
Quick apply
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Silver Spring, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Silver Spring, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
Quick apply
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
Baltimore, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
Quick apply
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
White Marsh, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
General Manager Development Program
White Marsh, MD · On-site
$100K - $115K/yr
As a part of our General Manager Development Program, you will get the chance to: * Receive one-on-one mentorship from our team of experienced leaders * Gain professional and personal development ...
Program Planning and Development Manager
Bethesda, MD · On-site +1
Black Canyon Consulting (BCC) is currently searching for a Program Planning and Development Manager to support our work at the Lister Hill National Center for Biomedical Communications at the ...
Program Planning and Development Manager
Bethesda, MD · On-site +1
Black Canyon Consulting (BCC) is currently searching for a Program Planning and Development Manager to support our work at the Lister Hill National Center for Biomedical Communications at the ...
Black Canyon Consulting (BCC) is currently searching for a Program Planning and Development Manager to support our work at the Lister Hill National Center for Biomedical Communications at the ...
Black Canyon Consulting (BCC) is currently searching for a Program Planning and Development Manager to support our work at the Lister Hill National Center for Biomedical Communications at the ...
Program Development Manager information
See Maryland salary details
$31.1K - $45.9K
7% of jobs
$45.9K - $60.7K
8% of jobs
$60.7K - $75.5K
7% of jobs
$80.7K is the 25th percentile. Wages below this are outliers.
$75.5K - $90.3K
5% of jobs
$90.3K - $105.2K
5% of jobs
$105.2K - $120K
5% of jobs
$120K - $134.8K
4% of jobs
The median wage is $136.6K / yr.
$134.8K - $149.6K
56% of jobs
$149.6K - $164.5K
0% of jobs
$164.5K - $179.3K
0% of jobs
$179.3K - $194.1K
1% of jobs
$31.1K
$116.5K
$194.1K
How much do program development manager jobs pay per year?
What is the difference between Program Development Manager vs Project Manager?
| Aspect | Program Development Manager | Project Manager |
|---|---|---|
| Primary Focus | Oversees multiple related projects to achieve strategic goals | Manages individual projects to meet specific objectives |
| Responsibilities | Develops program strategies, coordinates projects, manages stakeholders | Plans, executes, and closes projects within scope, time, and budget |
| Credentials | Often requires a PMP or similar certification, relevant experience | Typically requires PMP or CAPM certification, project management experience |
| Work Environment | Strategic planning, cross-project coordination, stakeholder communication | Project planning, team management, task execution |
The Program Development Manager focuses on overseeing multiple projects aligned with strategic goals, while the Project Manager manages individual projects. Both roles require project management certifications and involve coordinating teams, but the Program Development Manager has a broader, strategic scope.
What does a program development manager do?
What is the average salary for a programme manager?
What jobs pay 500,000 a year in the US?
What are the key skills and qualifications needed to thrive as a Program Development Manager, and why are they important?
What are some common challenges faced by Program Development Managers, and how can they address them?
What job makes $1,000,000 a year?

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 22 days ago
Devoted Health rating
9.0
Based on 14 frontline employees who took The Breakroom Quiz
33rd of 281 rated insurance
Job description
A bit about this role:
At Devoted, our mission is to build trust with our providers and members by ensuring claims are paid accurately and on time with transparent policies. Our Payment Integrity Concept Development Department is at the forefront of this effort, ensuring provider claims are paid correctly, free of errors, and aligned with contractual terms.
As our Payment Integrity Program Development Manager you will serve as a premier coding and billing regulations expert operating in a high-autonomy, outcomes-driven Individual Contributor (IC) role. We give our managers creative liberty to design innovative concepts across the entire spectrum of prospective pre- and post-payment edits and audits. You will bridge coding and billing expertise, regulatory policy, and data analytics to transform complex guidelines into intelligent, automated payment integrity software logic
Your responsibilities and impact will include:
- Innovative Concept & Rule Development (The Crux of the Role): Manage the full lifecycle of edit and audit development - from initial coding and billing hypothesis to detailed rule design. Convert complex medical policy, CMS rules, AMA/CPT guidance, and coding regulations into actionable logic specifications, mapping out precise conditions, exclusions, thresholds, and flags.
- Hypothesis Testing & Data Querying: Must be capable of running data queries to prove the financial validity of a coding and billing hypothesis and authoring the resulting technical specification document. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
- Defensible Policy & Friction Management: Design payment policies where CMS guidance needs to be supplemented to ensure defensibility in supporting the concept. Proactively anticipate downstream appeal behaviors and provider disputes to craft strong explanatory narratives within the rule design.
- Performance Optimization: Post-release, improve concept efficacy, false positives, and provider abrasion, continuously refining active rules based on real-world results and updated behavioral trends.
- AI Workflow Adoption: Use large language models (LLMs) or automated pattern-matching tools to review claim trends and develop narratives, accelerating the translation of signal into active payment logic.
- Regulatory Policy Mapping: Connect identified billing anomalies directly to published primary defense sources, including CMS guidelines, NCCI bundling frameworks, LCD/NCD rules, and AMA coding mandates.
- Project & Portfolio Management: Plan, organize, and coordinate discrete initiatives and concepts to achieve specific, measurable payment accuracy goals and deadlines. Proactively identify pipeline obstacles, problem-solve execution blocks, and implement logic adjustments to drive greater efficiency.
- Cross-Functional Alignment: Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and billing appropriateness, regulatory compliance, and cross-functional strategic alignment.
Required skills and experience:
- Bachelor's degree and a minimum of 4 years of relevant professional experience within a health plan, payment integrity vendor, or healthcare revenue cycle environment.
- Proven subject matter expertise as a coding and billing regulations expert, with deep familiarity interpreting CMS policies (LCDs, NCDs, LCAs), NCCI bundling edits, and provider manuals.
- Demonstrated experience and comfort with concept development logic, including a proven track record of writing logic rules or structural guidelines for claims processing implementation.
- Demonstrated ability to plan, organize, and coordinate individual concepts and initiatives, utilizing strong problem-solving skills to clear operational obstacles and meet deadlines.
- Strong analytical literacy with the ability to read, interpret, and validate data query scripts or advanced spreadsheets to confirm edit efficacy and check coding and billing hypotheses.
Desired skills and experience:
- Preferred Certification: Active Certified Professional Coder (CPC) designation or similar professional coding certification.
- Advanced experience with institutional/facility billing rules (MS-DRG, APR-DRG, APC/OPPS, revenue codes) and facility packaging workflows.
- Direct experience analyzing, writing, or defending concepts regarding Pharmacy Part D parameters and High-Cost Drugs under Part B (dosing, wastage, compounding, and J-code configurations).
- Additional national credentials such as Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), or Registered Health Information Administrator (RHIA).
- Familiarity with industry claims rules platforms (e.g., Optum/CES, Cotiviti, McKesson) and Medicare Advantage framework guidelines
#LI-Remote
Salary Range: $73,000-$120.000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
- And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
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About Devoted Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Waltham, MA, US
Year founded
2017