Director, Payment Integrity - Hybrid
Blue(25 days ago)
About this role
The Director, Payment Integrity at Blue Cross Blue Shield of Arizona provides strategic leadership for enterprise payment integrity programs, focusing on payment accuracy, regulatory compliance, and cost containment for medical and pharmacy claims. The role sets vision and alignment across the organization and is accountable for program performance and oversight. This position is a senior leader responsible for leading a diverse team and partnering across functions to optimize reimbursement and member affordability.
Required Skills
- Payment Integrity
- Fraud Investigation
- Vendor Management
- Strategy Development
- Project Management
- Data Analytics
- Claims Adjudication
- Coding Knowledge
- Risk Management
- Process Improvement
+2 more
Qualifications
- Bachelor's Degree
- Master's Degree
- Healthcare Fraud Studies
- Lean/Six Sigma
About Blue
azblue.comBe 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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