Manager, Payer Clinical Services (HBA)

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Manager, Payer Clinical Services (HBA) based in United States. This role leads the clinical and operational oversight of hospital bill audit activities across outpatient and facility reviews.You’ll ensure audit accuracy, coding compliance, and consistently high-quality outcomes for payer clients.The position combines people leadership, clinical expertise, quality assurance, client service, and operational improvement.You’ll coach and develop clinical staff while creating training programs that strengthen performance and expertise.You’ll analyze denial patterns and audit trends to identify opportunities that improve revenue performance and client outcomes.Working closely with clinical, coding, nursing, and client teams, you’ll translate findings into clear recommendations and actionable improvements.This is an opportunity to shape scalable audit practices while contributing to a collaborative, technology-enabled healthcare environment.