Senior Manager, Clinical Payment Integrity & Recovery
Medical Mutual
Medical Mutual in Cleveland, OH seeks a Director to provide strategic and operational leadership for the Clinical Review & Recovery program within Payment Integrity. This role oversees IBRs, DRG validation, coding audits, and post‑payment reviews to ensure accurate reimbursement and regulatory compliance. The position requires a Nursing or related degree with 8+ years in health insurance operations, including supervising or managing projects, and 3+ years in clinical coding and audits. #J-18808-Ljbffr Medical Mutual
Vacancy posted 2 days ago
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