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Director of Payment Integrity

Company: The Judge Group
Location: Portland
Posted on: November 22, 2021

Job Description:

Location: Portland, OR Description: Our client is currently seeking a Director of Payment Integrity in Portland, OR! This job will have the following responsibilities:

  • Operationalize payment integrity office. Recently contracted with Optum Helping set up payment integrity office.
  • Various recover screens - payment and post audits, credit reviews, data mining (claims history to identify risks and audit to identify if or not it's an opportunity and how we can get it rolling to recover dollars).
  • Medicare and medicaid space, fraud waste and abuse with the legal team. Ex. Provider sanction - payment integrity to support directives.
  • This position is responsible for leading the execution of payment integrity strategy and activity across the organization.
  • Time is focused on business group and vendor oversight, with secondary time on enterprise-wide engagement.
  • Primary duties include operational planning and oversight, as well as resource, relationship, and people management.
  • This position provides input into strategic plans for the broader
    If you're interested or know someone that might be, reach out to Eddy at . Contact: This job and many more are available through The Judge Group. Find us on the web at

Keywords: The Judge Group, Portland , Director of Payment Integrity, Executive , Portland, Oregon

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