Director of Claims Operations

A company is looking for a Director of Claims Payment & Payment Integrity Operations.

Key Responsibilities

Develop and manage claims payment and payment integrity workflows

Ensure compliance with regulatory standards and contractual requirements

Lead team development and manage vendor relationships to meet performance standards

Required Qualifications

Bachelor's degree or equivalent experience

8+ years of experience in healthcare claims and payments

3+ years of team management experience

Deep understanding of regulatory requirements and payment integrity best practices

Proven leadership and management skills