Senior Manager - Payment Integrity

About the role

We are seeking a Senior Manager with strong US Healthcare domain knowledge and proven training experience. This role involves consulting on healthcare processes, driving compliance, and delivering impactful training programs to internal teams and clients with focus on Provider contracts & pricing

What you'll do

• A. Contract loading & Consulting
• Provide expertise in US healthcare regulations, payer-provider processes, HIPAA compliance, and revenue cycle management
• Review and update contract details including fee schedules, reimbursement rates, and payment terms to support accurate claims adjudication
• Ensure timely and precise updates to contract data, reflecting the most current agreement terms and minimizing payment discrepancies
• Support implementation of technology-driven solutions for operational efficiency

What you need

• 7–13 years in finance, audit & banking
• Claims processing
• Excel
• Audit
• Compliance
• SOP writing
• Any graduate