Director of Medicare Program Integrity

Job Summary

A company is looking for a Director, Medicare Program Integrity Operations.

Key Responsibilities

• Provide executive oversight and direction for program operations, ensuring performance aligns with contractual requirements and quality standards
• Serve as a senior interface with government stakeholders for governance, performance reviews, and risk management
• Lead integrated teams and subcontractor partners to deliver efficient and compliant program outcomes

Qualifications

• Bachelor's degree required
• 10+ years of experience in healthcare program operations, compliance, auditing, or federal health programs
• 3+ years of experience leading complex teams and managing large-scale program operations
• Strong knowledge of Medicare-related programs and healthcare compliance preferred
• Experience with managed care auditing and federal clients or contractors strongly preferred