Director, Payment Integrity
CareOregon(16 days ago)
About this role
The Director, Payment Integrity at CareOregon leads the payment integrity strategy and operational activities across the organization, focusing on claims auditing, fraud detection, and process improvement. The role involves managing teams, overseeing vendor relationships, ensuring regulatory compliance, and contributing to strategic planning.
Required Skills
- Claims Processing
- Claims Auditing
- Fraud Detection
- Vendor Management
- Data Analytics
- Healthcare Coding
- Operations Management
- Regulatory Compliance
- Process Improvement
- Financial Analysis
About CareOregon
careoregon.orgWhether you’re a current Oregon Health Plan (OHP) Medicaid member or want to become one, CareOregon is here to help you get the best health care.
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