**ABOUT THIS POSITION** The success of our team members is paramount to ensuring Waystar’s lasting impact in the healthcare payments industry. That’s why we are so passionate about helping each and every one of you reach your professional goals. As an innovative tech company that serves people, our culture and team members are a critical competitive advantage to achieve success. You make the difference. This Manager, Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Director and has the responsibility for leading a team of Analysts who are accountable for optimizing Waystar’s edit library and consulting with clients. The goal of the position is to ensure clients receive accurate claim edits that prevent payer rejections and denials. Actively partner with high-value clients to optimize workflows, design efficient and sustainable processes, and build an engaged, client-focused team. **WHAT YOU'LL DO** + Build high performing team focused on accuracy, timeliness, and efficiency of rule and edit maintenance. + Develop proactive systems to analyze and understand government and commercial payer requirements + Subject matter expert in claim edits and payer policies + Consult with high-value clients to optimize claim edit and rejection workflows + Partner with technology teams to design business rules that automate manual processes or improve efficiency + Design data-driven metrics and reporting to measure success and communicate value of the Enterprise Rules & Edits team + Develop a bench of individual performers to support our aggressive growth plans + Advocate for people, process and technology needs to enable team growth + Attend to Enterprise team's emergency requests when necessary + Act as a motivator to keep the morale up among team members + Oversee and manage all aspects of the proactive claim edit design and maintenance processes + Proactively identify and execute on opportunities for process improvements + Develop training programs to onboard new team members and expand the skills of the existing team members. + Clearly communicate both in oral and written form, operational results to team members and executive management. + Other duties as assigned **WHAT YOU'LL NEED** + 5+ years of experience in a healthcare setting + EDI 835/837/270/276/278, X12 structures, formats, and standards + Strong process orientation, problem solving & troubleshooting skills, and a firm commitment to quality + HIPAA regulation knowledge + Healthcare terminology + Proficient with Microsoft Office Suite + Good written and oral communication skills; team player + Experience with EDI and/or healthcare transactions required + Ability to travel up to 50% + Ability to communicate with all levels of hospital / physician business office personnel. **ABOUT WAYSTAR** Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun. Waystar products have won multiple Best in KLAS® or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow @Waystar (https://twitter.com/Waystar) on Twitter. **WAYSTAR PERKS** + Competitive total rewards (base salary + bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) + We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays + Paid parental leave (including maternity + paternity leave) + Education assistance opportunities and free LinkedIn Learning access + Free mental health and family planning programs, including adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee resource groups Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. **Job Category:** Customer Support **Job Type:** Full time **Req ID:** R2567