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Senior Clinical Content & Reimbursement Editor

Elevance Health · Winston Salem, NC, USA ·

Pay:
80.940 - 140.580
Job type:
Full Time

Elevance Health is hiring a Clinical Content & Editing Reimbursement Manager in a hybrid role requiring 1–2 in-office days weekly. The position leads the development of clinical editing rules and provider reimbursement strategies to ensure payment integrity and cost‑of‑care objectives across plans.
The candidate will perform complex fee modeling, analyze CMS and payer policies, and collaborate with cross‑functional teams to translate policies into actionable editing logic, driving accuracy and

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