CAREERS

Manager of Research

• Reduce the overall rate of production errors.
• Develop and execute processes to audit work product.
• Identify root causes of errors and feed them into a process for improvement.
• Incorporate feedback from, primarily, other Medical Policy business units and Client Services.
• Add value through vigorous participation on process improvement teams and execution of action items.

• Hiring:
  • Utilizes screening, support, CIDS, reference interviews and debriefing meetings to select high performers.
  • Adapts Scorecard to individual.
  • Effectively recruits, hires and on-boards and develops people based on an agreed plan.
• Management:
  • Conducts talent inventory.
  • Matches assignments to individual.
  • Makes decisions and takes timely action to reallocate assignments (resulting in "A" performance or other performance management action).
  • Understands and uses the Situational Leadership II model.

• Develop and implement processes that result in improved performance.
• Define assignments clearly and with deadlines, expectations and metrics.
• Report on progress to plan regularly.

• Complete industry updates so that changes to library rules are effective by the published effective dates.
• Complete industry updates so that changes to custom rules can be made by the published or agreed-upon effective dates.
• Increase accuracy of each update by improving QA procedures

• Delivers personal assignments reliably and on-time through organized personal work processes.
• Exhibits behaviors consistent with iHT Values:
  1. Integrity
  2. Our Clients
  3. Our Team
  4. Accountability
  5. Performance Excellence
  6. Continuous Improvement
• Produces quality work that considers the client's (internal and external) needs and qualitative self-review process.

• Deep understanding of medical coding and claim processing.
• Ability to learn iHT's capabilities, requirements and limitations quickly.
• Strong listening, written and oral communication skills.
• Facilitated session leadership skills.
• Highly organized and ably to manage and prioritize many tasks.
• Strong Microsoft Office skills (Word, Powerpoint, Excel).
• Ability to utilize the Internet to perform research tasks.
• Familiarity with CMS website.
• Ability to motivate others to excel.
• Can manage a cross-functional team in a matrixed environment.
• Builds credibility and establishes influence with internal team members and client team members by leading individuals to solicit and follow advice or direction.

• Minimum 5 years of line management experience.
• Experience in processing Medicare claims and dealing with the formal institutions of Medicare reimbursement (e.g. carriers, FIs, MACs, DME MACs, etc.).
• Four-year undergraduate degree.
• Medical coding certification (e.g. CPC).
• Deep knowledge of health care coding, not confined to a single specialty.
• Broad experience that covers professional and outpatient coding and billing. Inpatient, facility, and specialty coding experience is a plus.
• Experience in medical billing or claim adjudication.
• Very well-educated in the construction of health care claims and how they are processed and adjudicated by healthplans.
• Understanding of common claim editing software.

• Very rare requirement to travel.
• Work from iHT office majority of time.
• Ability to work seated at a computer for long periods of time.
• After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent).

• Direct reports include Research Analysts (RAs), Senior Research Analysts (SRAs), and Team Leads.
• Responsible for management and professional development of staff.
• Works with all iHT business teams, especially Medical Policy and Client Services.
• Acting member of iHT Process Management teams such as Payment Policy Reliability, Product Development-IT, and Medical Policy Operations.