Payment Integrity Lead

Job Summary

A company is looking for a Payment Integrity Concept Lead.

Key Responsibilities

• Develop innovative payment integrity concepts and programs
• Research opportunities for cost savings and improved claim accuracy
• Design and build operational workflows to implement new programs

Required Qualifications

• Bachelor's degree and a minimum of 4 years of relevant professional experience
• Proven subject matter expertise in U.S. healthcare, medical claims, and payment policies
• Experience in developing new concepts for cost savings and process improvement
• Track record of designing and implementing operational processes and workflows
• Ability to leverage analytical tools and data to support new concepts