Senior Payment Integrity Lead

Job Summary

Driving operational excellence and strategic carrier relationships, the full-time Senior Payment Integrity Lead will manage payment operations, quality assurance, and carrier engagement while working remotely to ensure a positive experience for carriers and internal stakeholders.

Key responsibilities

• Attend monthly Business Review and Carrier meetings to provide analytical insights and facilitate data-driven discussions
• Lead initiatives to strengthen trust and transparency with carriers, managing escalations and ensuring timely resolution of issues
• Champion a consistent, high-quality experience across all carrier and client touchpoints while developing team capabilities in communication and analytics

Required qualifications

• Bachelor's degree in business, operations, or a 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 the payment integrity operations process and complex operational programs
• Experience managing external partners or vendors preferred