Geisinger · 1 day ago
Manager Program Integrity, Geisinger Health Plan (Eastern United States resident)
Danville, PA
Full-time
Onsite
Senior Level
7+ years expGeisinger is a healthcare organization focused on providing care to patients and communities. They are seeking a Manager for the Program Integrity Department to oversee day-to-day operations, ensuring compliance with regulations and maintaining the integrity of auditing data and reports.
HealthcareHospitalHealth CareMedical
Responsibilities
Guides others to develop build and update work plans, tasks, timelines, measurements, and reports
Negotiates settlements and oversees vendor relationships and deliverables that support corporate business decisions
Compiles and presents summaries of complex audit activities in a professional format to the appropriate internal or external entities
Prioritizes and manages audits to achieve savings, pursue overpayment recoveries and changes in behavior
Conducts periodic compliance and performance reviews of auditor cases and activity
Participates in and coordinates Provider Appeals process specific to overpayment demands
Designs and implements wide-ranging, global programs
Organizes and develops initiatives across the enterprise which respond to change in managed care
Prioritizes time-sensitive requests and meet urgent and tight deadlines
Act as a resource on compliance issues or questions related to auditing and monitoring activities
Qualification
Required
High School Diploma or Equivalent (GED)- (Required)
Minimum of 2 years-Managerial/Supervisory (Required)
Minimum of 7 years-Relevant experience (Required)
Benefits
Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners
Company
Geisinger
Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.95MKey Investors
U.S. Department of Agriculture
2024-04-02Acquired
2024-01-10Grant· $0.95M
Leadership Team
Terry Gilliland
President & CEO
Anne Morse
Director, Division of Pediatric Sleep Medicine
Recent News
EIN Presswire
2025-12-08
2025-11-23
2025-11-03
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