Director, Payment Integrity - Hybrid

Blue(3 months ago)

HybridFull TimeDirector$192,316 - $253,172 (estimated)Payment Integrity

About this role

The Director, Payment Integrity leads enterprise payment integrity efforts to ensure payment accuracy, regulatory compliance, and cost containment across medical and pharmacy claims. This senior role sets vision and strategy for payment integrity programs, partners across the organization, and leads a team focused on claims payment, recovery, audit, and investigative functions to minimize risk and improve member affordability.

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Required Skills

Payment Integrity
Fraud Detection
Claims Adjudication
Vendor Management
Data Analysis
Project Management
Process Improvement
Negotiation
Leadership
Compliance

+1 more

Qualifications

Bachelor's Degree in Business or Related Field
Master's Degree (Preferred)
Healthcare Fraud Studies (Preferred)
Lean Six Sigma (Preferred)

About Blue

azblue.com

Be your healthiest with Blue Cross Blue Shield of Arizona. Find health insurance plans for all health concerns and budgets for individuals, families, and businesses.

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