Senior Payment Integrity Lead

Job Summary

Driving operational excellence in payment integrity, the full-time Senior Payment Integrity Lead will manage carrier relationships, oversee payment operations, and facilitate continuous improvement initiatives in a remote environment.

Key responsibilities

• Attend monthly Business Review and Carrier meetings to provide analytical insights and lead data-driven discussions
• Facilitate feedback loops to understand carrier needs and implement continuous improvement strategies
• Manage escalations and ensure timely resolution of carrier issues while championing a high-quality experience across all interactions

Required qualifications

• Bachelor's degree in business, operations, or related field; advanced degree preferred
• 5-10+ years of experience in payment integrity operations, financial operations, or quality management
• Payor/Carrier experience is required
• Experience managing payment integrity operations processes and complex operational programs
• Experience managing external partners or vendors preferred