Added
3 days ago
Location
Type
Full time
Salary
Upgrade to Premium to se...
Save Job

Related skills

data analytics vendor management leadership payment integrity regulatory compliance

📋 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
Apply on employer's website
This employer gathers applications via their own applicant tracking system.
You will be redirected to an external application form.
Share job

Meet JobCopilot: Your Personal AI Job Hunter

Automatically Apply to Operations Jobs. Just set your preferences and Job Copilot will do the rest — finding, filtering, and applying while you focus on what matters.
Activate JobCopilot

Related Operations Jobs

See more Operations jobs →