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Director of Payment Integrity

Company: VirtualVocations
Location: Vista
Posted on: May 23, 2025

Job Description:

A company is looking for a Director, Payment Integrity Strategy and Operations.
Key Responsibilities

Develop and oversee Payment Integrity strategies focused on cost of care and payment accuracy
Manage internal teams and collaborate with external partners on process improvements and program evaluations
Represent Payment Integrity in internal and external meetings, driving innovation and best practices

Required Qualifications

Bachelor's degree with 10 years of experience in reimbursement policy or provider reimbursement
Direct health plan experience is required
Experience in business case development and financial analysis
7 years of leadership experience managing people or complex projects
Preferred experience with Payment Integrity products and strategy frameworks

Keywords: VirtualVocations, Rialto , Director of Payment Integrity, Executive , Vista, California

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