Manager Coding Policy

at  Providence Health Plan

REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

• Bachelor’s Degree in Business Administration, Healthcare Administration, or a closely related field of study
• Certified Professional Coders Certificate
• 5+ years of related experience working in or with a managed care or health care organization
• 5+ years of Clinical Coding experience, preferable in a payer setting
• 3+ years of experience with CMS, Medicaid and State(s) regulatory requirements and quality accreditation bodies - NCQA and/or URAC
• 5+ years of leadership experience
• 3+ years of experience in technical policy & procedure writing as it relates to regulatory and accreditation standards

PREFERRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

• Master’s Degree in Healthcare Administration, Public Health, Business Administration or related field
• Coursework/Training: Training in one or more of the following: Lean, Agile, six Sigma and Change Acceleration Process (CAP)
• Internal auditing & monitoring principles

Please refer the Job description for details