Program Manager, Health Plan Payment Integrity (Claims & Recovery) Remote

Molina Healthcare of Kentucky is hiring a Program Manager, Health Plan Payment Integrity (Claims & Recovery). This position is remote.

Highly Qualified Candidates Will Have the Following - Managed care experience Strong Medicaid experience, Medicare, Marketplace (Specifically Kentucky Medicaid preferred, not required) Claims processing and reimbursement knowledge, Claims processing knowledge on the recovery side Good working knowledge of CPT, HCPCS, ICD, and revenue codes Payment Integrity, cost management, or similar claims experience Strong analytical and problem solving skills Ability to work independently and take ownership of assignments Good communication skills Comfortable working with multiple teams and different levels of leadership Able to take a problem that may not have a clear answer and work through it