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Director, Payment Integrity: Build Policy & Savings Engine
Job in
Denver, Denver County, Colorado, 80285, USA
Listed on 2026-08-16
Listing for:
Capital Rx
Full Time
position Listed on 2026-08-16
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Judi Health in Denver, CO is seeking a Director of Payment Integrity to build and lead a comprehensive program ensuring accurate, compliant claim payments across commercial plans.
The role will define reimbursement policies, design prepay edits, and expand into DRG validation, itemized bill review, and FWA initiatives, while recruiting and mentoring a high-performance team. Hybrid work with three days in-office is offered.
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