Senior Manager, Payment Integrity and Provider Escalation
- Remote, United States
- Lead
- Posted 13 days ago
or apply from Claude / ChatGPT / Muse
Senior role managing payment disputes and escalations, ensuring compliance and improving processes in healthcare billing.
About the role
Overseeing daily operations, mentoring teams, and analyzing trends to resolve provider disputes and optimize payment integrity.
At a glance
- Pay
- Not stated in the posting
- Remote scope
- Remote, United States
- Seniority
- Lead
- Skills
- CMS regulations, CPT, HCPCS, ICD-10, NCCI edits
- Posted
- 16 Oct 2026
- Last checked
- 29 Oct 2026
What you will do
- Manage daily operations and compliance with service level agreements.
- Analyze dispute data to identify trends and root causes.
- Collaborate with teams to refine billing policies and reduce disputes.
What they look for
- 5+ years in healthcare payment integrity and dispute management.
- Expert knowledge of CMS regulations and coding guidelines.
- Proven experience in team supervision and operational leadership.
How Keywordise applies for you
Alex Demo
[email protected]
From your CV
Yes, fully remote
- Sent
- 09:41
- Attached
- Your tailored CV
- 1Upload your CVAdd your CV once. It takes about a minute.
- 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
- 3The form fills itselfName, email, experience and screening questions, field by field.
- 4Application sentYou get a receipt and follow it in your dashboard.
Apply with Keywordise AI7-day free trial, no card.
Apply from your AI assistant
Connect Keywordise to your assistant once, then send it the prompt. It applies for you.
Claude
- In Claude, open Settings, then Connectors, and choose Add custom connector.
- Name it Keywordise and paste the connector URL.
- Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
https://keywordise.com/mcpDisconnect any time in your Keywordise settings.
ChatGPT
- In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
- Add a new connector with the connector URL and choose OAuth. Leave the client ID and secret empty.
- Log in to Keywordise and approve. Then send the prompt in a new chat.
https://keywordise.com/mcpDisconnect any time in your Keywordise settings.
Muse
- Open Muse (muse.ai or the app) and send it the message below.
- If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
- Send the prompt. Muse asks before it sends anything.
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.Muse is available in the US only for now.
Apply to Keywordise job 6by7wiqkp7Questions about this job
Is this job fully remote, and from where?
The posting lists it as remote for people in the United States.
What does this job pay?
No pay range is stated in the posting.
What experience is needed?
It is a lead role. The posting asks for: 5+ years in healthcare payment integrity and dispute management; expert knowledge of CMS regulations and coding guidelines; proven experience in team supervision and operational leadership. Skills it names include CMS regulations, CPT, HCPCS, ICD-10.
How do I apply with Keywordise AI?
Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.
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