Job Description
📋 Description Lead payment integrity strategy and execution Oversee pre- and post-payment reviews and FWA prevention Design solutions to reduce leakage in the claims lifecycle Build and manage multi-vendor partnerships with SLAs Partner with Claims, Finance, Product, Legal for outcomes Drive affordability and regulatory compliance 🎯 Requirements 15+ years in healthcare claims or payment integrity leadership Deep expertise in medical claims operations and regulatory compliance Proven scale of operations in growth environments Strong understanding of healthcare regs, audits, and best practices Ability to lead large, distributed teams and complex vendors Strategic, analytic, and financial operational acumen 🎁 Benefits Flexible PTO Up to 16 weeks paid parental leave Paid holidays 401k program Transportation perks Education reimbursement
