Senior Claims Audit & Compliance Leader
MetroPlusHealth
MetroPlusHealth is seeking a Claims Manager, Audit & Complaints to lead regulatory audits and complaint responses within the Claims Quality program. The role partners with cross-functional teams to ensure timely research, documentation, and remediation of identified issues. The ideal candidate has 5–7 years in a health plan environment with deep knowledge of Medicaid/Medicare claims, lifecycle, and compliance. Strong analytical and communication skills are essential. #J-18808-Ljbffr MetroPlusHealth
Vacancy posted 4 days ago
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