The Director of Payment Integrity manages the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams while setting departmental strategy. This role involves overseeing daily operations, ensuring regulatory compliance, and analyzing data to identify process improvements and cost savings.
The Project Manager will lead cross-functional teams to plan, execute, and close projects that align with company goals and improve health plan operations. They are responsible for managing project budgets, timelines, risks, and ensuring compliance with healthcare regulations.
