Director of Payment IntegrityVirtualVocations • Sacramento, California, United States
Director of Payment Integrity
VirtualVocations • Sacramento, California, United States
Hace más de 30 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for a Director of Payment Integrity.
Key Responsibilities
Develop and implement payment integrity strategies and capability roadmaps to enhance operational efficiency and cost containment
Oversee payment integrity business processes, ensuring compliance with regulatory requirements and achieving annual savings targets
Manage vendor partnerships and lead performance management initiatives to monitor and improve service quality
Required Qualifications
Bachelor's degree or equivalent experience, with 8+ years in the healthcare setting and 5+ years in leadership roles
At least 10 years of experience in medical claims payment cost containment or payment integrity
Clinical and / or healthcare claims operational experience is strongly preferred
Experience in IT capability development for operational solutions
Proven ability to develop and implement strategies and manage multi-year operational plans
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Director Payment Integrity • Sacramento, California, United States
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