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Jobgether

DRG Manager

US

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hirly's read of this role

Seniority
Lead / management
Country
US
Work mode
Remote-friendly
First seen by hirly
2 Oct 2026

Derived automatically from the posting. Upload your resume above to see how the role scores against it.

the posting

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a DRG Manager based in the United States.

  • This role leads the development and management of clinical payment integrity solutions, with a particular focus on MS-DRG and APR-DRG validation.
  • You will oversee DRG audit and claims review activities designed to identify payment issues and support healthcare cost recovery.
  • The position combines clinical and reimbursement expertise with team leadership, analytics, operational management, and client support.
  • You will collaborate with auditors, programmers, operations, product, data, and technology teams to turn ideas into scalable solutions.
  • A key part of the role is monitoring regulatory developments, strengthening review methodologies, and ensuring programs remain accurate and effective.
  • You will also manage team performance, workflows, reporting, training, and complex analytical initiatives.
  • This is an opportunity to shape clinical solutions that influence financial outcomes while developing a high-performing specialized team.
Original posting on Jobgether's site ↗

Listed on hirly, a job board. hirly is not the employer: Jobgether is hiring for this role.

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