The Senior Analyst will partner with business units to identify and manage operational inefficiencies by analyzing key financial and utilization metrics. They are responsible for creating analytical dashboards, building models to generate insights, and presenting findings to both technical and non-technical stakeholders.
The analyst will partner with business units to identify inefficiencies, manage financial and utilization metrics, and create analytical dashboards. They will also collaborate with stakeholders to define key questions and present data-driven insights to support strategic decision-making.
The Strategic Insights Associate will own insights generation for a business unit and serve as the primary point of contact for senior leadership. They will analyze data to support informed decision-making and collaborate across the organization to identify and remove healthcare inefficiencies.
The associate will own insights generation for a business unit and collaborate with stakeholders to identify and manage operational inefficiencies. They are responsible for analyzing data to support informed decision-making and presenting findings to leadership in a clear, compelling manner.
The Senior Director leads the strategy and performance of Tier 1 and Tier 2 contact center operations across member, broker, and provider channels. They are responsible for scaling service operations, fostering a high-accountability remote culture, and integrating modern technology to optimize the customer experience.
Provide compassionate, evidence-based virtual care to health insurance members using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health, follow up on diagnostics, and participate in clinical meetings.
The Lead APP will provide direct patient care via telemedicine while overseeing a multidisciplinary team of providers. They are responsible for clinical quality, developing care guidelines, and serving as an escalation point for the virtual health assessment program.
Provide high-quality, evidence-based virtual urgent care to patients using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health goals, follow up on diagnostics, and ensure closed-loop communication.
Provide high-quality, evidence-based virtual urgent care to patients using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health goals and ensure closed-loop communication.
Provide virtual medical care to members via phone and messaging while adhering to company guidelines and policies. Collaborate with a multidisciplinary team of MAs, RNs, and other providers to ensure high-quality, efficient patient care.
Provide direct oversight and supervision of nurse practitioners and physician assistants while delivering virtual medical care via phone and video. Collaborate with multidisciplinary teams to ensure high-quality care in alignment with company guidelines and regulatory standards.
Provide virtual medical care to patients via phone and messaging while adhering to company guidelines and policies. Collaborate with a multidisciplinary team including medical assistants and registered nurses to ensure high-quality care delivery.
The Senior Manager will lead and optimize revenue cycle operations, including billing, coding, and claims management across the Oscar Medical Group. They will develop scalable strategies and partner with cross-functional teams to improve financial performance and ensure compliance.
The Senior Manager will lead and optimize revenue cycle operations, including billing, coding, and claims management for the Oscar Medical Group. They will develop scalable strategies and partner with cross-functional teams to improve financial performance and documentation accuracy.
The Senior Analyst investigates and detects aberrant behavior in claims and enrollment data to identify Fraud, Waste, and Abuse (FWA). They manage investigative caseloads from identification to resolution while developing documentation and reporting to meet monetary and savings targets.
The Specialist supports the design and execution of network construction plans and manages provider outreach to meet defined metrics and SLAs. They also assist in contract negotiations and document provider feedback to improve internal processes.
The auditor conducts internal and external quality audits of ICD-10 code abstraction to ensure accuracy and identify clinical documentation improvement opportunities. They also manage risk adjustment operations, including medical record reviews and CMS audit activities, while reporting trends to leadership.
Provide virtual medical care and direct oversight of nurse practitioners and physician assistants in accordance with state regulations. Collaborate with multidisciplinary teams to ensure high-quality care delivery and compliance with company policies.
The Associate Director provides strategic leadership and operational oversight for administrative grievances, appeals, and escalations to ensure regulatory compliance and operational excellence. They manage high-performing teams, drive resolution for complex member issues, and collaborate with cross-functional partners to mitigate risk and improve processes.
The manager leads the strategy and execution of provider-facing risk adjustment initiatives while managing cross-functional program delivery. They are responsible for establishing provider engagement models, analyzing performance data, and driving measurable improvements in documentation and coding outcomes.
The Senior Clinical Quality Nurse drives clinical performance by conducting quality audits on clinical documentation and ensuring adherence to regulatory and accreditation standards. They also provide coaching to staff, develop audit rubrics, and collaborate with leadership to implement corrective action plans.
The role involves leading the annual operating plan cycle and partnering with business leaders to translate company priorities into financial targets. You will also drive strategic investment processes by building business cases and evaluating trade-offs to support resource allocation.
The role involves leading the annual operating plan cycle and partnering with business leaders to translate company priorities into financial targets. You will also drive strategic investment processes by building business cases and evaluating trade-offs to support resource allocation.
The Medical Assistant provides virtual support to a Care Team by collecting patient medical information and performing administrative tasks. They manage patient needs from initial outreach to resolution, including scheduling, referrals, and coordinating with external facilities.
Provide direct oversight and regulatory supervision of nurse practitioners and physician assistants across virtual service lines. Collaborate with multidisciplinary teams including MAs and RNs while ensuring compliance with all applicable healthcare laws and regulations.
The Manager supports the development of health insurance plan designs by translating market strategy and regulatory requirements into detailed benefit configurations. They partner with cross-functional teams to ensure accuracy in filings, system configurations, and member-facing materials while driving process improvements.
The Senior Manager leads the development and advancement of insurance lifestyle product concepts, translating corporate strategy into scalable market-ready solutions. They are responsible for guiding matrixed teams, managing the product roadmap, and executing pilots from brainstorming through launch.
Design and build dashboards, business-intelligence solutions, and automated analytical products to make medical cost and financial performance transparent. Partner with cross-functional stakeholders to translate actuarial methodologies into reliable, maintainable technical solutions.
Provide high-quality virtual patient care and conduct health assessments while collaborating with a multidisciplinary team of physicians and clinicians. Manage patient follow-ups, utilize remote diagnostic tools, and participate in operational meetings to improve clinical workflows.
Provide high-quality, evidence-based virtual care to patients using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage complex patients and participate in operational workflow improvements.
Provide high-quality virtual patient care and conduct health assessments as part of a collaborative care team. Participate in operational workflows, patient huddles, and maintain compliance with all applicable healthcare laws.
Provide high-quality virtual care and perform health assessments for insurance members while collaborating with a multidisciplinary care team. Manage patient follow-ups, utilize remote diagnostic tools, and participate in clinical meetings to improve operational workflows.
Provide high-quality virtual patient care and conduct health assessments while collaborating with a multidisciplinary team of physicians and clinicians. Manage patient follow-ups, diagnostic monitoring, and contribute to operational workflow improvements.
Provide high-quality virtual care and conduct health assessments for insurance members. Collaborate with a multidisciplinary team to manage patient care, labs, and diagnostics.
Provide high-quality virtual patient care and conduct health assessments as part of a collaborative medical team. Manage patient follow-ups, utilize remote diagnostic tools, and participate in operational workflows to improve service delivery.
The Market Medical Officer serves as the clinical executive for the Texas and West region, partnering with P&L leadership to drive market performance and enhance care affordability. This role bridges corporate operations with local provider leadership to optimize medical cost trends and ensure regional network adequacy.
The Market Medical Officer serves as the clinical executive for the Atlantic region, leading market performance, care access, and affordability initiatives. They partner with P&L leadership to optimize medical cost trends and bridge corporate operations with local provider leadership.
The Market Medical Officer serves as the clinical executive for the Central region, partnering with P&L leadership to drive market performance, care access, and affordability. They are responsible for optimizing medical cost trends, managing provider relationships, and ensuring regional compliance with state and federal regulations.
The Associate Director develops and advances market strategies to improve growth, performance, and expansion across the company's insurance portfolio. They translate complex data into actionable recommendations and collaborate with cross-functional leadership to shape business decisions.
The Senior Analyst supports the accuracy, quality, and compliance of credentialing and provider operations through audits and performance analytics. They translate data findings into actionable process improvements and provide subject-matter expertise on practitioner and facility credentialing requirements.
The specialist is responsible for managing and resolving complex administrative member or provider grievances and appeals. They must conduct investigations, collaborate with internal departments, and ensure compliance with regulatory standards.
The Case Manager coordinates care across various settings and partners with members to create personalized care plans that improve clinical outcomes. They also assess Social Determinants of Health and provide crisis intervention to resolve barriers to care.
The Case Manager coordinates care across various settings and partners with members to create personalized care plans that improve clinical outcomes. They also assess Social Determinants of Health and provide crisis intervention to resolve barriers to care.
The Senior Director leads the execution and continuous improvement of the enterprise compliance program, including risk assessments, policy governance, and regulatory change management. They also partner with cross-functional leaders to mitigate compliance risks and advise senior leadership on complex healthcare regulatory matters.
The Senior Director will lead the execution and continuous improvement of the enterprise compliance program, including risk assessments, policy governance, and regulatory change management. They will also serve as a trusted advisor to senior leadership, overseeing compliance investigations and fostering a culture of ethics and integrity across the organization.
The Credentialing Specialist manages day-to-day provider credentialing tasks and interacts with internal and external stakeholders to ensure service delivery. They are responsible for monitoring work-in-progress issues, maintaining compliance with regulatory standards, and participating in process improvement initiatives.
Provide strategic leadership to the Clinical Policy team by ensuring medical and pharmacy policies are evidence-based and aligned with clinical advancements. Direct clinical publishing efforts and serve as a cross-functional scientific authority to elevate care quality across the organization.
Provides strategic leadership for provider clinical regulatory programs, credentialing operations, and clinical policy guidance. Ensures enterprise compliance with NCQA, CMS, and state standards while optimizing provider onboarding processes.
The Associate manages and negotiates contracts with healthcare providers to build and maintain a robust network while ensuring cost optimization and regulatory compliance. They also support network growth through direct provider engagement and data-driven analysis of provider performance.
The Senior Director will lead end-to-end corporate development activities, including M&A, investments, and strategic partnerships. They are responsible for market mapping, financial modeling, and ensuring successful transaction execution and integration.
The Senior Director will lead the company's inorganic growth agenda, including M&A, strategic partnerships, and investments from sourcing through execution. They will also manage long-term financial modeling and collaborate with operators to ensure successful post-close integration and value capture.
The Senior Analyst supports process improvement and issue resolution within the claims environment by leveraging infrastructure knowledge and data insights. They act as a subject matter expert for reimbursement policies and collaborate cross-functionally to translate stakeholder friction into actionable solutions.
The Provider Network Associate supports the accessibility and quality of the provider network through recruitment, engagement, and education activities. This role involves leveraging demographic data to target provider outreach and managing relationships to meet network growth and medical cost targets.
The Relationship Manager is responsible for driving business development and adoption of CHOICE Arrangements (ICHRA) through strategic partnerships with administrators and brokers. This role involves serving as a subject matter expert to educate distribution channels and reporting market performance to executive stakeholders.
The Associate Manager will lead, coach, and develop a team to support lean operations while driving productivity and process efficiencies. They are responsible for managing team reporting, analyzing KPIs, and collaborating with stakeholders to implement program strategies and risk mitigation.
The Associate Director leads a team of analysts to investigate regulatory inquiries and ensure adherence to state and federal claims compliance standards. This role translates departmental strategy into actionable business plans while collaborating cross-functionally to improve operational performance and regulatory outcomes.
The Associate Director leads a team of analysts to investigate regulatory inquiries and ensure adherence to state and federal claims compliance standards. This role collaborates cross-functionally to translate departmental strategy into actionable business plans while managing regulatory exams and operational KPIs.
The Manager of Data Mining leads a team of auditors to meet savings and recovery targets within the payment integrity department. They are responsible for overseeing vendor submissions, developing team workflows, and partnering with data science teams to establish identification algorithms.
The COB Specialist is responsible for investigating and verifying proper payment of medical and pharmacy claims while creating and enhancing coordination of benefits workflows. They will also analyze payment issues, conduct root cause analysis, and collaborate with internal partners to deliver effective reimbursement solutions.
Manage and resolve high-visibility executive-level complaints and social media escalations with urgency and professionalism. Conduct workflow reviews and provide actionable feedback to leadership to improve departmental quality and operational processes.
The Clinical Pharmacist Supervisor manages a team of pharmacists to ensure clinical accuracy and efficiency in prior authorization and appeals workflows. They also provide coaching, monitor performance metrics, and collaborate on process improvements to meet organizational quality standards.
Provide high-quality, evidence-based virtual urgent care to health insurance members using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health, follow up on diagnostics, and improve operational workflows.
Provide virtual patient care via phone and messaging while adhering to Oscar Medical Group guidelines and policies. Collaborate with a multidisciplinary team including MAs, RNs, and other providers to ensure high-quality, efficient healthcare delivery.
Provide high-quality, evidence-based virtual urgent care to patients using audio, video, and written communication. Collaborate with a multidisciplinary care team to manage patient health, follow up on diagnostics, and ensure closed-loop communication.
The Associate is responsible for negotiating and managing healthcare provider contracts to build and maintain a robust network while optimizing costs. They also support network growth, mentor junior team members, and ensure compliance with regulatory guidelines.
The Manager of Network Contracting leads a team in negotiating and managing complex healthcare provider contracts to meet accessibility and financial goals. They are responsible for dispute resolution, ensuring regulatory compliance, and optimizing network performance through data-driven strategies.
The Associate Manager leads and develops a team focused on operational excellence, resolving complex member and provider escalations. They manage daily operations, enforce compliance, and partner cross-functionally to identify trends and implement process improvements.
The Associate Manager leads a team dedicated to operational excellence by resolving complex member and provider escalations. They also partner cross-functionally to identify process improvements and mitigate operational risks.
The Associate Manager leads a team dedicated to operational excellence by resolving complex member and provider escalations. They also partner cross-functionally to identify process improvements and ensure compliance with organizational standards.
The Director will drive the strategy, program design, and implementation of initiatives within the Provider Integration and Experience department. They are responsible for enhancing provider experience, managing cross-functional initiatives, and reporting on business health to senior leadership.
The Director will drive the strategy, program design, and implementation of initiatives within the Provider Integration and Experience department. They are responsible for enhancing provider experience, managing cross-functional initiatives, and reporting on business health to senior leadership.
The Associate will ensure organizational compliance with industry regulations, standards, and laws by reviewing operational practices and enforcing procedures. They will also lead regulatory audits, develop improvement plans, and provide compliance training to team members.
The Associate will ensure organizational compliance with industry standards, regulations, and laws by reviewing operational practices and enforcing procedures. They will also partner with departments to implement improvement plans, conduct audits, and report findings to governing bodies.
The Manager of Network Contracting leads a team to negotiate and analyze contracts with healthcare providers while ensuring network adequacy and financial goals are met. They are responsible for dispute resolution, maintaining provider relationships, and implementing contracting strategies to support company growth.
Manage and resolve high-visibility executive-level complaints and social media escalations with urgency and professionalism. Conduct workflow reviews and provide actionable feedback to leadership to improve internal processes and operational quality.
The Behavioral Health Physician Reviewer oversees utilization management, case management, and quality improvement programs to ensure clinical and operational performance. They provide clinical determinations based on evidence-based criteria and manage escalated cases including denials and appeals.
The Associate is responsible for negotiating and managing contracts with healthcare providers to build and maintain a robust network while optimizing costs. They also support network growth, provider recruitment, and ensure compliance with regulatory guidelines and internal strategic objectives.
The Senior Manager leads a team in negotiating and executing complex healthcare provider contracts to meet financial and network adequacy goals. They also oversee dispute resolution, ensure regulatory compliance, and drive contracting strategies in partnership with market leaders.
The Associate leads the end-to-end management of cross-functional projects, including project planning, stakeholder engagement, and process optimization. They are responsible for analyzing departmental metrics and developing strategies to improve operational performance and mitigate risks.
The Associate leads the end-to-end management of cross-functional projects and process improvements to support organizational goals. They are responsible for gathering business requirements, analyzing performance metrics, and driving collaboration across internal and external stakeholder groups.
The associate will develop and execute network strategies by negotiating and managing partnerships with hospitals and health systems. They will analyze provider performance and financial data to provide recommendations for senior leadership while ensuring network adequacy and affordability.
The Pharmacy Technician Supervisor leads daily operations for the prior authorization team, ensuring accurate and compliant case processing. This role mentors staff, optimizes workflows, and serves as a subject matter expert for escalated inquiries.
The Associate manages and negotiates contracts with healthcare providers to ensure network adequacy and cost-effective care delivery. They also provide mentorship to junior team members and collaborate with market leaders to implement contracting strategies.
The associate leads cross-functional projects to resolve data process challenges and improve directory accuracy. They also analyze departmental performance data to implement technology-enabled solutions and drive continuous improvement.
The Associate leads cross-functional projects to improve data processes and directory accuracy while resolving complex escalations. They also analyze departmental data to inform technology-enabled solutions and mentor team members to optimize operational efficiency.
The role involves providing telephonic case management to educate members on health outcomes and coordinating care across various settings. You will also assist with discharge planning, conduct biopsychosocial assessments, and develop outcome-based care plans.
The Senior Manager leads a team in negotiating and executing complex contracts with healthcare providers to meet financial and network adequacy goals. They are responsible for dispute resolution, contract optimization, and driving contracting strategies in alignment with company objectives.
The Associate drives solutions to acute and systemic operational issues by managing provider escalations and orchestrating cross-functional efforts. They utilize data to inform business decisions and build strong relationships with internal and external stakeholders.
The Associate drives solutions to acute and systemic operational issues by managing provider escalations and orchestrating cross-functional efforts. They also utilize data to inform business decisions and develop trusting relationships with internal and external stakeholders.
The Manager of Network Contracting leads a team to negotiate and analyze complex healthcare provider contracts while ensuring network adequacy and financial goals are met. They are responsible for dispute resolution, maintaining provider relationships, and implementing contracting strategies to support company growth.
The Manager of Data Analytics will triage complex data issues, identify root causes, and collaborate with engineering and business teams to implement scalable solutions. They are responsible for driving analytical requests, managing stakeholder relationships, and presenting technical findings to diverse audiences.
The Manager, Strategic Planning leads end-to-end cross-functional project implementations and manages stakeholder relationships to drive collaboration. They also evaluate departmental performance through data analysis and assist in the development of metrics and mitigation strategies.
The manager leads end-to-end cross-functional implementations and projects while managing stakeholder relationships and project plans. They also evaluate departmental performance through data analysis and develop strategies for risk mitigation and program success.
The Process Management Associate will analyze and evaluate existing business processes to identify inefficiencies and implement improvement strategies. They will collaborate with cross-functional teams to optimize workflows and drive process automation initiatives.
The associate will analyze and evaluate existing business processes to identify inefficiencies and develop improvement strategies. They will collaborate with cross-functional teams to implement these strategies and monitor performance using relevant metrics.
The associate will perform line-by-line reviews of high-dollar facility itemized bills to identify billing errors and ensure claims are paid accurately. They will also serve as a subject matter expert to translate stakeholder friction into actionable process improvements.
The Associate manages a portfolio of national ancillary providers and health systems across the full contracting lifecycle, from recruitment to performance management. They translate network access and affordability goals into executable strategies while maintaining durable provider relationships.
The Associate will support financial planning, analytics, and business insights for various divisions while partnering with leadership on projections and strategic initiatives. They are responsible for creating reporting, monitoring business metrics, and crafting data-driven recommendations to influence growth and profitability.
The Associate will support financial planning, analytics, and business insights for various divisions while partnering with leadership on projections and strategic initiatives. They will also craft data-driven recommendations and monitor key metrics to guide company-wide strategic decisions.
The Associate leads end-to-end cross-functional projects and process improvements to support organizational goals. They are responsible for analyzing departmental metrics, managing stakeholder relationships, and developing strategies for risk mitigation and change management.
The Associate leads cross-functional projects to design and optimize internal processes while managing stakeholder relationships and project governance. They are responsible for analyzing departmental metrics and developing strategies to improve operational performance and mitigate risks.
The Senior Manager develops and executes market-level strategies to drive growth, retention, and competitive positioning across the product portfolio. They lead strategic initiatives, perform market analyses, and provide actionable recommendations to executive leadership.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards. You will also monitor assigned caseloads, resolve issues, and participate in process improvement projects while ensuring compliance with health information regulations.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards. You will also monitor assigned caseloads, resolve issues, and participate in process improvement projects to ensure compliance with operational standards.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards. You will also monitor work-in-progress issues, participate in process improvement projects, and ensure compliance with regulatory standards.
The role involves managing member and provider interactions through multiple channels while maintaining productivity and quality standards for assigned caseloads. You will also monitor work-in-progress issues, escalate concerns as needed, and participate in process improvement projects.
Define and design intuitive experiences for Oscar's users, focusing on the ICHRA marketplace and employer health plan contribution tools. Partner with cross-functional teams including product managers, engineers, and data scientists to drive features from discovery through delivery.
Define and design user experiences for the Lucie Marketplace, focusing on ICHRA tooling to support Oscar's mission. Collaborate with cross-functional teams including product managers, engineers, and data scientists to drive features from discovery through delivery.
The role involves managing member and provider interactions through multiple channels while maintaining service delivery and quality expectations. You will also monitor assigned work-in-progress, resolve issues, and participate in process improvement projects.
The representative will manage assigned caseloads and interact with members, brokers, and providers to ensure service delivery and quality expectations. They will also monitor work-in-progress issues, participate in process improvement projects, and ensure compliance with regulatory standards.
The representative will manage member, broker, and provider interactions through multiple channels while maintaining service delivery and quality expectations. They will also monitor assigned work-in-progress issues and participate in process improvement projects to ensure compliance with regulatory standards.
The role involves managing member and provider interactions through multiple channels while maintaining service delivery and quality expectations. You will also monitor assigned work-in-progress issues and participate in process improvement projects to ensure operational compliance.
The Senior Specialist will identify risks, resolve process issues, and coordinate projects to improve operational efficiency and meet organizational goals. They will also partner with leadership to develop strategies and translate data analysis into actionable insights for change management.
The Senior Specialist will identify process risks, resolve operational issues, and coordinate projects to meet organizational milestones. They will also partner with leadership to implement process improvements and data-driven strategies to enhance operational efficiency.
The role involves architecting resilient cloud infrastructure and leading technical projects to support the company's health insurance platform. You will mentor engineers, drive technical roadmaps, and ensure system reliability through robust automation and observability practices.
The role involves architecting resilient cloud infrastructure and leading technical projects to support the company's health insurance platform. You will mentor engineers, drive technical roadmaps, and ensure system reliability through SRE best practices.
Lead the design and implementation of cross-functional processes to optimize member and provider services. Analyze departmental performance data to develop metrics and risk mitigation strategies for organizational goals.
Manage a team responsible for building and maintaining a robust healthcare provider network in Florida through contract negotiation and performance analysis. Execute local network strategies to optimize costs and ensure member access to quality care.
The Associate supports financial planning, analytics, and business insights for corporate, operations, and technology divisions. Key duties include creating reporting for spending patterns, developing portfolio strategies, and providing data-driven recommendations for pricing decisions.
Support financial planning, analytics, and business insights for corporate, operations, and technology divisions. Create reporting and data-driven recommendations to guide pricing decisions and strategic growth for senior leadership.
Own the end-to-end development and performance of insurance plan designs across assigned markets, translating strategy into compliant benefit structures. Lead the product lifecycle from design and regulatory filing through implementation and post-launch optimization.
Lead the execution of the ACA individual and small group QHP product lifecycle, overseeing regulatory filing delivery and quality assurance. Serve as the central hub between Product, Technology, Actuarial, and external vendors to ensure compliant and accurate product implementation.
Lead the development of innovative insurance product concepts focusing on lifestyle-based, multicultural, and condition-specific health plans. Translate high-level strategy into testable concepts and coordinate cross-functional efforts to move pilots toward scalable opportunities.
Conduct primary and secondary market research to analyze healthcare trends, consumer behaviors, and competitor activity. Translate complex data into strategic insights and dashboards to support insurance product development and business planning.
Lead intelligence programs to monitor market trends, competitor strategies, and regulatory developments within Oscar's operating geographies. Translate market insights into strategic recommendations to improve product retention, growth, and portfolio performance.
Lead market-specific strategy development and own the enterprise market intelligence function to guide product strategy and expansion. Serve as a strategic advisor to executive leadership by translating complex data into actionable recommendations for portfolio optimization.
You will perform frequent case reviews, check medical records, and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on research results for those conditions.
The Associate is responsible for leading Coordination of Benefits efforts within the claims and Payment Integrity space. This includes providing thought leadership for Payment Integrity processes and workflows, and identifying overpayments to support overall payment integrity.
