Program Integrity Vice President

A company is looking for a Vice President, Program Integrity.

Key Responsibilities

Oversee the overall Program Integrity Program, including payment recoveries and avoidance of inappropriate payments

Develop and execute Fraud, Waste, and Abuse (FWA) strategies in alignment with assurance functions

Collaborate with internal and external stakeholders to ensure compliance and mitigate risks effectively

Required Qualifications

Bachelor's degree in business administration, healthcare administration, or a related discipline

Master's degree in Business Administration or Healthcare Administration is preferred

Minimum of ten years of experience in program integrity, compliance, or related fields

Five years of senior leadership experience in a managed care organization or related industry

Certifications such as Certified in Health Care Compliance (CHC) or Certified Fraud Examiner (CFE) are preferred