Manager Program Integrity - Prepayment Auditing , Geisinger Health Plan

Job Summary The Prepayment Program Integrity Manager is responsible for the strategic and operational management of prepayment claims auditing programs designed to ensure payment and vendor accuracy. This role oversees prepayment review activities, vendor edit programs, provider appeal processes, and related auditing operations. The Manager leads a multidisciplinary team of clinical, coding, and audit professionals while partnering with internal stakeholders and external vendors to optimize cla…