Payment Integrity Vice President

Job Summary

A company is looking for a Vice President, Payment Integrity.

Key Responsibilities

• Direct and oversee claims audit operations and medical code editing scenarios
• Develop and execute Payment Integrity strategies and manage operational reviews
• Identify analytical gaps and implement solutions to enhance business value

Required Qualifications

• Bachelor's Degree in Business Administration, Finance, Accounting, Criminal Justice, Economics, or related field required
• Master's Degree preferred
• 10+ years of Managed Care or CMS related experience required
• Previous management experience in hiring, training, and performance management required
• Equivalent experience may be considered in lieu of formal education