Remote Content Policy & Claims Strategy Lead

Rialtic; Georgia; Remote; USD 120,000 - 165,000; Full time

Benefits offered by this job

Open PTO

Flexible schedules

Medical, dental, and vision coverage

Equity

401(k) with company matching

Disability and life insurance

HSAs

One Medical membership

Mental health resources

Home office allowance

Job summary

Rialtic is seeking a Content Policy Manager, Client, to act as the subject‑matter expert and trusted advisor for clients’ payment integrity needs. You will help optimize and manage claims editing portfolios, maximize overpayment detection while minimizing provider abrasion, and guide clients toward high‑value platform improvements.

In this role you’ll collaborate with Client Success, Product, Engineering, and content leadership, driving data‑driven policy recommendations and ensuring timely,

Qualifications

• 5–7 years in payment integrity at a health plan, payvider, claims editing vendor, or comparable environment.
• A coding, billing, or auditing credential (CPC, CCS, or equivalent specialty certification). Coding certification is required.
• Expertise interpreting medical policy, applying correct coding guidelines, and understanding top claims error reasons.
• Demonstrated experience advising clients and explaining complex medical policy and payment accuracy concepts to non‑specialists.
• Proven experience managing claims editing implementations or comparable client delivery initiatives.
• Strong analytical skills, with the ability to quantify and communicate policy value.
• Confidence on client calls — guiding clients through complex decisions, answering hard questions, and negotiating requests with internal resources.

Responsibilities

• Serve as primary subject matter expert and trusted advisor to clients on payment integrity policy.
• Tailor and fine-tune policies to client circumstances, maximizing savings.
• Guide clients toward long‑term strategies that generate sustainable impact.
• Present policy rationale, value, and implications during client interactions.
• Coordinate across external and internal stakeholders on client accounts.
• Oversee policy implementation, ensuring accuracy and timeliness.
• Develop timelines for client creation requests and influence teams to meet deliverables.
• Build clear, client‑facing content materials, analyses, and reporting.

Skills

Policy expertise

Client advisory

Cross-functional collaboration

Analytical ability

Client engagement

Education

CPC/CCS certification

Tools

Google Workspace

Job description

Rialtic is seeking a Content Policy Manager, Client, to act as the subject‑matter expert and trusted advisor for clients’ payment integrity needs. You will help optimize and manage claims editing portfolios, maximize overpayment detection while minimizing provider abrasion, and guide clients toward high‑value platform improvements.

In this role you’ll collaborate with Client Success, Product, Engineering, and content leadership, driving data‑driven policy recommendations and ensuring timely,