California Provider Payment Manager

Company: VirtualVocations
Location: Far Rockaway
Posted on: May 3, 2025

Job Description:

A company is looking for a Provider Payment Strategy Manager to oversee provider reimbursement methodologies and manage staff in the Payment Strategy Department.
Key Responsibilities

Manage the advancement of provider reimbursement methodologies to align with organizational strategies
Evaluate the feasibility of reimbursement methodologies using various methods and models
Provide management oversight and guidance related to the provider reimbursement function and mentor assigned staff

Required Qualifications, Training, and Education

Bachelor's degree in Finance, Economics, Accounting, Health Care, or a related field
A minimum of eight years of experience in provider reimbursement activities, with at least three years in a managed care environment
Minimum of three years of management, supervisory, or lead experience
Knowledge of provider reimbursement methodologies, pricing, and fee schedules
Experience with managed care concepts, contracting, policies, and procedures

Keywords: VirtualVocations, West Hartford , California Provider Payment Manager, Executive , Far Rockaway, Connecticut