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The Payment Integrity Concept Lead will research cost-saving opportunities, develop new payment integrity concepts, and design operational workflows to implement them effectively.
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The role involves managing provider escalations, developing processes for claims, collaborating with multiple teams, analyzing trends, and creating documentation. It focuses on enhancing operational efficiency and building strong provider relationships.
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The Claims & Payments Director leads claims policy strategy, interfaces with providers, reviews complex claims, and influences organizational strategies for claims compliance and payment accuracy.
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The Senior Compliance Analyst will audit, track compliance issues, collaborate with teams, analyze data, and support risk assessments.
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The IT Audit Lead will oversee IS audits, develop methodologies, ensure compliance with IIA standards, advise on technology risks, and innovate audit practices.