Director of Post-Pay Audit

Job Summary

Leading the medical revenue recovery audit teams, the remote Director of Post-Pay Audit will oversee comprehensive post-payment audits across U.S. and offshore operations, ensuring compliance and maximizing revenue recovery for healthcare provider clients.

Key Responsibilities

• Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting
• Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across U.S. and Philippines operations
• Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's or MBA preferred
• Minimum of 7-10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
• Proven experience managing global teams, including operations based in the Philippines
• Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
• Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus